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For a form to fax or mail, click here to download.

I am interested in the property located at:

APPLICANT #1

Applicant Name:
Date of Birth:
Home Phone #:
Cell Phone #:
Current Address (City,State,Zip):
Length of time at Address:
Drivers License #:
Marital Status:		Married Single
What kind of reference will your current/previous landlord give you?:
Current/Previous Landlord:
Landlord Phone #:
Current rent paid:
Have you been convicted of a crime (misdemeanor or felony)?		Yes No
Name of Employer:
Employer Contact:
Employer Phone #:
Address of Employer (City,State):
Length of Employment:
Occupation:
Salary:
Salary Paid:		Weekly MonthlyBi-Weekly
Avg hours per week:
List any additional income:
Source:
Do you pay child support?:		Yes No
If yes, how much per month:

APPLICANT #2

Applicant Name:
Date of Birth:
Home Phone #:
Cell Phone #:
Landlord Phone #:
Current Address (City,State,Zip):
Length of time at Address:
Drivers License #:
Marital Status:		Married Single
What kind of reference will your current/previous landlord give you?:
Current/Previous Landlord:
Landlord Phone #:
Current rent paid:
Have you been convicted of a crime (misdemeanor or felony)?		Yes No
Name of Employer:
Employer Contact:
Employer Phone #:
Address of Employer (City,State):
Length of Employment:
Occupation:
Salary:
Salary Paid:		Weekly MonthlyBi-Weekly
Avg hours per week:
List any additional income:
Source:
Do you pay child support?:		Yes No
If yes, how much per month:

Name(s) and age(s) of additional persons who will occupy the house:

Are you current pet owners? Yes No
Please list what type of animal and their weight

Pet deposit and monthly fee may apply. Max no. of pets is 2 w/max weight limit of 25 pounds each. Breed restrictions apply.

Any previous foreclosures, evictions, or bankruptcy? Yes No
If yes, please list date(s) of occurrence:

Foreclosure, eviction or bankruptcy does not mean disqualification through this program.

ALL APPLICANTS:
By signing this application, you consent to permit Star Home Management and its related companies to perform a criminal background check utilizing your name, social security number and/or date of birth. By signing this application, you further acknowledge and accept our policy to deny applications based on the findings from such background check.

In case of emergency, call:
Phone #:
Relationship:
Address:

Any additional information you feel that should be disclosed?

Applicant #1 Signature:

Applicant #2 Signature:

Email Address:

By submitting this application, I authorize Star Home Management, Inc. or their agents or various entities to verify the information I am providing and to access my credit for the sole purpose of qualifying me for their purchase and/or rental program. This information is confidential and will not be used for any other purpose. Falsification/misrepresentation of any information provided by applicant(s) on this application will be cause for immediate denial of application.

There is a $20 per person background check fee
Please click here to pay via PayPal, Visa, Mastercard or American Express:

Kentucky Land Sales LLC 888-2-KY-LAND 888-259-5263 PO Box 97 Perryville KY 40468 USA Phone: 859-332-7500 Fax: 859-332-4433			FREE Property Listings, Recipes and more!

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