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Hawaii Rental Application

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Hawaii Rental Application
Hawaii Rental Application
RENTAL APPLICATION
NOTICE TO
APPLICANT:
All occupants (adults and minors) must be listed on the application. Every person over the age of 18 must sign the
application. Only verifiable income will be considered. An incomplete application will not be processed.
FOR RENTAL LOCATED
AT
:
DATE:
PROPOSED
OCCUPANTS
APPLICANT NAME
CELL PHONE
E-MA
I
L
HOME PHONE
CO-APPLICANT NAME
CELL PHONE
E-MA
I
L
HOME PHONE
OTHER OCCUPANT
RELA
TI
ONSH
I
P
OTHER OCCUPANT
RELA
TI
ONSH
I
P
OTHER OCCUPANT
RELA
TI
ONSH
I
P
OTHER OCCUPANT
RELA
TI
ONSH
I
P
HOUSING
DATA
PRESENT ADDRESS
FROM
:
LANDLORD’S NAME
LANDLORD’S PHONE NO
.
RENT PA
I
D
$
CITY
STATE
ZI
P
WHY ARE YOU
MOV
I
NG
PREVIOUS ADDRESS
FROM
:
TO
:
RENT PA
I
D
$
CITY
STATE
ZI
P
LANDLORD’S NAME
LANDLORD’S PHONE NO
.
INCOME
DATA
APPLICANT EMPLOYER
ADDRESS
HOW LONG AT PRESENT JOB
SALARY
$
PER
MO
.
POSITION HELD
SUPERV
I
SOR
PHONE NO
.
APPLICANT PREVIOUS EMPLOYER
DATE EMPLOYED
POSITION HELD
SALARY
$
PER
MO
.
PHONE NO
.
CO-APPLICANT EMPLOYER
ADDRESS
HOW LONG AT PRESENT JOB
SALARY
$
PER
MO
.
POSITION HELD
SUPERV
I
SOR
PHONE NO
.
CO-APPLICANT PREVIOUS EMPLOYER
DATE EMPLOYED
POSITION HELD
SALARY
$
PER
MO
.
PHONE NO
.
OTHER
I
NCOME
$
PER
MO
.
SOURCE
.
OTHER
I
NCOME
$
PER
MO
.
SOURCE
PERSONAL
REFERENCE
AND
EMERGENCY
CONTACT
PERSONAL
REFERENCE
1
.
RELA
TI
ONSH
I
P
ADDRESS
PHONE NO
.
PERSONAL
REFERENCE
2
.
RELA
TI
ONSH
I
P
ADDRESS
PHONE NO
.
PERSONAL
REFERENCE
3
.
RELA
TI
ONSH
I
P
ADDRESS
PHONE NO
.
I declare that the foregoing is true and correct, and agree that Landlord may terminate any agreement entered into in reliance on any misstatement made
above. I hereby authorize ____________________________ to verify the above information and to obtain a consumer/investigative credit report as well
as conduct a criminal and/or background check. Once all information is submitted, it becomes the property of _________________________________.
**Refer to back/or 2
nd
page for additional instructions**
PROPERTY MANAGER’S SIGNATURE DATE APPLICANT’S SIGNATURE DATE
APPLICANT’S SIGNATURE DATE
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Hawaii Rental Application
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