KBI Services

Please fill out all of the following information

First Name:
Last Name:
Email:
Re-enter Email:
Phone:
Alt. Phone:

Best Times to call:

What are you looking for?	Apartment House Either
How Many Residents will be living there?
How Many Bedrooms are you looking for?

Do you smoke?	Yes No Out Side Only I smoke inside
Do you own a vacuum?	Yes No
Do you have untilities in your name currently?	Yes No I use to Never
I have a ___________ (check all that apply)	Checking Account .... Savings Account

List 2 years of rental referneces with phone numbers?
List 2 personal References with phone numbers?

What is your net monthly household income?
Who is your employer with phone number?
How long of a lease are you looking for?

Why Should I rent to you?

Have you ever been evicted? Explain:

Additional Comments:
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