Fillable Printable Kentucky Rental Application Form
Fillable Printable Kentucky Rental Application Form
Kentucky Rental Application Form
Application to Rent
Page 1 of 5
Processing/credit report fee
$___.00 (single applicant) / $____.00 (double applicant, same unit) payable to:
____________ Separate applications to rent are required for each applicant 18 years or over.
Property information
Application to rent property at (“premises”)
Desired move-in date
Applicant information
Name:
Soc.Sec.#. Drivers lic.#. State Expires
Phone# Home Work Cell #
Email Address
Date of Birth
Current address
City/State/Zip
How much rent are you paying?
How long at current address?
Name of Landlord/manager
Phone# of Landlord/manager
Reason for leaving
Previous living information
Previous address
City/State/Zip
How much rent were you paying?
Name of landlord/manager
Phone # of landlord/manager
How long at this address?
Reason for leaving
In addition
Have you ever been evicted? Yes No
Have you ever broken a lease? Yes No . If yes, please explain
Application to Rent
Page 2 of 5
Names of all other prospective occupant(s) and their relationship to the applicant
Proposed pet(s) (number and type)
Employment info
Current employer Name of Supervisor
Length of employment
Employer’s address
Phone # of employer HR Dept. Ext. or #
Position or title Gross Income Per
If you held position for less than 2 years, please provide additional information
Previous employer Name of Supervisor
Length of employment
Employer’s address
Phone # of employer HR Dept. Ext. or #
Position or title Gross Income Per
Additional income
Other Income (e.g. stocks, bonus, income property) $ Per
Where is additional income derived from?
Auto make Model Year Lic.# State Color
In case of emergency, notify Relationship
Address Phone
Does applicant plan to use liquid filled furniture? Yes No
If yes, name type
Has applicant been a party to any unlawful detainer action or filed bankruptcy within the last
seven years? Yes No . If yes, please explain
Has applicant or any proposed occupant ever been convicted of, or pled ‘no contender’ to, a
felony? Yes No . If yes, please explain
Application to Rent
Page 3 of 5
PLEASE PROVIDE A COPY OF YOUR PHOTO ID WITH APPLICATION
Applicant represents the above information to be true and complete, and hereby authorizes
verification of the information provided.
Applicant Date Time
Application to Rent
Page 4 of 5
Application Receipt
Company Copy
THIS SECTION TO BE COMPLETED BY AGENT
Applicant has deposited the sum of $ as a non-refundable good faith deposit
on the Premises. The deposit is evidenced by a personal check, payable to _______________.
If deposit is in cash, deposit shall be held in Broker’s Trust Account or given to Owner.
The executed lease or rental agreement will require additional sums to be paid, as security
deposit, rent or for other purposes. If the Application to Rent is approved, the deposited sums
shall be applied to the total sums due upon execution of a lease or rental agreement. If the
Application to Rent is not approved, the deposit shall be returned to the Applicant.
In addition or separately, Applicant has paid $ as screening fee to be applied
to the credit report and other out-of-pocket expenses incurred for processing credit
report(s).
The undersigned has read the foregoing and acknowledges receipt of a copy.
___________________________________________________________
Applicant, date
The undersigned has received the deposit and/or screening fee indicated above.
___________________________________________________________
Agent, date
Application to Rent
Page 5 of 5
Application Receipt
Applicant Copy
THIS SECTION TO BE COMPLETED BY AGENT
Applicant has deposited the sum of $ as a non-refundable good faith deposit
on the Premises. The deposit is evidenced by a personal check, payable to _______________.
If deposit is in cash, deposit shall be held in Broker’s Trust Account or given to Owner.
The executed lease or rental agreement will require additional sums to be paid, as security
deposit, rent or for other purposes. If the Application to Rent is approved, the deposited sums
shall be applied to the total sums due upon execution of a lease or rental agreement. If the
Application to Rent is not approved, the deposit shall be returned to the Applicant.
In addition or separately, Applicant has paid $ as screening fee to be applied
to the credit report and other out-of-pocket expenses incurred for processing credit
report(s).
The undersigned has read the foregoing and acknowledges receipt of a copy.
___________________________________________________________
Applicant, date
The undersigned has received the deposit and/or screening fee indicated above.
___________________________________________________________
Agent, date
