Jeff Handy Construction Rental Application
Jeff Handy
Cell: 816-985-4869   /   Fax: 816-224-4387
 All other applicants over the age of 18 must complete and sign their own application.
Address of Desired Property
 Address of property:
  Desired Date of Occupancy:
  Today's Date:
Primary Applicant Information
 Primary Applicant:
  Phone #:
  DOB:
  SS#: (optional)
 Drivers License #:
  Drivers License St.:
  Drivers License Exp.:
  How many Automobiles:
 Auto Year:
  Auto Make:
  Auto Model:
  Auto State/License plate #:
 Auto Year:
  Auto Make:
  Auto Model:
  Auto State/License plate #:
 Current Address:
  City:
  State:
  Zip:
 Current Landlords Name:
  Landlords Phone #:
  How long at Current Addr:
  Reason For Leaving:
 Previous Landlords Name:
  Previous Landlords Phone #:
  How long at Previous Addr:
  Reason For Leaving:
 Present Employer:
  Position:
  Employer Phone #:
  Employer Address:
 Employer City:
  Employer State:
  Employer Zip:
  How long at this job:
 Monthly Income:
  Other Income Sources:
Co-Applicant Information
 Co-Applicant:
  Phone #:
  DOB:
  SS#: (optional)
 Drivers License #:
  Drivers License St.:
  Drivers License Exp.:
 Present Employer:
  Position:
  Employer Phone #:
  Employer Address:
 Employer City:
  Employer State:
  Employer Zip:
  How long at this job:
 Monthly Income:
  Other Income Sources:
Miscellaneous Information
 Number of Pets:
  Description of Pets:
  Approx Weight:
 Total Number of Adults:
  Total number of children living with you under the age of 18:
 Names and relations of all other applicants:
Signatures
 Have either of you ever been party to an eviction:
  Have either of you been convicted of a felony:
 I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenet screening as may be necessary in arriving at a tenant decision. I understand that the landlord may terminate any rental agreement entered into for any misrepresentation made above
 Signature: (Type in Name)
  Date:
 Signature: (Type in Name)
  Date: