Professional Documents
Culture Documents
Lease Application
and checks (Make checks and money orders payable to JKH Realty)
Applicant Information:
First name: _____________________________ Last Name: _____________________________ MI: _____ Gender: _____________
Permanent Address:
Street Address: _____________________________________________________________________________
City, State, Zip: _____________________________________________________________________________
Country: __________________________________________________________________________________
Identification Card (Drivers License, State ID, Passport):
Number: ____________________________________ State: ____________
Social Security #:______________________________
Birth Date: Month: ____________ Day: _________ Year: ________________
Cell Phone #: _________________________________
E-mail: ______________________________________
Dawg Tag #: __________________________________
School Name: __________________________________________________
College; Current degree/ program: _______________________________________
Year/Level: ___________________________________________________
Vehicle Information:
Make: __________________ Model: __________________ Year: ____________ Color: ___________________
License Plate #:___________________________________ State: ____________
Emergency Contact: _________________________________________________________
Email: ___________________________________________________________
Phone #:_________________________________________________________
Rental Preferences (circle one):
1. Building:
st
Floor: 1
2. Building:
st
Floor: 1
Ambassador
nd
rd
rd
Room options:
Single
Shared Bath
Private
Luxury Private
1 Bedroom
2 Bedroom
Other: ________________________________________________________________
Ambassador
nd
Saluki
Saluki
Room options:
Single
Shared Bath
Private
Luxury Private
1 Bedroom
Other: ________________________________________________________________
2 Bedroom
Survey:
How did you come to find us?
Current resident: _________________________________________________
Website: ________________________________________________________
Newspaper Ad: __________________________________________________
Flier: ___________________________________________________________
Other: __________________________________________________________
I DECLARE THAT ALL INFORMATION GIVEN IN THIS APPLICATION IS TRUE AND CORRECT. I HEREBY AUTHORIZE A
CREDIT AND/OR CRIMINAL CHECK TO BE MADE, VERIFICATION OF INFORMATION I PROVIDED AND
COMMUNICATION WITH ANY AND ALL NAMES LISTED ON THIS APPLICATION. I UNDERSTAND THAT ANY
DISCREPANCY OR LACK OF INFORMATION MAY RESULT IN THE REJECTION OF THIS APPLICATION. I UNDERSTAND
THAT THIS IS AN APPLICATION FOR A ROOM AND DOES NOT CONSTITUTE A RENTAL OR LEASE AGREEMENT IN
WHOLE OR PART. I FURTHER UNDERSTAND THAT THERE IS A NON-REFUNDABLE FEE TO COVER THE COST OF
PROCESSING MY APPLICATION AND I AM NOT ENTITLED TO A REFUND EVEN IF I DO NOT GET THE APARTMENT.