Woodstock Properties, Inc    *RENTAL APPLICATION* For office use only:    
 98-211 Pali Momi, Suite 430 ($20 non-refundable application fee) Prop Name:  
 Aiea, HI  96701 http://www.woodstockpropertiesinc.com/ Fees: cash check
 Ph: (808)487-8300 Date:     Initial:
 Fax: (808)487-0557     
   
       All information shall remain confidentialin compliance with the Federal Fair Credit Reporting Act.  All applicants must sign this rental
      application and provide a valid identification upon request.  
   
Applicant Information:  
                   
  Last Name First Name Middle Initial
   
                   
  Social Security No Driver's License No: (State issued)  
   
                   
  Work Ph: Cell Ph: Email address:  
Co-Applicant/Spouse:  
                   
  Last Name First Name Middle Initial
   
                   
  Social Security No Driver's License No: (State issued)  
   
                   
  Work Ph: Cell Ph: Email address:  
   
Other Occupants:  
                     
  Name (Last, First, Middle Initial) Name (Last, First, Middle Initial) Name (Last, First, Middle Initial)
                     
Housing Data:  
                     
  Current Address City State Zip Code Rent Amount
   
                     
  Landlord Name Ph No: Reason for moving How Long?
   
                     
  Previous Address City State Zip Code Rent Amount
   
                     
  Landlord Name Ph No: Reason for moving How Long?
                     
Applicant Employment Information:  
                     
  Employer Supervisor Name Ph No: ( Supervisor/Human Resources)
                     
  Position Salary/Hourly    How long employed? Housing Allowance(if any) Amount
   
                     
  Co-Applicant Employer Supervisor Name Ph No: (Supervisor/Human Resources)
                     
  Position Salary/Hourly    How long employed? Housing Allowance(if any) Amount
           
  Other Income Source  
                     
Bank Information:  
                   
  Bank Name Checking Acct No. Bank Name Savings Account No.
References:  
                   
  Name Phone No Name Phone No  
Emergency Contact Info:  
                     
  Name of Nearest Living Relative Phone No. Relationship  
                     
   
  The information on this application is correct to the best of my knowledge.  I (we) hereby authorize Woodstock Properties, Inc to verify the above
  information and to obtain a Consumer Credit Report or Criminal Background Search.  I (we) understand that the fee for verifying this application
  is not a deposit or rent and will not be applied to rent or refunded even if this application is declined.   
   
                 
Applicant Signature Date Co-Applicant/Spouse Signature Date