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NE Wichita - Willow Place Estates I
4502 N. Ironwood
4528 N. Ironwood
8510 E. 44th St. N.
NW Wichita - 13th & Tyler Road
Colwich, KS - NW of Wichita
W Wichita - Auburn Hills
NE Wichita - Willow Place Estates II
4519 N Wilderness
SW Wichita - Hoover Rd & MacArthur
SW Wichita - Angel Fire 47th S & West St
3712 W Angel
3701 S Angel
S Wichita - Gold Coast Townhomes
NE Wichita - 37th N & Woodlawn
3635 N Rushwood
Andover, KS - The Residences at Andover Landing
2038 N Springbrook
NW Wichita - 29th & Tyler Road
Name
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Married &/ or Divorced names used in last 5 years
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Work or Cell Number
Name of spouse / co tenant
Married &/ or Divorced names used in last 5 years
Birth Date
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Social Security
Previous Address
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Select
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City
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Zip Code
Home Telephone Number
Work or Cell Number
OTHERS OCCUPYING UNIT:
Name
Relationship of Lease
Birth Date
Date
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Year
1900
1901
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1910
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1999
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2003
2004
2005
2006
2007
2008
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Name
Relationship of Lease
Birth Date
Date
1
2
3
4
5
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7
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11
12
13
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16
17
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25
26
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29
30
31
Month
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10
11
12
Year
1900
1901
1902
1903
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1906
1907
1908
1909
1910
1911
1912
1913
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1915
1916
1917
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1969
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1971
1972
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1981
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1984
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1986
1987
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1991
1992
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1995
1996
1997
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1999
2000
2001
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2003
2004
2005
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2008
2009
2010
2011
Name
Relationship of Lease
Birth Date
Date
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8
9
10
11
12
13
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Month
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8
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Year
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
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2010
2011
Have you ever been evicted?
YES
NO
Why are you leaving your current Rental Property ?
Have you given present landlord notice to vacate ?
YES
NO
Present landlord / Phone Number
Rental Address
Occupancy Dates
Date
1
2
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4
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7
8
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10
11
12
13
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25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Present landlord / Phone Number
Rental Address
Occupancy Dates
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
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21
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25
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29
30
31
Month
1
2
3
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7
8
9
10
11
12
Year
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Employment:
Name of Employer
*
Address
*
Phone Number
*
Position
*
Start Date
*
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Income / month
*
Spouse/ Co tenant Employment
Name of / Co Tenant Employment
Address
Phone Number
Position
Start Date
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Income / month
Credit And Personal Reference :
Personal
Address
Telephone
Personal
Address
Telephone
Creditor
Address
Telephone
Creditor
Address
Telephone
Name of bank with your checkink account
Amount
Do you have a good credit history ?
YES
NO
Do you have any pets?
How many?
What kind?
Pursuant to K.S.A.53-601, the undersigned(s) declares that under penalty of perjury that the foregoing is true and correct. The undersigned(s) authorize a background check and acknowledge they are entitled to a copy of any adverse information by requesting same.
Applicant :
Date :
Co- Applicant
Date :
AFTER HOURS EMERGENCY CONTACTS :
BRAND INVESTMENTS, LLC
Auburn Hills
13th & Tyler
Colwich
316-393-5080
FORTY-FIFTH STREET PROPERTIES, LLC
Willow Place I & II
316-218-3192
B & G LEASING, LLC
Hoover & MacArthur
316-393-6692
29th & Tyler
316-204-0456
Rushwood
316-204-0456
Gold Coast
316-204-0456
ANGEL FIRE, LLC
47th & West Street
316-393-6692
ANDOVER LANDING LEASING, LLC
21st & Andover Road
316-207-1810
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