Forms/Application

Downloadable Forms

Rental Application Parental Guarantee Form

 

Online Forms

 

Rental Application



Name:

Email Address:

Property applying for:

Cell Phone Number

Present Address

How Long at Address

Date of Birth

Social Security Number

Present Landlord

Present Landlord Telephone Number

Previous Landlord

Previous Landlord Telephone Number

Employer

Employer Telephone Number

Personal Reference (name, address, telephone number)

Parent 1 Name

Parent 1 Address and Telephone Number

Parent 2 Name

Parent 2 Address and Telephone Number

All information stated above is correct.  All references and credit can be contacted and verified.

Completing Name below acts as signature.

Signature

Date

Contact Information:  Kern Management Company, LLC.

Michelle Kern 785-331-8430 michelle@kernmanagement.com

 

NO PETS ALLOWED WITHOUT PRIOR APPROVAL.


 

ACH Agreement



Name:

Email Address:

Property Address

I (we) hereby authorize Kern Management, hereinafter called COMPANY, to initiate debit entries to my (our)

Type of Account Checking Account
Savings Account

indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit the same to such account.  I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.  I (we) hereby authorize Kern Management to initiate a ‘reversing entry’ to correct an erroneous debit entry previously initiated to the same account.

Depository Name

Branch

State

City

Zip Code

Routing Number

Account Number

This authorization is to remain in full force and effect until Kern Management has received written notification from me (or either of us) of its termination in such time and manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.

Completing the Name(s) section below constitutes signing this form.

Name

Name

Date

Signature _______________________________________

Houses for Rent-Lawrence KS