HORIZON

Property Management, LLC

4555 Main Street   Kansas City, MO 64111   

 OFFICE 816-561-8585   FAX 816-561-5585  EMAIL HorizonPMLLC@aol.com

RENTAL APPLICATION

Equal Housing Opportunity

PERSONAL INFORMATION

Full Name_____________________________________________ Home Phone (      )________________

Date of Birth__________________________ Social Security#___________________________________

Email Address:_________________________________________ Cell Phone (      )_________________

Co-Applicant Name_____________________________________ Phone (       )___________________

Co-Applicant Date of Birth______________________ Social Security#_____________________________

Pets________________________ What Kind_______________________________________

RENTAL HISTORY

Current Address__________________________________Apt#________ City, State, Zip_______________

Month/Year Moved In______________________ Moved Out_____________________Rent $__________

Owner/Agent__________________________________________________Phone (_____)_________________

Previous Address_________________________________Apt#________ City, State, Zip________________

Month/Year Moved In______________________ Moved Out_____________________Rent $__________

Owner/Agent__________________________________________________Phone ( _____)_________________

Previous Address_________________________________Apt#________ City, State, Zip________________

Month/Year Moved In______________________ Moved Out_____________________Rent $__________

Owner/Agent__________________________________________________Phone (_____ )_______________

EMPLOYMENT INFORMATION

Your Status: _____Full Time   _____Part Time   _____Student   _____Unemployed

Employer______________________________________________________________________________

Started________________ Supervisor Name_______________________ Phone ( _____)________________

Salary $_________________per________________.

If employed less than 6 months, give name & phone of previous employer or school:_______________________________________________ Phone (_____) _____________________

BANKING & REFERENCES

Banking Accounts:

Name___________________________ Type of Account___________ Account Number_________________

Name___________________________ Type of Account___________ Account Number_________________

Personal Reference or Emergency Contact:

Name _________________________________

Address _______________________________________________

Phone (_____) __________________________ Relationship_______________________

Driver's License:

Your Driver's License Number__________________________ State_________________

Where did you hear about our property or who referred you to us? _______________________________________________

I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, this application shall become null and void.

I recognize that as part of your procedure for processing my application, an investigative consumer report may be prepared wherein information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. I also understand and authorize Horizon Property Management to obtain a police report. I also understand and hereby pay in advance a non-refundable fee of $35.00 for processing this application.

The above information, to the best of my knowledge, is true and correct.

Please sign: X__________________________________  X__________________________________ 

                       Applicant & Date                                           Co-Applicant & Date