Ft Richardson & Elmendorf Real Estate
Welcome to Alaska!
Ft Richardson, Alaska Elmendorf AFB, Alaska
 
Standard Application

HUSKY REALTY Inc.

RENTAL APPLICATION

The undersigned hereby makes an application to rent the following property:

 _Property Address:                   _________                                    _______________________

Anticipated move date of _____________at a monthly rent of $_____  ________  and

security deposit of $__________.    Pet rent of  $  25.00 first pet $20.00 per additional pet(s).

PLEASE TELL US ABOUT YOURSELF

 Full Name______________________________ Home Phone (        ) _____________________. 

Cell Phone (        ) __________________  Email Address: ______________________________

 Date of Birth______________________  Social Security#_______________________________ 


Co-Applicant Name_____________________________________

 Co-Applicant Date of Birth______________________  Social Security# ____________________ 

Co-Applicant Cell Phone (         )_________________ Email Address:______________________

 Name(s) of Dependents also occupying the premises __________________________________

_____________________________________________________________________________

 Dependents Date of Birth_________________________________________________________

List All Pets____________________________________________________________________
 

PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)

Current Address_______________________________Apt#________ City__________________ State______ Zip________
Month/Year Moved In______________________ Reasons for Leaving_____________________ Rent $__________
Landlord/Owner/Agent___________________________  Phone (       ) ____________________

Previous Address (last 3 years)_________________ ________________________________ Rent $____________
Landlord/Owner/Agent____________________________ Phone (       ) ___________________

 

PLEASE DESCRIBE YOUR CREDIT HISTORY

 

Have you declared bankruptcy in the past seven (7) years?

Yes___________ No____________

Have you ever been evicted from a rental residence?

Yes___________ No____________

Have you had two or more late rental payments in the past year?

Yes___________ No____________

Have you ever willfully or intentionally refused to pay rent when due?

Yes___________ No____________

  

PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION

Your Status:  _____Full Time _____Part Time _____Student _____Unemployed _____

Employer______________________________________________________________________

Address: ______________________________________________________________________

 Dates employed_____________________________ Employed as______________________

Supervisor Name___________________________________ Phone (        )_________________  

For Military – Rank / Which unit & organization - __      ___________                                     .

Salary $_________________per________________.  (If employed by above less than 12 months, give name & phone of previous employer or school: _______________________________________________________________________

other sources of income you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider for this application.

Amount $___________________ Source/Contact Name__________________________________________________________
 

PLEASE LIST YOUR REFERENCES

Banking Accounts:

Name_________________ Type of Account_________________

 Name_________________ Type of Account_________________

Personal Reference or Emergency Contact:

Name _______________________________________________

Address ______________________________________________

Phone _______________________ Relationship_______________________

Driver's License:
Your Driver's License Number_________________ State_________________

Co-Applicant Driver’s License Number ____________ State ______________
Vehicle Information:

Make / Model _________________Year _________________License Plate State_________________
 

ADDITIONAL INFORMATION:

Please give any additional information that might help owner/management evaluate this application?
_____________________________________________________________________________

 Where may we reach you to discuss this application? 

Day Phone # (       ) ______________________ Night Phone # (      )__________ ___________

I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. 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, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.

I hereby deposit $___________ as earnest money to be refunded to me if this application is not accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of the security deposit. When so approved and accepted, I agree to execute a lease for ___________ months before possession is given and to pay the balance of the security deposit prior to the move in date. If the application is not approved or accepted by the owner or agent, the deposit will be refunded, the application hereby waiving any claim for damages by reason of non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby 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.

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

Please sign:  X__________________________________    

Print                                                                                     .              _________________ 
                                   Name of Applicant                                                Date:

AUTHORIZATION
Release of Information

I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner/manager.

_____________________________________________
Name (please print)

X_______________________________________       __________________________
Signature                                                                                 Date

Return this application to Husky Realty: Fax (907) 357-4741 or email to Steve@FtRich.com

Mail: Husky Realty, Inc. PO Box 874961 Wasilla AK 99687                            

APPLICANT:  PLEASE DO NOT WRITE BELOW  (FOR OFFICE USE ONLY)

Deposit of $__________________ Received by ____________________________ Date_______________

OFFICE NOTES:                                                                       Equal Housing Opportunity