Rental Application

RENTAL
APPLICATION
PERSONAL INFORMATION
Property Address:

609 Second Street

First Name:

Mackenzie

Last Name:

Wilson

Date of Birth:

06/08/1993

Home Phone Number:
Cell Phone Number:

Application Fee $50

Date:
Middle Initial:

Are you or your spouse
Military?:

Yes
No

M

Drivers License:

V018064005

Social Security #:

490-08-7873

Work Phone Number:
816-529-5853

07/23/2014

E-mail Address:

816-630-7700 [e-mail] Will there be pets on the premises?: Yes
No

All Other Proposed Occupants:
1) First Name:

Wesley

Last Name:

Van Dolah

Relation:

Spouse

SSN:

494-92-9293

2) First Name:

Date of Birth:

Drivers License #:

Cell Phone:

Relation:

Date of Birth:

SSN:

Drivers License #:
Yes
No

RENTAL HISTORY

Cell Phone:

Middle Initial:

Last Name:

Is This A Roommate?:

Middle Initial:

W
816-806-8127

10/10/86

S018279004

1) Current Address:

108 S Highway C Rayville, MO 64084

City:

Rayville

State:

MO

Owner/Manager Name:

Daun Warren

Date In:

08/01/2013

Reason for Moving:

No insulation, no central air or heat, didn't like living in Rayville,
MO.

2) Previous Address:
(if less than 1 year)

917 N Highway C Rayville, MO 64084

City:

Henrietta

State:

MO

Owner/Manager Name:

Shelly Wilson

Date In:
Reason for Moving:

ZIP Code:

64084

Phone Number:
Date Out:

08/15/2014

ZIP Code:

64036

Phone Number:
Date Out:

816-456-5554

816-838-6434

08/01/2013

Parent's house.

EMPLOYMENT HISTORY

Please Attach A Copy Of Your Most Recent Pay
Stub.

Occupation/Income:
Yourself & Spouse

Server

Ironworker

Employer Name:

Wabash BBQ

AllPro Construction

Employer Address:

1562 E Spruce St, Olathe, KS 66061
646 Kansas City Ave S, Excelsior Springs, MO 64024

Employer Phone:

816-630-7700

Start Date:

07/01/2014

End Date:

816-215-2295

Start Date:

08/01/2013

End Date:

Prior Occupation

Wabash BBQ

Employer Address:

646 Kansas City Ave S, Excelsior Springs, MO 64024

Employer Phone:

816-630-7700

Start Date:

12/12/2012

End