OTHER INFORMATION

TOTAL NUMBER OF VEHICLES (Including Company Vehicles)_________________________________

Make/Model___________________________ Year______ Color______ Tag No. State_____________
Make/Model___________________________ Year______ Color______ Tag No. State_____________
Make/Model___________________________ Year______ Color______ Tag No. State_____________
Other Car, Motorcycle, etc.____________________________________________________________

Total Gross Monthly Household Income $________________________

If there are other source of income you would like us to consider, please list income, source and person (Banker, Employer,
etc.) who we could contact for confirmation. You do NOT have to reveal alimony, child support or spouse's annual income
unless you want us to consider it in this application.
Amount $____________ Per____________ Source___________________ Telephone_____________
Amount $____________ Per____________ Source___________________ Telephone_____________
Comments:_________________________________________________________________________

HAVE YOU OR CO-APPLICANT EVER:

Been sued for non-payment of rent? ____Yes ____No
Been evicted or asked to move out? ____Yes ____No
Broken a Rental Agreement or Lease? ____Yes ____No
Been sued for damage to rental property? ____Yes ___No
Declared Bankruptcy? ____Yes ___No

In Case of Personal Emergency, Notify:____________________________Relationship_____________

Address___________________________ Home Phone______________Work Phone_____________

I hereby make application for an apartment and

certify that this information is correct. I authorize Applicant's Signature_____________________________
you to contact any references that I have listed. Co-Applicant__________________________________
I also authorize you to obtain my consumer
credit report from your credit reporting agency Date Signed___________________________________

FOR OFFICE USE ONLY - DO NOT WRITE BELOW

Date Application Received________________________ Received by__________________________

Reference Verification Remarks Record of Payments Received

__Present Landlord Date Type Amount
__Previous Landlord
__Employment
__Previous Employment
__Co-Applicant Employment
__Bank
__Credit (1) Application ___Approved ___Not Approved

__ Credit (2) Date___________________________

__ Credit (3) By_____________________________
__Other Assigned to Apt. No._____ $________
Apartment Address_______________
Applicant Notified By______________
Anticipated Move-In Date___________
 Ketchikan Credit Bureau, Inc.
320 Bawden St., Suite 312
Ketchikan, AK 99901
225-5131 office
247-0591 Fax

Credit Authorization

I hereby authorize Ketchikan Credit Bureau, Inc. to obtain my credit report and or credit information for
Woodside Village Apartments. It is understood that a photocopy will be given to Ketchikan Credit Bureau and
WSV Attorney Office to serve as Authorization to view and obtain for Woodside Village Apartments. If I choose
to challenge the information on the Credit Report or Country Clerks office I may do this but on my own time and
cost.

Applicant: Date:
Please print

Signature:

Co-Applicant:_________________________________________________Date:
Please print

Signature:
Social Security # (Print Please
Co-Social Security # (Print)
Applicant's Date of Birth:
Co-Applicant's Date of Birth:
Applicant's Employment:
Co-Applicant's Employment:
Current Physical Address:
Mailing Address if different:

Information obtained on your credit report will hender on you receiving a unit from WSV.
WSV Corporate office has specific guidelines which Management must adhere too.