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.
DATE:
FOR RENTAL LOCATED AT:
PROPOSED
OCCUPANTS
APPLICANT NAME
SOCIAL SECURITY NUMBER
CELL PHONE
E-MAIL
WORK PHONE
HOME PHONE
CO-APPLICANT NAME
SOCIAL SECURITY NUMBER
CELL PHONE
E-MAIL
WORK PHONE
HOME PHONE
OTHER OCCUPANT
RELATIONSHIP
OTHER OCCUPANT
RELATIONSHIP
OTHER OCCUPANT
RELATIONSHIP
OTHER OCCUPANT
RELATIONSHIP
PRESENT ADDRESS
FROM:
CITY
STATE
ZIP
LANDLORD’S NAME
LANDLORD’S PHONE NO.
RENT PAID
$
WHY ARE YOU MOVING?
HOUSING
DATA
PREVIOUS ADDRESS
FROM:
CITY
INCOME
STATE
ZIP
TO:
RENT PAID
$
LANDLORD’S NAME
APPLICANT EMPLOYER
ADDRESS
POSITION HELD
SUPERVISOR
APPLICANT PREVIOUS EMPLOYER
DATE EMPLOYED
CO-APPLICANT EMPLOYER
ADDRESS
POSITION HELD
SUPERVISOR
CO-APPLICANT PREVIOUS EMPLOYER
DATE EMPLOYED
LANDLORD’S PHONE NO.
HOW LONG AT PRESENT JOB?
SALARY
$
POSITION HELD
SALARY
$
PHONE NO.
PER MO.
HOW LONG AT PRESENT JOB?
SALARY
$
DATA
OTHER INCOME
$
PERSONAL
REFERENCE
AND
EMERGENCY
CONTACT
SOURCE.
PER MO.
PHONE NO.
POSITION HELD
OTHER INCOME
$
PER MO.
PER MO.
PHONE NO.
SALARY
$
PHONE NO.
PER MO.
SOURCE
PER MO.
PERSONAL REFERENCE
1.
RELATIONSHIP
ADDRESS
PHONE NO.
PERSONAL REFERENCE
2.
RELATIONSHIP
ADDRESS
PHONE NO.
PERSONAL REFERENCE
3.
RELATIONSHIP
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
PROPERTY MANAGER’S SIGNATURE
nd
DATE
page for additional instructions**
APPLICANT’S SIGNATURE
DATE
APPLICANT’S SIGNATURE
DATE
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RENTAL APPLICATION
FOR RENTAL LOCATED AT:
Applicant:
DATE:
Co-Applicant:
Please provide the following information in full for your application to be processed in a timely manner:
ID - Provide a copy of a valid state or government issued picture identification for each applicant 18 years
and older (Driver’s license, State ID, Military ID, and/or Passport).
LANDLORD INFORMATION - Include complete address of rentals, name and telephone number of
landlords, amounts of rent paid, and dates of occupancy. P.O. Boxes are not acceptable. If applicant and
co-applicant have the same present and previous address, one application may be submitted. If they
have different addresses for either present or previous addresses, separate applications must be
submitted. If there are more than two adult applicants, each applicant should submit a separate
application.
INCOME INFORMATION - Include name of supervisor, length of employment, telephone number and, if
requested, a copy of one (1) month’s most recent pay stub(s). Self-employed applicants may provide
copies of their Hawaii State General Excise Tax returns, prior two years Federal Tax Returns, and/or two
years of earning statements prepared by a Certified Public Accountant. Military applicants may provide
a copy of their Leave and Earnings Statement (LES).
OTHER - You may also include any other documentation that may support your application, such as
benefit statements, letter(s) of employment, letter(s) of recommendation, and bank statements.
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