RENTAL APPLICATION
* A $25.00 application fee, the completed application and the signed consent form at the bottom of this page is required to process your application- Please print and send to:
WIndy City Managment, 510 East 17th, Suite G, Hutchinson KS 67501
Property Address:_______________________________ Application Date:_________________ Move in Date?_____________
Name: ____________________________________________ Age: __________ Date Of Birth:_____________________
Social Security Number:___________________________ Drivers License Number & state:___________________________
Home Phone:______________________ Cell Phone: ______________________ Bussiness Phone:__________________
Current Address: _____________________________________________________________ How long?______________
Present Landlord: Name:______________________________________________ Phone:__________________________
Address:____________________________________________________________________________
Present rent amount:$____________________
Present Employer: Name:_____________________________________________ Phone:___________________________
Address:___________________________________________ How long?____________
Position:___________________________________________ Salary:_______________
Other Income & Source?________________________________________________________________
Spouse/co-tenant: Name: ____________________________________________ Age: __________ Date Of Birth:_____________________
Social Security Number:___________________________ Drivers License Number & state:___________________________
Home Phone:______________________ Cell Phone: ______________________ Bussiness Phone:__________________
Current Address: _____________________________________________________________ How long?______________
Present Landlord: Name:______________________________________________ Phone:__________________________
Address:____________________________________________________________________________
Present rent amount:$____________________
Present Employer: Name:_____________________________________________ Phone:___________________________
Address:___________________________________________ How long?____________
Position:___________________________________________ Salary:_______________
Other Income & Source?________________________________________________________________
Other Information:
Number of Children:_____________________ Do you have any pets?________ If yes type and size:______________________
Do you have a vacuum?_________________
Emergency Contact:Name:__________________________ Address:_____________________________________________
Phone number: Home: ________________________ Cell:___________________________ Work:______________________
Do you have any prior convictions?_________________________________________________________________________
I _____________________________________ agree that:
1) You have the right to verify all information given on this application and to contact any of my past landlords or references prior to rental, and to release information about me as a tenant to other residential landlords or landlord associations.
2) Should I vacate leaving the property damaged or not clean said damage or cleaning costs will be deducted from my dposit and additional damagesover deposit will be paid by me.
3) Deposits refunded only if applicant is rejected by landlord. Landlord will retain deposit for liquidated damages in the event of cancellation by applicant. (i.e- In the event the application is approved and the applicant failsor refuses to execute or enter into the contemplated lease, owner shall retain said earnest deposit as liquidated damages to cover the costs of taking and processing the applicatio, as well as the loss of rent occasioned by the owner reserving said property for the applicant. Both parties acknowledge that these damages are difficult to calculate, but may include commissions for re-leasing and overhead attributed to advertising, bookekepping and other similar costs. If the contemplated lese is executed by the applicant and the owner, the earnest deposit shall be applied toward the security deposit as defined in said lease. In the event this application is disapproved by the owner, for any reason for which the owner is responsible, the lease agreement is not consummated, this deposit shall be returned to the applicant.)
Signed:___________________________________________ Date:_____________________
Signed:___________________________________________ Date:_____________________
****************************************************************************************************************************************************************************************** FOR WINDY CITY MANAGEMENT STAFF ONLY:
Property Number:________________________ Lease Term:________________
Monthly Rent:_____________________ Deposit:__________________
Application fee received:$____________________ Date:___________________
Deposit Received:$______________________ Date:__________________
Approved: Windy City Management LLC
By: ______________________________ Date:________________________
