Applicant's Name:*
Spouse's Name:
Applicant's Phone number:*
Spouse's Phone number:
Spouse's E-mail:
Date of Birth:*
Applicant's Current Address:*
Monthly Rent:*
Landlord's Name:*
Landlord's Phone:
Reason for Leaving:
Previous Address:
Date Moved In:
Date Moved Out:
Rent Paid Monthly:
Reason for Moving:
Employer Address:
Employer Phone:
Gross Monthly Salary:*
Position Held:*
Years Worked:*
Supervisor Name:
Supervisor Title:
Spouse's Employer:
Spouse's Gross Monthly Salary:
Additional Monthly Income: (Amount and Source)
Additional Occupants (Name and Age):
Desired Move-in Date:*
List of Properties interested in:
Have you ever been evicted or asked to move out?*
Have you ever been convicted of a crime? *
If yes, please explain the conviction.
Have you ever filed suit against a landlord? *
If yes, please explain:
Have you ever broken a Rental Agreement?*
Have you ever been sued for damage to a rental property?*
Have you ever declared Bancruptcy?*
Do you have pets?*
If YES, List: (Type of Pet, Breed and Weight)
Emergcy Contact Name: (Must not reside in property with you.)*
Emergency Contact Phone Number:*
In the case of an emergency, do you authorize Leavenworth Rentals to give this person a key to your property?*

Leavenworth Rentals, Inc Policies and Procedures

1.  All prospective tenants must complete an application form and verification of information will be completed prior to approval.  Management may refuse tenancy in the event any information supplied by the applicant on the application proves to be false or if adverse information is obtained from references.  A photo identification is required for each occupant over the age of 18;

2.  Applicant's income must be sufficient to qualify for rental amount.  Rent expense should not exceed 25% of the applicant's gross monthly income;

3.  Two single persons may rent an individual unit: however, both persons must apply, qualify solely, and sign the Lease Agreement;

4.  The terms of the lease are subject to the instruction of the owner of each specific property.  When a lease renewal is required and mailed to the tenant for a signature a copy of the lease will be kept in the office.  If that lease is not signed and returned to the office the new terms will be considered accepted with the receipt of the rental payment for the first month of the new lease as per the Kansas Landlord and Tenant Act.

5.  The Kansas Landlord and Tenant Act require a 30-day written notice to terminate a lease agreement.  A 30-day notice is required even if tenants lease is month-to-month.

6.  No unit will be held for a specific tenant without a security deposit.  Once a deposit is paid and the unit is removed from the market, the tenant is obligated to fulfill this commitment to move into the property or forfeit the security deposit. There will be NO EXCEPTIONS to this policy therefore if you do not accept this clause DO NOT sign.  If you are considering renting a property without viewing it first you will need to understand there will be nothing we can or will do to assist you in securing other housing if the property doesn’t meet your needs or standards upon arrival.  Nothing oral is binding on either party therefore make sure this is the right decision for you.

7.  Absolutely no pets will be allowed without prior written approval by management and management has the right to completely prohibit pets at certain properties.  An additional deposit will be required for each pet.  It is understood that the carpets will be professionally cleaned and a flea treatment completed at the tenants expense upon termination.  Management can remove the pet from the property if the terms of the pet approval agreement are not being fulfilled;

8.  Unless otherwise agreed, the tenant understands that the unit as seen by the tenant is considered in "move-in" condition by management and no further improvements will be made prior to tenant’s occupancy except for specific items listed prior to lease signing.

9.  Personal checks returned for insufficient funds must be made good within 3 days or legal action will be taken. A $35 returned check charge will be assessed.  If the non-sufficient funds checks occurrence persists the tenant will be required to pay by money order, cashier’s check, or cash only;

10.  Move-in inspections and/or key turnover are by appointment only during regular office hours Monday through Friday 9 am to 3 pm.  If you do not plan to arrive during regular office hours you will need to find lodging in the area so please plan ahead.

11.  When the Lease Agreement has been terminated by either party a joint move out inspection will be performed.  To receive a full security deposit refund the property must be clean and ready for the next occupant.  The arrangement and payment for interior cleaning, carpet cleaning, flea treatments, trash hauling and/or lawn care are the responsibility of the tenant not the management staff.  If these responsibilities are left for Leavenworth Rentals to schedule a fee of $250 will be charged from the deposit for the time and effort involved to make the arrangements and re-inspect the property along with the cost for the services necessary to get the property ready for the next occupant, included but not limited to the ones mentioned above.

12.  Two party checks will not be accepted;

13.  The rent is due and payable on the first day of each month and is late on the 2nd day of each month.  A late fee will be assessed on the 2nd day of the month and management will send a 3-day notice to quit for non-payment of rent. Please refer to your Lease Agreement;

14.  By signing the lease agreement it is agreed that the property management company has the right to show the property to prospective tenants during the last six (6) months of the existing lease with a minimum of a 24 hour notice.  Failure to comply will be grounds to terminate the lease agreement with a 30-day notice. The applicant(s) hereby acknowledges that he/she has read and understands these policies and procedures and has received a copy.

Have read and agree to Leavenworth Rentals, Inc Policies and Procedures: *
I authorize Leavenworth Rentals to process my application. This includes obtaining a rental verification from my previous landlord. *