Please Print and complete information and bring into 201 N. Main St. Hennessey or Mail to P.O. Box 365 Hennessey, OK 73742

KTD RENTAL PROPERTIES

201 N. MAIN, HENNESSEY OK 73742
405-853-4858
eaglere@pldi.net
APPLICATION FEE: $40
(NON REFUNDABLE, CASH OR MONEY ORDER ONLY, APPLICATION WILL NOT BE CONSIDERED WITHOUT THE FEE)

BORROWER’S NAME (INCLUDE JR OR SR IF APPLICABLE)

______________________________________________

SOCIAL SECURITY # ___________________________

ARE YOU A U.S. CITIZEN? ___________ ARE YOU A LEGAL ALIEN? ___________

EMAIL ADDRESS: _____________________________

HOME PHONE: ____________________________ DATE OF BIRTH_________________________

MARRIED_______ UNMARRIED __________ SEPARATED __________DEPENDENTS NO____ AGES __________

PRESENT ADDRESS (STREET, CITY, STATE, ZIP) OWN________ RENT ___________ NO YEARS _________

_____________________________________________________________________________________________________________

CO BORROWER’S NAME

____________ ___________________________________

SOCIAL SECURITY # ___________________

ARE YOU A U.S. CITIZEN? ___________ ARE YOU A LEGAL ALIEN? ___________

EMAIL ADDRESS: _____________________________

HOME PHONE: ____________________________ DATE OF BIRTH ______________________

MARRIED_______ UNMARRIED __________ SEPARATED __________DEPENDENTS NO____ AGES __________

PRESENT ADDRESS (STREET, CITY, STATE, ZIP) OWN________ RENT ___________ NO YEARS _________

_____________________________________________________________________________________________________________

IF RESIDING AT PRESENT ADDRESS FOR LESS THAN TWO YEARS, LIST FORMER ADDRESS BELOW

_____________________________________________________________________________________________

BORROWER'S EMPLOYER NAME AND ADDRESS

________________________________________________________________________________________________________

YEARS ON THIS JOB? __________ YEARS EMPLOYED IN THIS LINE OF WORK/PROFESSION? ___________________

POSITION ___________________________ WORK PHONE ______________________________

CO-BORROWER’S NAME AND ADDRESS OF EMPLOYER

________________________________________________________________________________________________________

YEARS ON THIS JOB? ___________ YEARS EMPLOYED IN THIS LINE OF WORK/PROFESSION? __________________

POSITION ___________________________ WORK PHONE ________________________________

MONTHLY BASE EMPLOYER INCOME	BORROWER	CO BORROWER	TOTAL
OVERTIME
BONUSES/COMMISSIONS
DIVIDENDS/INTEREST
OTHER
TOTAL INCOME
COMBINED MONTHLY HOUSING EXPENSES
RENT
OTHER
CAR PAYMENTS
CREDIT CARD PAYMENTS
TOTAL EXPENSES
NET INCOME

What do you own?

Money you have for down payment ________________________________

_
Savings ______________________

Automobiles __________________________________________________________________

Real Estate ________________________________________________________________________________________________________

Other _______________________________________________________________________________________

____________________________________________________________________________________________

What do you owe?
Banks, people, companies that you owe money to:

Company_______________________________ Balance ___________ Payment _________________

DECLARATIONS

IF YOU ANSWER “YES” TO ANY QUESTIONS BELOW, PLEASE USE CONTINUATION SHEET FOR EXPLANATION.

BORROWER/COBORROWER

ARE THERE ANY OUTSTANDING JUDGMENTS AGAINST YOU? YES NO YES NO
HAVE YOU DECLARED BANKRUPTCY WITHIN THE PAST 7 YEARS? YES NO YES NO
HAVE YOU HAD PROPERTY FORECLOSED UPON IN THE LAST 7 YEARS? YES NO YES NO
ARE YOU A PARTY OF A LAWSUIT? YES NO YES NO
HAVE YOU DIRECTLY OR INDIRECTLY BEEN OBLIGATED ON ANY YES NO YES NO

LOAN WHICH RESULTED IN FORECLOSURE, TRANSFER OF TITLE
IN LIEU OF FORECLOSURE OR JUDGMENT? (IF YES, PLEASE EXPLAIN)

ARE YOU OBLIGATED TO PAY ALIMONY, CHILD SUPPORT? YES NO YES NO
ARE YOU A CO-MAKER OR ENDORSER ON A NOTE? YES NO YES NO
HAVE YOU EVER BEEN CONVICTED OF A FELONY? YES NO YES NO
HAVE YOU EVER HAD TO REGISTER AS A SEX OFFENDER? YES NO YES NO
HAVE YOU EVER BEEN CONVICTED OR PLED GUILTY TO A YES NO YES NO

MISDEMEANOR INVOLVING VIOLENCE, SEXUAL MISCONDUCT, THEFT OR DRUG RELATED CRIMES?

HAVE YOU EVER BEEN SUED FOR DAMAGE TO PROPERTY? YES NO YES NO
HAVE YOU EVER BEEN EVICTED OR ASKED TO MOVE OUT? YES NO YES NO

IF YOU ANSWERED YES TO ANY OF THE ABOVE QUESTIONS, PLEASE EXPLAIN

PLEASE SIGN BELOW THAT ALL OF THE INFORMATION IS TRUE AND CORRECT. ALSO ACKNOWLEDGE THAT IT IS UNDERSTOOD THAT A BACKGROUND CHECK WILL BE RUN ON BORROWER AND CO-BORROWER. _________INITIAL________INITIAL

ACKNOWLEDGEMENT AND AGREEMENT

BORROWER’S SIGNATURE	DATE
CO-BORROWER’S SIGNATURE	DATE

Address of Property/Lot that you wish to rent/OWN ____________________________________________

Names and ages of all persons to reside in residence.
____________________________________________________________________________________________________________________________________________________________
Number of vehicles: ___________

Past Rental References (if any):

Where have you rented before? ______________________________________________

Name of Past Landlord _____________________________ Phone # _____________________

Did you always pay on time? ________________

Rental History
PLEASE LIST TWO PLACES OF RESIDENCE

NAME OF APT. BLDG OR HOUSE ADDRESS OR MOBILE HOME PARK AND MANAGER

______________________________________________________________________________

Manager’s Phone Number __________________________ Amount of Monthly Rent _________

Dates From/To __________________________________________

NAME OF APT. BLDG OR HOUSE ADDRESS OR MOBILE HOME PARK AND MANAGER

______________________________________________________________________________

Manager’s Phone Number __________________________ Amount of Monthly Rent _________

Dates From/To __________________________________________

Management/Owner will conduct verification of all information of Application.
Management/Owner reserves the right to unilaterally deny this application should there be any changes or new information available regarding employment, compensation or any other significant item provided or requested herein between the time of the acceptance of this application by management and the move-in date; and /or if this application is not accepted by Management within 7 days from the date of this application.
Any falsification or unverifiable information could or will be grounds for denial of said purchase/rental application. Applicant represents that all the above information and statements are true and correct and hereby authorizes verification of the above items.

Applicant agrees that Management/Owner shall not be liable for any delay in the date said until the unit is ready for occupancy.

Expected Move in Date __________________________________

Signature of Applicant ____________________________________________________ Date: _________________

Signature of Co Applicant ________________________________________________ Date: __________________

Landlord/Manager/Owner Signature _______________________________________ Date: _________________