allaninsuranceagency.com
Allan Family Rental Application

Rental Address

Applicant's Full Name

Birthdate

Social Security Number

Drivers License Number

Home Phone:

Work Phone:

Cell Phone:

Spouse's Full Name

Birthdate

Social Security Number

Drivers License Number

Home Phone:

Work Phone:

Cell Phone:

List All Other persons who will be living with you (Give Full Names, Birthdates & Relationship)

Current Address (Street, Apt. #, City, State, Zip)

How long have you live here?

Reason for Leaving

Landlord's Name

Landlord's Phone

Former Address, at least 2 years., non-family (incluede city, state/zip, move-in, move-out, reason for leaving, Landlord Name, Landlord Phone)

Employer

Position

Date employed

Average Monthly Salary

Employment Address:

Employer's Phone

Spouse's Employer

Spouse's Position

Date employed

Spouse's Average Monthly Salary

Employment Address

Spouse's Employer Phone:

Other income sources & Amount per Month

Bank References

Branch

City

Credit References

Make of Vehicle, Model of Vehicle, Year of Vehicle, Color of Vehicle, License # of Vehicle, and VIn # on Vehicle ; (Please note information needed for all vehicles that will be at this address)

Incase of an emergancy: Who can we contact? (Name, Relationship, Phone, Address, City, State, Zip

Have you ever been evicted

If so, explain

Have you ever been convited of a felony?

If So, explain

Date property desired

Are you prepared to pay the 1st months rent and deposit in full now?

How did you hear of this unit? (Newspaper, Internet, Thrifty Nickel, Sign, Friend, Other (if other how)

Email Address

Allan Family Rentals Home Page

http://www.allaninsuranceagency.com/allanfamilyrental

Allan Insurance Agency Home Page

http://www.allaninsuranceagency.com/

 

Home or Rental Quote

http://www.allaninsuranceagency.com/autoquote

Auto Quote

http://www.allaninsuranceagency.com/homeownersquote

Location Address:

1005 W. Fremont Ave

Selah, WA 98942

Unit A  (Upstairs)  &  Unit B (Basement)

Address and Phone:
509-697-5383
Allan Insurance Agency
312 South 1st Street
Selah, WA 98942
Open: 9am-4:30pm
Monday -Friday
Owners
Tammy Allan
allaninsurance@fairpoint.net
Ken Allan
Kenallan@fairpoint.net