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Aloha Island Properties
3-3359 Kuhio Hwy
Lihue, HI 96766

Direct: (808) 246-0334
Fax: (808) 246-0771

info@alohaisland.com

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Rental Application

NOTICE TO APPLICANT: This application will be submitted to TenantCheck for verification. Please furnish all information requested. All fields must be completed. You must fill in your name and date at the bottom. Screening Services provided by TenantCheck.

ABOUT SSL CERTIFICATES  

Your Contact Information
Applicant
 For Rental Unit Located at
Email Address
 Telephone
 SSS Security #
How long in Hawaii
YR MO		 Spouse Name

 SSS Security #
         
Proposed Occupants
Other Occupants
SSS Security #
Other Occupants

SSS Security #
Do you have pets?
YES    NO		 If so, what kind?
      
Are you or any household member subject to a lifetime registration as a sex offender?
 
Have you or any household member been arrested or convicted of any crime, violent criminal or drug related activity?
NA   YES   NO
Housing Data
Present Address
From
 Landlord's Name
Telephone
 Rent Paid
City State
Zip Code
Reason for Move
Previous Address
 From
 Landlord's Name
Telephone
 Rent Paid
City State
Zip Code
Reason for Move
     
Employment Data
Employer
 Address
 Supervisor
 Telephone

Position Held
How Long at
Present Job?

Salary
    
Previous Employer
 Date Employed
Position Held
Salary
 Telephone
Spouse's Employer
 Supervisor
 Position Held
Salary
 Telephone
Other Income
 Source
 D.S.S. Assistance
Amount
       
BANK AND CREDIT / LOAN DATA
Bank Name
 Branch
 Savings Acct. No.
Checking Acct. #
       
Credit and Loan Data
Firm Name
 Branch
 Account. No.
Monthly Amount
       
Personal References
Name of Nearest Living Relative
Relationship
 Address
 Telephone
Personal Reference #1 (In Hawaii)
Telephone
    
Personal Reference #2 (In Hawaii)
Telephone
    
     
Emergency Contact Info
In case of Emergency, Notify:
 Relationship
 Address
 Telephone
       
Authorize Contact Info
I agree that the above information is true and correct. I hereby authorize consumer reporting agencies to provide you with consumer reports relating to me and give permission for you and tenant check to verify the above information

I hereby authorize consumer reporting agencies to provide you with consumer reports relating to me. I hereby give my permission for Aloha Island Properties and TenantCheck to verify the above information. I understand that if any of the information provided is later found to be fraudulent Landlord has the right to terminate my lease agreement immediately.

I have read the above form and I understand that if I cause a financial loss to the Landlord, my name may be place in the files of both TenantCheck and such information will be furnished to subscribers who have a boni fide and legal and legal need to make an inquiry. I also understand that causing a financial loss my limit my ability to obtain credit or to lease othr dwellings units.


   

Applicant
Date
   

 
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