Please contact us at:
3000 Four Wheel Drive, Suite C
Lawrence, KS 66047 (Map)

Phone: 785-856-4646
Fax: 785-843-0933

Map | 785-856-4646 | Fax: 785-843-0933

Rental Application E-Form

Please fill out all fields that are applicable. Fields marked as required are needed to send this form, but all fields that are applicable are required to process your application.

Rental Application An application must be completed for each individual over the age of 18
Applicant Information
Name (required):		Email (required):
Driver's License No.:	State:		Expiration Date:
Date of Birth:	SSN (required):		Phone:
Current Address:
City:	State:		ZIP Code:
Own Rent (check one)	Monthly payment or rent:		How long?
Landlord's Name:		Landlord's Phone:
Date Current Lease Ends:		Reason for Leaving:
Previous Address:
City:	State:		ZIP Code:
Own Rent (check one)	Monthly payment or rent:		How long?
Landlord:	Landlord's Phone:		Reason for Leaving:
Employment Information
Current Employer:
If self-employed, please attach a copy of your most recent tax return or other documentation for income verification. All income must be verifiable.
Employer Address:			How long?
City:	State:		ZIP Code:
Phone:	Fax:		Email:
Position:	Hourly Salaried (check one)		Annual Income:
Emergency Contact
Name of Person not residing with you:
Address:
City:	State:	ZIP Code:	Phone:
Spouse's Information, If Married
Name:
Driver's License No.:	State:		Expiration Date:
Date of Birth:	SSN:		Phone:
Spouse Employment Information
Current Employer:
If self-employed, please attach a copy of your most recent tax return or other documentation for income verification. All income must be verifiable.
Employer Address:			How long?
City:	State:		Zip Code:
Phone:	Fax:		Email:
Position:	Hourly Salaried (check one)		Annual Income:

Other Income Sources
If you have any other sources of income which you wish to have considered with this application, please list them below. Include the source, amount received, the frequency with which the income is received, and contact information which will enable us to verify this income or attach verification documentation with this application.

Personal References
Name	Address	Phone & Email


Bank References
Name	Address	Phone & Email


Personal History
Have you ever been party to an eviction? Yes No If yes, please explain.
Have you ever filed for bankruptcy? Yes No If yes, please provide case number, jurisdiction and year filed:
Have you ever been arrested? Yes No If yes, please explain.
Have you ever been convicted of a misdemeanor? Yes No If yes, please explain.
Have you ever been convicted of a felony? Yes No If yes, please explain.
Are you currently or have you ever been required to register in any jurisdiction as any type of sexual predator or offender? Yes No
Are you currently a party to any litigation? Yes No If yes, please explain.
Information Relating to the Requested Property
Property Location Applied for (required):		Rent Amount:
Do you have any pets you wish to occupy the property? Yes NoIf yes, please describe.

The undersigned hereby authorizes all people, agencies or companies in the categories listed above to release without liability, information regarding employment, income and/or assets to Meadowlark Property Management, Inc. for the purpose of verifying information on my/our guarantor application. I/We agree that a photocopy of this authorization may be used for the purposes stated above. The undersigned certify that all answers given herein are true and complete to the best of their knowledge. Any misrepresentations in the information provided in this application are grounds for immediate termination of any lease agreement between the parties.

Check here to certify that you have read and agree to the above release information.

Date:

Once you submit the form, you should be redirected to a page with the message: Thank You For Your Application, We Will Contact You Shortly. If you do not, please check that you have filled out the required fields and send the form again.