Company Info
Search For Properties
Development Projects on Kauai / School Information
Calculators
Real Estate News

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

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

info@alohaisland.com

Find My Dream Home
What Is My Home Worth?
Help Me Relocate!

Rental Application

NOTICE TO APPLICANT: This Application will be submitted to TBL RentCheck for verification. Please furnish all information requested. All fields must be completed. All applicants must sign this rental application and provide a valid identification upon request. Screening services provided by RentCheck.

ABOUT SSL CERTIFICATES  

Applicant / Co-Applicant Information
Last Name
 First Name
 MI
  		Social Security
 Telephone
 Email Address
Last Name
 First Name
 MI
  		Social Security
 Telephone
 Email Address
For Rental Unit Located at
Proposed Occupants
# of occupants, including applicants
 Names of other occupants (seperated by comma)
Do you have pets?
YES   NO
Are you or any household member subject to a lifetime registration as a sex offender?
Yes   No
Have you or any household member been arrested or convicted of any crime, violent criminal or drug related activity?
YES   NO
Housing Data
Current Address
From
 Landlord's Name
Telephone
 Rent Amount
City State
Zip Code
Reason for Move
Previous Address
 From
 Landlord's Name
Telephone
 Rent Amount
City State
Zip Code
Reason for Move
     
Income & Employment Data
Employer
 Address
 Supervisor
 Telephone

Position Held
How Long at
Present Job?

Salary
    
Previous Employer
 Date Employed
Position Held
Salary
 Telephone
Spouse/Co-Applicant's Current Employer
 Supervisor
 Position Held
Salary
 Telephone
Other Income
 Source
 Housing Agent
 D.S.S. Assistance
No Yes 		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 authorize Aloha Island properties to obtain and verify information about the income, assets, personal data & conduct of all persons listed on my application. Sources of such information may include but are not limited to employers, social workers, welfare workers, landlords, resident/housing managers, court and criminal records, or police departments.

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 TBL RentCheck 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

   

Co-Applicant
Date
   

 
 © 2006 Agent Image, Inc. All rights reserved.
Terms | Login		 Design by Agent Image
Real Estate Web Site Design