form1ksh

Kingston Square Homes Application

Last Name

First Name

Middle name

Todays Date

SS #

Current Street Address

City State Zip Code

Date of Birth

Email

A phone number where we can contact you

Your Cell Phone

Size desired

Studio 1 Bedroom 2 Bedroom Apartment 2 Bedroom Townhome 3 Bedroom Townhome

Select A Move In Date Desired

Current EMPLOYER

Yearly Income

Employer Address

Employer Phone Number

How long have you been on your job?

In Case of Emergency who do we contact

Current Landlord Name

Current landlord's address

Current landlords phone number

Years you have lived there?

Current Lease Experation?

Your Current Rent?

Your current auto license plate number

Do you currently have pets?

If you have pets, what kind?

Do you have a checking account?

Please list current credit accounts

Please check the box{s} if you have

Filed Bankruptcy Been evicted Had late rental payments

Please list other sources of income

Please give us any additional information that might help approve your application.

How did you hear about us?

Craigslist Apartment Guide Friend On Line Ad Other

I/We hereby warrent that all representations set forth above are true. To verify the above statements, I/We direct Kingston Square Homes, persons, agents, named in this application to ask questions about me or us. I/We waive all rights of actions for consequences as a result of such information. I/We waive all rights of actions for consequences associated with the gathering of such information. I/We agree and authorize and give permission to agent(s), owner or servicing company to perform a credit check and a background check on me/us. I/We agree to pay $26.00 for the credit check as permitted by state law.

I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my credit, employment, character, general reputation, personal characteristics and mode of living as permitted by state law.

By signing below (please type in your full name) you agree to the above statements,

Thank you

Please submit a current
PHOTO ID,
TWO PAYCHECK STUBS (the most current)
and PROOF OF RESIDENCE (current bill or copy of current lease)
to the Kingston Square Office.
Our fax # is (317) 541-8313 or visit our office at
7171 Twin Oaks Drive Indianapolis, Indiana 46226