• 826 I Road

    P.O. Box 196                      

    Larned KS  67550     

  • Phone    (620) 285-2951        

    Fax          (866) 239-6089

    Email    Lisa@picketfence-realestate.com

  • Rental Application

  • Please make sure to click save when applicable. 

  • Personal Information

  • Co Applicant Information

  • RESIDENCE HISTORY (Full address and phone numbers are required)

  • EMPLOYMENT INFORMATION

  • (You must submit proof of income 3 times greater than the total monthly rent to forgo)

  • If there are other sources of income you would like us to consider, please list income, source and person (banker, employers,etc) who we would contract for confirmation.  You do not have to reveal alimony, child support, or spouse’s annual income unless you want us to consider it on the application

  • Vehicles

  • Bank & Credit References

  • Character References (atleast 3)

  • Have you or your spouce ever:

  • Please give any additional information that might help management evaluate your application:

  • IN CASE OF PERSOANL EMERGENCY

  • I HEREBY APPLY TO LEASE THE ABOVE DESCRIBED PREMISES FOR THE TERM AND UPON THE CONDITIONS ABOVE SET FORTH AND AGREE THAT THE RENT IS TO BE PAYALBE THE FIRST DAY OF EACH MONTH AND DELINQUENT ON THE 10TH DAY OF EACH MONTH.  AS AN INDCUCEMENT TO THE OWNER OF THE PROPERTY AND TO THE AGENT TO ACCEPT THIS APPLICATION, I WARRANT THAT ALL STATEMENTS ABOVE SET FORTH ARE TRUE.  I AUTHORIZE YOU TO CONTACT PREVIOUS LANDLORDS(S), CREDIT, AND PERSONAL REFERENCES THAT I HAVE GIVEN IN THIS APPLICATION.  I ALSO AUTHORIZE MANAGEMENT TO OBTAIN MY CONSUMER CREDIT REPORT IF THEY SO WISH.

    THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

  • Clear
  • Clear
  • Should be Empty: