Credit Application - Ken Bolinger Rentals

Two ways to apply!

Download our credit app. fill out and mail back to us.
Fill out the form below. click send button

Personal Information

Name of Applicant

Date of Birth

Telephone Number

Driver's License #

Present Address

City

State

Zip

Prior Address

City

State

Zip

How long have you lived at present address?

How long have you lived at prior address?

Name of Landlord

Telephone Number

Prior Landlord

Telephone Number

Number of Adults

Number of Children

Number of Pets

Employer

Occupation

Current Salary

How long at current job?

Supervisor's Name

Supervisor's Contact Number

Spouse Information

Name of Spouse

Date of Birth

Telephone #

Social Security #

Driver's License #

Employer

Occupation

Current Salary

How long at current job?

Supervisor's Name

Supervisor's Contact Number

Has your spouse ever filed for bankruptcy?

Yes No

Bank Information

Bank Name

Telephone

Address

Checking Account #

Savings Account #

Personal Credit Info

Name

Relationship

Telephone

Name

Relationship

Telephone

Name

Relationship

Telephone

Credit Grantor-Bank, Credit Cards, recent landlord,etc

Address

Telephone

Credit Grantor-Bank, Credit Cards, recent landlord,etc

Address

Telephone

Credit Grantor-Bank, Credit Cards, recent landlord,etc

Address

Telephone

Other information

Make of Car

Year

Tag

State

Make of Car

Year

Tag

State

HAVE YOU EVER?

Filed for bankruptcy?

Yes No

If yes, when?

Been served an eviction notice or have been asked to vacate a property you were renting?

Yes No

Willfully or intentionally refused to pay rent when due?

Yes No

If yes, when?

Been sued for unlawful detainer?

Yes No

If yes, when?

How were you referred to us?

Rental applied for?

Consent to obtain credit/Employment Information

We Authorize Ken Bolinger Rentals to investigate my/our credit qialifivations and hereby release, in any manner, all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.

I/We declare under the penalty of perjury that the information listed in this application is true and correct. Please check appropriate response below

Is this information correct?

Yes No

Executed on this...

Today's Date

City

State

Signature