Kapiolani Management, LLC
Alejandra Alvarado
786-877-6920
aalvaradomiami@gmail.com
Rental Application
Separate application required from each applicant age 18 or older who plan to live in the property.
Date and time received by the Property Manager:
______________________________
Credit Report Fee $50 per person
Date Received:
Screening Fee
Date Received:
$25 per person
Form of Payment: Money Order
This Section to be Completed by Property Manager.
Address of Property to be Rented: 2610 Oakmont, Weston Fl 33332
Rental Term
Lease From
05/01/2011 to 04/30/2011
Fees, Funds, Amounts Due Prior to Occupancy:
First Month's Rent
Security Deposit
Other
(Specify) $
Total
Applicant
Full Name:
Include all names you use:
Home Phone:
Work Phone:
Social Security Number:
United States Permanent Resident Card (USCIS #):
Temporary Visas:
Driver's License Number/State:
Other identifying information:
Vehicle Make, Model, Color and Year:
License Plate Numbers/State:
Cell Phone:
Email:
Additional Tenants
List everyone, including children, who will live with you:
Full Name
Relationship to Applicant
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
Rental History
First-time Renters: Attach a description of your housing situation for the past five years, with contact
information or school attended if applicable.
Current Address:
_____________________________________________________
Dates Lived at Address:
Rent:
___________________
_____________ Security Deposit:
Landlord/Manager's Name:
Landlord/Manager's Phone #:
_______________
_____________________
_______________________
Reason for Leaving:
___________________________________________________
Previous Address:
_____________________________________________________
Dates Lived at Address:
Rent:
___________________
_____________ Security Deposit:
Landlord/Manager's Name:
Landlord/manager's Phone #:
_______________
_____________________
_______________________
Reason for Leaving:
___________________________________________________
Previous Address:
_____________________________________________________
Dates Lived at Address:
Rent:
___________________
_____________ Security deposit:
Landlord/Manager's Name:
Landlord/Manager's Phone #:
Reason for Leaving:
_______________
_____________________
_______________________
___________________________________________________
Employment History
Self-employed applicants: attach tax returns for the past two years.
Name of Current Employer:
____________________________________________________
Address of Current Employer:
__________________________________________________
Phone:
_________________
Name of Supervisor:
Supervisor's Phone:
__________________
________________________
________________________
Dates Employed at this Job:
Position or Title:
Fax:
_____________________
___________________
Name of Previous Employer:
Address of Previous Employer:
Phone:
_________________
Name of Supervisor:
Supervisor's Phone:
________________________
________________________
Dates Employed at this Job:
Position or Title:
_____________________
___________________
Income
Attach pay stubs for the past 30 days from all current employer(s).
Your gross monthly employment income (before deductions):
___________
Average monthly amounts of other income (Specify Sources):
___________
1.
___________________________________________________
___________
2.
___________________________________________________
___________
3.
___________________________________________________
___________
___________
Total:
Bank/Financial Accounts
Savings Account:
Checking Account:
Money Market/IRA:
Account Number
Bank/Institution
Branch
Amount
_________________________________________________________
_________________________________________________________
_________________________________________________________
Credit Card Accounts
Visa
Master Card
Retail
Issuer:
American Ex
Other
Other
_________________________________________
Account No.:
___________________________________
Balance: $
Issuer:
Discover
_____________
Average Monthly Payment: $
______________
_________________________________________
Account No.:
___________________________________
Balance: $
_____________
Average Monthly Payment: $
______________
Loans
Type of Loan
Name of
Creditor
(Mortgage, Car, Student Loan, Child
Support, etc.)
Account
Number
Amount
Owed
Monthly
Payment
________________
_______________
____________
______
____
________________
_______________
____________
______
____
________________
_______________
____________
______
_____
________________
_______________
____________
______
_____
________________
_______________
____________
______
_____
________________
_______________
____________
______
_____
Personal Information
Smoking: Do you smoke?
[ ] Yes [ ] No
Bankruptcy: Have you ever filed for bankruptcy?
If you answered "yes": How many times?
When?
[ ] Yes [ ] No
_____ If so, what type(s)?
_________________
_____________
Lawsuits: Have you ever been sued?
[ ] Yes [ ] No
If you answered "yes": How many times?
____ Concerning what?
___________________
When? _____________
Have you sued someone else? [ ] Yes [ ] No
How many times? ____
When:
Concerning what? ___________________
Eviction History: Have you been evicted or are you now undergoing an eviction?
[ ] Yes [ ] No
If you answered "yes": How many times? ____
When? _____________
Criminal Convictions: Have you been convicted of any crimes? [ ] yes [ ] no
If you answered "yes":
For what offenses? _____________________
When ? _____________
What was the sentence? _________________
Registered Sexual Offenders: Are you required to register as a sexual offender pursuant to any state's law?
[ ] Yes [ ] No [ ]
If you answered "yes": Where are you registered? ___________
For what offense, and when was the conviction?
_______________________
Use this space to further explain any "Yes" answers:
_______________________________________________________________________
Pets
Describe the number and type of pets you want to have in the rental property:
_____________________________________________________________________
Water-Filled Furniture
Describe water-filled furniture you want to have in the rental property:
_____________________________________________________________________
References and Emergency Contact
Personal Reference:
_______________________ Relationship:
________________
Address:
____________________________________________________________
Phone:
____________________________
Personal Reference:
_______________________
Relationship:
_____________
Address:
_________________________________________________________________
Phone:
____________________________
Contact in emergency:
____________________
Relationship: __________________
Address:
____________________________________________________________
Phone:
____________________________
Source
Where did you learn of this vacancy?
_______________________________________________
Certification
I certify that all the information given above is true and correct and understand that my lease or rental
agreement may be terminated if I have made any materially false or incomplete statements in this application. I
authorize verification of the information provided in this application from my credit sources, current and
previous landlords and employers, and personal references. I give permission for the landlord or its agent to
obtain a consumer report about me for the purpose of this application, to ensure that I continue to meet the
terms of the tenancy, for the collection and recovery of any financial obligations relating to my tenancy, or for
any other permissible purpose.
________________________________
Applicant
_____________________
Date
Notes (Landlord/Manager):
________________________________________________________________________
