Wesley Barut
Direct: 808 891 0785
Fax: 808 891 0788
mauitrop@aol.com




MAUI TROPICAL REALTY

RENTAL APPLICATION


PLEASE READ AND FILL OUT AND RETURN TO:

MAUI TROPICAL REALTY
1325 S. KIHEI RD. STE 221
KIHEI HAWAII 96753

LOCATED:  ACROSS STAR MARKET ON SOUTH KIHEI RD.

PLEASE REMEMBER $20.00 APPLICATION FEE WHEN RETURNING

HOURS OF OPERATION:  MONDAY  - FRIDAY  9AM TO 4:30PM

 

 

 

 

 

 

 

 

RENTAL APPLICATION 

 

 

 

Maui Tropical Realty

 

1325 S. Kihei Rd. Ste. 221

 

Kihei Hawaii 96753 USA

 

            Fax  808-891-0788   or   Email Us at vamilion@aol.com

 

 

 

 

 

PLEASE NOTE:  A non-refundable processing fee of $ 20.00  must be submitted with this Rental Application.

 

                                 

 

q INSPECTION OF DRIVER'S LICENSE AND SOCIAL SECURITY NUMBER IS REQUIRED.  Verified by ______________  Date _________


DRIVERS LICENSE INFORMATION (state/province & number):_________________________________________________

 

 

 Please complete all sections legibly. Separate applications must be submitted by each applicant over 18 (including spouse) who will be residing at these premises.

 

 

 Address of premises to be rented:____________________________________________________________  Apt. #_____  Monthly rental amount:$_________

 

 

 

Full legal name:___________________________________________________________________ 


                     (Last)                                     (First)                              (Middle)

 

 

Social Security number:___________________________________________

 Birth Date:                       __________________________

 

 

 Current home phone: (      )___________________

 

 

 Current address:__________________________________________________________________________________________________________________

               (Street/P.O. Box)           (Apt.#.)           (City)                       (State)                                    (Zip)

 

Date you moved in:_____________  Monthly pmt.:$__________ [  ] rent  [  ] own    

Have you given proper written notice to terminate?  [  ] yes  [  ] no

 

                                    

If no, please explain:________________________________________________________________________________________________________________

Current Landlord's name:____________________________ 

Address:___________________________________________________________________

Current Landlord's phone: (      )__________________________________ 

Your reason for moving:__________________________________________

 

 

Please list ALL other occupants who will be living with you:

1) Name:_______________________  2) Name:_______________________  

3) Name:_______________________  4) Name:_______________________

5) Name:_______________________  6) Name:_______________________  

7) Name:_______________________  8) Name:_______________________

 

 

 

Do you or any of the above persons smoke? [  ] yes  [  ] no             

Do you or any of the above persons use illegal drugs? [  ] yes  [  ] no

If you have lived at the above address for less than 5 years, please list your 2 previous residences, starting with the most recent:

 

 

 

Previous Address:___________________________________________________________  Apt. #.:_______  Monthly pmt.: $___________  [  ] rent  [  ] own

From:_____________  To:_______________  

          month/year month/year


Reason for moving:_____________________________________________________________________

Landlord's name:________________________  Address:____________________________________________  

Phone: (      ) ______________

 

 

 

Previous Address:___________________________________________________________  Apt. #.:_______  Monthly pmt.: $___________  [  ] rent  [  ] own

From:_____________  To:_______________

        month/year               month/year  

Reason for moving:_____________________________________________________________________

Landlord's name:________________________  Address:____________________________________________  

Phone: (      ) ______________

 

 

 

Do you have or intend to have any pets? [  ] yes    [  ]  no

Type_________________     


any water-filled furniture or aquariums? [  ] yes  [  ] no

 

 

 

Are you currently on parole or probation anywhere? [  ] yes      [  ] no.  If yes, please explain and give the name and phone number of your officer:

 

 

 

 

 

 

 

Current occupation: (Military applicants please go to "Military Service" section below)

 

 

 

Employer Name:_______________________  Address:__________________________________  City/State/Zip:______________________________________

 

 

 

Phone:(       )___________________  Supervisor:__________________________  Date you began(mo/year):________  Monthly gross pay: $______________

 

 

 

Job title and duties:________________________________________________________________________________________________.

