Rent Only or Rent to Own?: Choose One Rent Only Rent to Own

Property Address (if known)

Anticipated move date Monthly rent of $

Option fee of $ (if Rent to Own), or a Deposit of $ (if Rent Only=one month rent)

Note:  Once you wish to apply for a specific house, a fee of $35.00 must be submitted, cash or certified funds only please.  For Rent Only, it is due with this application. This covers the cost of a credit report, background check, and processing, and is a one-time fee.

NOTE:  We can now bill you and you can pay through PayPal.  We send you an email with a button that will allow you to pay through PayPal using a credit card (even if you don't have a PayPal account).

PLEASE TELL US ABOUT YOURSELF:

Applicant Name Date of Birth

Social Security #   Email Address

Home Phone Cell Other

Drivers License Number State                  Smoke? Choose One Yes smoke No smoke

(Please make a copy of your drivers license and submit at first chance, with legible picture)
 

Co-Applicant Name Date of Birth

Social Security #   Email Address

Home Phone Cell Other

Drivers License Number State                  Smoke? Choose One Yes smoke No smoke

(Please make a copy of your drivers license and submit at first chance, with legible picture)

Names of others living in house, and age

List all Pets (Species, size)

PLEASE GIVE RESIDENTIAL HISTORY (FOR LAST 3 YEARS)

Current Address City State Zip

Month/Year Moved In Reason for leaving

Owner/Agent Phone Rent $

Prev Address (if above less than 3 yrs)City State Zip

Month/Year Moved In Reason for leaving

Owner/Agent Phone Rent $

PLEASE ANSWER THE FOLLOWING:

PLEASE PROVIDE YOUR EMPLOMENT INFORMATION

Applicant Status: Choose One Full Time Part Time Student Unemployed

Employer Applicant

Dates Employed Position

Supervisor Name Phone

Salary $ per Choose One Month Year If employed less than 12 months, give name & phone number of previous employer or school

If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.

Amount $ Source/Contact Name

CO-Applicant Status: Choose One Full Time Part Time Student Unemployed

Employer Applicant

Dates Employed Position

Supervisor Name Phone

Salary $ per Choose One Month Year If employed less than 12 months, give name & phone number of previous employer or school

If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.

Amount $ Source/Contact Name

PLEASE LIST YOUR REFERENCES

Banking Accounts:   

Name Type of Account A/C #

Name Type of Account A/C #

PERSONAL REFERENCE OR EMERGENCY CONTACT:

Name Address

Phone Relationship

Name Address

Phone Relationship

VEHICLE INFORMATION

Make/Model Year License Plate State

Make/Model Year License Plate State

ADDITIONAL INFORMATION

Please give any additional information that might help owner/management evaluate this application:

I hereby apply to lease the above described premises (if identified) for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.

I agree to pay $35.00 (cash or certified funds) as an application fee – each adult shall have a credit report run. This payment shall be non-refundable.  When so approved and accepted, I agree to execute a lease for 12 months before possession is given and to pay the balance of the security deposit or option fee prior to the move in date. If the application is not approved or accepted by the owner or agent, the application hereby waiving any claim for damages by reason of non-acceptance which the owner or agent may reject.

I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.

I also understand that a criminal background check may be acquired and used as a condition for my acceptance

I / We understand that any misrepresentation or omission is grounds for denial and eviction.

The above information, to the best of my knowledge, is true and correct.

Your Name Date

Co-Applicant Name Date

AUTHORIZATION - RELEASE OF INFORMATION

I understand that in order to complete the screening process I authorize an investigation of my credit, tenant history, banking, and employment for the purposes of renting a house, apartment, or condominium from this manager:  Plum Properties or assigns.

I agree to provide signed authorization to the above manager for purposes of authorizing an investigation of my credit with any individual they see fit, for purposes of determining if I am a suitable candidate, including but not limited to: a mortgage loan officer and/or a credit counselor.

CLICK HERE TO DOWNLOAD AN AUTHORIZATION FORM TO BE SIGNED AND FAXED OR DELIVERED TO THE ADDRESS BELOW:

Our Address:  115 N. Watterson Trail #201, Louisville, Ky.  40243

Phone: 502-639-9628                Email:  ron@westedelen.com     FAX 866-757-8246

 Please provide us with the following information.  It will be used to evaluate the price range home that might work for you.

MONTHLY Gross Income (NOT Annual):

                                         Applicant                   Co-Applicant                    Total

Base Salary                    $                $             $

Overtime                          $                $             $

Bonuses                        $                $             $

Commissions                 $                $             $

Dividends/Interest        $                $            $

Other Income              $                 $            $

Rental Income               $                 $             $

(Note:  Rental income is net after loan payment, taxes, and insurance are deducted from rental income, times 75%)

If you have any known changes in your income within the next two years list here:

MONTHLY Payments (NOT the total owed):

Auto Loans:  1. $ Payoff Date:

                        2. $ Payoff Date:

                        3. $ Payoff Date:

Credit Cards 1. $ Payoff Date:

                        2. $ Payoff Date:

                        3. $ Payoff Date:

Student         1. $ Payoff Date:

 Loans          2. $ Payoff Date:

                        3. $ Payoff Date:

Other             1. $ Payoff Date:

 Loans          2. $ Payoff Date:

                        3. $ Payoff Date:

Child support/alimony                                                                                $ Payoff Date:

Have you filed for Bankruptcy?  Choose Yes, Ch 7 Yes, Ch 13 No If Yes, when was discharge date?

Have you had a foreclosure or deed in lieu of foreclosure? Choose Yes No When resolved?

Any outstanding judgements against you? Choose Yes No How much?  $

Do you owe any back taxes? Choose Yes No   How much and to whom?  $