Rental Application

Please submit your $30.00 application fee through Venmo to @KARE717. Be sure to include your name & the property address in the Venmo notes section. Please submit the application online below, or you can download the PDF and mail it to our office.

Property Location(Required)

Apartment Number

Occupancy Date(Required)

Applicants

Name (Applicant 1)(Required)

SSN(Required)

DOB(Required)

Name (Applicant 2)

SSN

DOB

Others who will occupy unit

Name

Age

Click (+) to add more lines

Applicant 1 Details

Cell Phone Number(Required)

Work Phone Number(Required)

Email(Required)

Present Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Occupancy Start Date(Required)

Occupancy End Date(Required)

Landlord's Name(Required)

Landlord's Phone Number(Required)

Prior Address(es)

Address

Landlord Name

Landlord Phone

Emergency Contact Name(Required)

Emergency Contact Phone(Required)

Applicant 2 Details

Cell Phone Number

Work Phone Number

Present Address

Street Address Address Line 2 City State ZIP / Postal Code

Occupancy Start Date

Occupancy End Date

Landlord's Name

Landlord's Phone Number

Prior Address(es)

Address

Landlord Name

Landlord Phone

Emergency Contact Name

Emergency Contact Phone

Employment

Employer (Applicant 1)(Required)

Employer Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Employer Phone(Required)

Gross Monthly Income(Required)

Date of Employment(Required)

Job Title(Required)

Employer (Applicant 2)

Employer Address

Street Address Address Line 2 City State ZIP / Postal Code

Employer Phone

Gross Monthly Income

Job Title

Terms(Required)

I have read and agree to the previsions as stated below.

* LEAD BASE PAINT Applicant/Tenants is aware and accepts that if the rental unit was built prior to 1978, it may consequently have been painted with lead base paint. It is the responsibility of the Applicant/Tenant to protect their family from lead poisoning. If the Applicant/Tenant chooses to occupy the rental unit, applicant must read and review EPA FACT SHEET on lead base paint prior to lease signing. Kefalos and Associates have not used lead based paint at any rental unit. Lessor has no knowledge of lead based paint nor does Lessor have any reports pertaining to lead base paint.

* CIVIL RIGHTS ACTS Federal and state laws make it illegal for a landlord, broker, or anyone to use RACE, COLOR, RELIGIOUS CREED, SEX, DISABILLITY (physical or mental), FAMLIAL STATUS (children under 18 years of age), AGE (40 or older), NATIONAL ORIGIN, USE OR HANDLING/TRAINING OF SUPPORT OR GUIDE ANIMALS, or the FACT OF RELATIONSHIP OR ASSOCIATION TO INDIVIDUAL KNOWN TO HAVE A DISABILITY as reason for refusing to sell, show, or rent properties, loan money, or set deposit amounts, or as reason for any decision relating to the sale or lease of property. It is also unlawful discriminatory practice to evict or attempt to evict an occupant of a housing accommodation before the end of the term of the lease because of pregnancy or birth of a child.

*AUTHORIZATION By hitting submit, the applicant acknowledges and authorizes a representative from Kefalos and Associates Real Estate Inc. to contact previous Landlords or Landlord’s Brokers for landlord/tenant references.

* AUTHORIZATION By hitting submit, the applicants acknowledge that the information provided is true and correct and hereby authorize KEFALOS AND ASSOCIATES REAL ESTATE INC. (Broker for the Landlord/Owner) to obtain both a credit report and a criminal history to verify the information contained here and to report the information obtained to the Landlord. Applicants acknowledge that if they present false information or a lack of information it may result in a forfeiture of deposits or other financial loss.

This is a preliminary application and does not obligate the Landlord or Landlord’s Broker to execute a lease or deliver possession of the proposed premises. The application fee of $30 payable to KEFALOS AND ASSOCIATES REAL ESTATE is NON-REFUNDABLE AND IS DUE WITH THE APPLICATION. This application will not be processed until the fee is paid. KEFALOS AND ASSOCIATES REAL ESTATE does not own the rental unit. Applicant’s information is given to the Owner of the rental unit for approval.

No pets permitted in rental units, unless approved buy Owner/Landlord.

Applicant's acceptance based on their credit worthiness, Landlord references and income to support the rental payment. Ideally applicant should have 2 years of landlord references (non-relative), good credit rating, rental payment should not exceed 25%-30% of gross monthly income, and 2 years employment.

Applicant upon approval must enter into a lease agreement within 72 hours or forfeit all deposits and right to rental unit.

Applicant is aware that the broker is paid a fee by the Owner/Landlord to secure tenants and the brokers represents the Landlord (as defined on the consumer notice). The broker is not an agent for the applicant. If applicant wishes exclusive representation, the applicant should hire a real estate broker.

CONSUMER NOTICE FOR TENANTS. THIS IS NOT A CONTRACT. NOT TO BE USED WHEN THE LICIENCE IS SUBGATED FOR THE LANDLORD, AGENT FOR THE TENANT OR TRANSACTIONAL LICENCEE).

Kefalos and Associates Real Estate Inc. Hereby states that with respect to this property. I am acting in the following capacity: As Agent of the Owner/Landlord Pursuant to a property management or exclusive leasing agreement.