 

 

 

(Over, please)

 


 

 

page 2 of 2

 

 

 

 

 

 

 

If you have been with your present employer for less than 5 years, please list your 3 previous employers, starting with the most recent:

 

 

 

1) Employer Name:___________________________  Address:__________________________________  City/State/Zip:________________________________

 

 

 

Phone:(       )______________  Supervisor:_________________________________  Date you began(mo/year):________  Date you left(mo/year):_______

 

 

 

Job title and duties:________________________  Reason for leaving:_____________________________________  Monthly gross pay: $_____________

 

 

 

2) Employer Name:___________________________  Address:__________________________________  City/State/Zip:________________________________

 

 

 

Phone:(       )______________  Supervisor:_________________________________  Date you began(mo/year):________  Date you left(mo/year):_______

 

 

 

Job title and duties:________________________  Reason for leaving:_____________________________________  Monthly gross pay: $_____________

 

 

 

3) Employer Name:___________________________  Address:__________________________________  City/State/Zip:________________________________

 

 

 

Phone:(       )______________  Supervisor:_________________________________  Date you began(mo/year):________  Date you left(mo/year):_______

 

 

 

Job title and duties:________________________  Reason for leaving:_____________________________________  Monthly gross pay: $_____________

 

 

 

Military Service:  Branch:_______________  Rank/rate:____________________  Date enlisted (mo/year):_______  MOS/Specialty:_________________

 

 

 

Monthly take-home pay:$____________  Address of duty station:_______________________________________________________________________

 

 

 

Commanding Officer's name:___________________________________   Phone: (        )__________________________

 

 

 

Source(s) and amount(s) of any other income:  (please be specific)__________________________________________________________________

 

 

 

Checking Account:  Name of bank:________________________  Branch:_____________________  City/State:________________________________

 

 

 

Account number:________________________________  Current balance:$____________________Date account was opened(mo/year):_____________

 

 

 

Savings Account:  Name of bank:________________________  Branch:_____________________  City/State:_________________________________

 

 

 

Account number:________________________________  Current balance:$____________________Date account was opened(mo/year):_____________

 

 

 

Major credit card:________________  Account number:_______________________  Current balance:$___________  Avg. monthly pmt.$____________

 

 

 

Other credit reference:_____________________  Account number:_______________________  Current balance:$_______  Avg. monthly pmt.$_______

 

 

 

Vehicle(s):  Make:_______________  Model:_________________  Year:_______  Color:_________  Plate number:_____________  State:____________

 

 

 

                    Make:_______________  Model:_________________  Year:_______  Color:_________  Plate number:_____________  State:____________

 

 

 

Description of any other vehicle (car, boat, trailer, recreational vehicle, etc.) you would like to keep on the premises (prior written permission separate from this 

 

 

 

 

 

 

Emergency Contact:  In case of emergency notify:

 

 

 

_________________________________________________________________________________________________________________________

  (Name)                             (Address/City/State)                     (Phone)            (Relationship)

 

 

 

Authorization:

 

 

 

The undersigned applicant hereby declares that all information provided on this Rental Application is true and correct to the best of his/her knowledge.  Applicant hereby authorizes the owner, manager, or his/her agent (hereinafter "Landlord") to verify any information at any time contained in this application, including but not limited to, verification of current residency and employment.  Applicant understands that this verification process may include obtaining a tenant performance / credit report from various consumer reporting sources and specifically authorizes the Landlord to obtain such reports as allowed by the Fair Credit Reporting Act.  This application is for preliminary screening use only and does not obligate Landlord to execute a rental agreement or deliver possession of the premises.  Applicant further acknowledges that any false information contained herein will void this application and terminate any rental agreement.

 

 

 

 

 

_________________________________________________________________________________________________________________________

 

                (Printed legal name of applicant)                                         (Signature of applicant)                                                         (Date) 

 

 

 

 

 

NOTE:  If you are selected as a tenant, the Landlord, as a subscriber of RPOA, has the authority to submit an adverse report on your future tenant performance to national tenant/credit bureaus, as provided for in the Fair Credit Reporting Act.  The report may affect your consumer (credit) evaluation as well as your obtaining future rental housing.

 

 

 

? 2006 RPOA All rights reserved.  0324 

 

 

 

 

 

 

 

 

 

 

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