Rental Application Colorado Peak Real Estate
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1
2Colorado Peak Real Estate, INC.
Andrea Warner, REALTOR
3107 W Colorado Ave #261 Colorado Springs, CO 80904
Telephone: 719-648-9345
Email:
RENTAL APPLICATION
(PLEASE PRINT)
Agency Disclosure: Please see “Rental Application Procedures” form.
NAME OF AGENT THAT REFERRED YOU TO OUR OFFICE_________________________________________.
Please attach the last 2 months bank statements, past 2 paystubs and if military a copy of your orders & last 2 LES. Copy of
photo ID. Application fee of $45 per applicant in certified funds no checks. Application will not be processed without all
needed items.
Address of Rental: __________________________________________ Date Desired:_________________
APPLICANT
CO-APPLICANT
Name: Last
First
Middle (if military give rank)
Name: Last
First
Middle (if military give rank)
____________________________________________
_____________________________________________
Birthday (MM/DD/YY):________/_______/__________
Birthday (MM/DD/YY):________/________/_________
Social Security #:____________-________-__________
Social Security #:____________-________-__________
Driver’s License #:______________________________
Driver’s License #:______________________________
Present Home Phone#:___________________________
Present Home Phone #:___________________________
Immediate Contact Ph.#:_________________________
Immediate Contact Ph.#:__________________________
Email:________________________________________
Email:________________________________________
Employer: _____________________________________
Employer: _____________________________________
EMPLOYER TELEPHONE #:___________________
EMPLOYER TELEPHONE #:___________________
EMPLOYER FAX
#:___________________
EMPLOYER FAX
#:___________________
Employer Address:______________________________
Employer Address:______________________________
Length of Employment:__________________________
Length of Employment:___________________________
Take Home Pay:________________________________
Take Home Pay:________________________________
Total Monthly Debts without Rent:_________________
Total Monthly Debts without Rent:__________________
Additional Income:______________________________
Additional Income:______________________________
Former Employer:_______________________________
Former
Employer:_______________________________
Former Employer Address & Telephone:_____________
Former
Employer
Address
&
Telephone:______________
_____________________________________________
_____________________________________________
Length of Employment:__________________________
Length of Employment:___________________________
Take Home Pay:________________________________
Take Home Pay:________________________________
If you are not currently employed, advanced rent may be required upon approval of application. If you are self-employed, we will need a copy of
your income tax returns for the past 2 years to verify income. Your application will not be processed until we have a copy of the statements.
RENTAL HISTORY-Provide TWO Years History
1. Present Home Address:_________________________
1. Present Home Address:_________________________
___________________________ Zip:_______________
________________________ Zip:_________________
Name of Present Landlord:_________________________
Name of Present Landlord:________________________
Landlord's Telephone #:___________________________
Landlord's Telephone #:__________________________
Reason for moving:_______________________________
Reason for moving:______________________________
How Long?_________ Rental Rate:__________________
How Long?_________ Rental Rate:_________________
2. Previous Home Address:________________________
2. Previous Home Address:_______________________
_____________________________ Zip:______________
____________________________ Zip:______________
Name of Previous Landlord:________________________
Name of Previous Landlord:_______________________
Landlord's Telephone #:___________________________
Landlord's Telephone #:__________________________
Reason for moving:______________________________
Reason for moving:______________________________
How Long?_________ Rental Rate:__________________
How Long?_________ Rental Rate:_________________
If you own or are purchasing property, give name, address and phone number of Mortgage Co.________________________
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