LEASE APPLICATION

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:___________________________________________________________________ Maiden/Other names used:________________________

(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

(month/year)

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:_______________ Reason for moving:_____________________________________________________________________

(month/year) (month/year)

Landlord's name:________________________ Address:____________________________________________ Phone: ( ) ______________

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

From:_____________ To:_______________ Reason for moving:_____________________________________________________________________

(month/year) (month/year)

Landlord's name:________________________ Address:____________________________________________ Phone: ( ) ______________

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

application must be obtained from Landlord):_____________________________________________________________________________________

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.