Rental Application

To apply for a rental property from A and K Rentals, please fill out the online application below. You may also download the application, to print, fill out and bring with you when you stop by our office in Leavenworth, Kansas. Please be assured that we do not share or sell personal information without your permission.

To complete the application you will need to pay an application fee. If cash this is $50..00, we can send you a Paypal billing, if we use Paypal the fee is $55.00

In addition we will require proof of income for at least the last three months, and a copy of you Photo ID front and back.

If you have any questions before filling out the application, call us at (913) 758-1303. We’ll be happy to answer all your questions.

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Online Application

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Free Text

We would appreciate it if you would take a few moments to answer the following questions. Please be assured that we do not share or sell personal information about you except when we have your permission.

Application for residence at:*

Phone Number we can reach you*

Email Address:

Emergency Contact Name

Emergency Contact Address/City/State

Emergency Contact Phone Number

Relationship:

Desired Date of Occupancy Residence:

List All Persons Who Will Occupy Residence:*

Head of Household Name:

Free Text

Birthdate:*

Month

Day

Year

SSN:

Spouse Name

Birthdate:*

Spouse Social Security Number

Month

Day

Year

1. Child Name and Birthdate

2. Child Name and Birthdate

Employee Head of House Occupation*

Company Name*

Address/City/State

Phone Number:*

How Long:*

Former Occupation

Company Name:

Address/City/State:

Phone Number:

How Long:

Military Rank:

Assignment:

Company:

Office Phone#:

How Long Expected to Stay:*

Allied Officer

Rank:

Country

Sponsor Name:

Sponsor Phone#:

Monthly Income:*

Head of Household Employment:*

Spouse Employment:

Other (Explain)

References Personal Names*

References Occupation:*

References Address/City/State:*

References Phone:*

Years Known*

Bank Name:*

Address:*

Phone:*

Type Account:*

Landlord Current Name:

Landlord Address/City/State:

Landlord Phone:

Current Address/City/State Rented:

How Long:*

Rent: $*

Why Are You Moving:

Vehicles How Many:

Make, Model and Year

State For Each:

What Type of License Tag#:

House Driver's License# and State

Spouse Driver's License# and State:

Do you Know of Anything That May Interrupt Your Income or Ability to Pay Rent?

Have You Ever Willfully and Intentional Refused to Pay Rent

Have You Been or Are you Currently Being Evicted From any Tenancy?

Have You Ever File Bankruptcy?

Do you have or plan to get an ESA in the next 6 month?

Any Pets? We Do Not Allow Pets

Waterbed? If Yes, We Require Waterbed Insurance

Free Text

I UNDERSTAND THIS APPLICATION IS SUBJECT TO APPROVAL BY MANAGEMENT / OWNER. ALL INFORMATION MUST BE COMPLETED AND ACCURATE. IF APPLICATION IS APPROVED IT IS NOT BINDING WITHOUT A FULL DEPOSIT. APPLICATION WITHOUT REFERENCES CANNOT BE PROCESSED. FULL DEPOSIT IS REQUIRED TO HOLD PROPERTY UNTIL DETERMINATION. IF DENIED, THE DEPOSIT WILL BE RETURNED TO APPLICANT LESS PROCESSING FEE. ANY DEPOSIT GIVEN TO THE LANDLORD TO HOLD / RESERVE THE PROPERTY BY THE TENANT WITH THIS APPLICATION OR AT A LATER DATE WILL BE FORFEiTED TO THE LANDLORD IF THE TENANT FAILS TO ACCEPT THE PROPERTY AND CANCELS THE APPLICATION. A $50.00 NON-REFUNDABLE PROCESSING FEE IS REQUIRED TO PROCESS APPLICATION. $50.00 APPLICATION FEE MUST BE PAID WITH CASH. I AUTHORIZE VERIFICATION OF ABOVE LISTED INFORMATION AND UNDERSTAND FALSE REPRESENTATION MAY BE GROUNDS FOR DENIAL OR IMMEDIATE CANCELLATION OF LEASE. I (WE) AFFIRM THAT THE INFORMATION GIVEN ABOVE IS TRUE AND CORRECT AND HEREBY AUTHORIZE A CREDIT CHECK. THE APPLICATION IS GIVING HIS/HER PERMISSION TO CONFIRM ALL INFORMATION ON THE APPLICATION. THIS MAY INCLUDE AN EXAMINATION OF TENANT REFERENCE LIST TO CONFIRM TENANCY AS LISTED ON THE APPLICATION, CRIMINAL RECORDS, EVICTION(S) SKIP HISTORY, AND ALL INFORMATION NECESSARY TO VERIFY THE INFORMATION GIVEN ON THIS APPLICATION. I FURTHER, UPON VACATING PREMISES INSTRUCT ANY PARTIES TO PROVIDE ANY INFORMATION TO A & K RENTALS TO COLLECT MY DEBT INCLUDING MY NEW ADDRESS AND/OR CURRENT EMPLOYER. DEPOSITS MADE WITH THIS APPLICATION, OR ANY AMOUNTS MADE TO HOLD THE APARTMENT FOLLOWING THIS APPLICATION SHALL BE FORFEIT IF THE APPLICANT SHOULD CHANGE THEIR MIND AT ANY POINT AND NOT ACCEPT THE UNIT FOR ANY REASON.

Applicant Signature:

Application Signature:

Rental Application

Online Application

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