Universal Realty & Auction

270-237-4287
1421 Old Gallatin Road, Scottsville, KY 42164
270-237-4287
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Housing Application
Applicant:
Co-Applicant:
Birthday:
Birthday:
Phone Number:
Phone Number:
Email Address:
Best way to contact:
Current Address:
Monthly Payment:
How long there?
Current Landlord's Name:
Current Landlord's Phone #:
Previous Address:
Previous Landlord's Name:
Previous Landlord's Phone #:
Monthly Payment:
How long there?
Employer:
Pay Rate:
Employer:
Pay Rate:
How long there?
How long there?
Previous Employer:
Previous Employer:
How long there?
How long there?
Proposed Occupants:
Proposed Pet(s):
Breed or Type:
How many?
Monthly Payments:
Other Payments:
Repossession?
Questionnaire:
Have you ever been sued for unpaid bills?
Have you filed bankruptcy in the last 10 years?
Have you ever been convicted of a felony?
Have you ever broken a lease?
Have you ever been locked out by Sheriff?
Have you ever been brought to court by a landlord?
Have you ever moved owing rent?
Have you ever moved & left damage to a property?
Do you have the total move-in amount available now? (Deposit & rent)
Which property/properties are you interested in?
Applicant Signature
Co-Applicant Signature
Emergency Contact: Please list someone not living in the same household
***Please note that Proof of Income is required with all applications. You may send by email to lori@universalra.com, fax to 270-237-4427, or drop it off at the office.***
Additional Info/Comments:
Month(s)Year(s)
Month(s)Year(s)
RentOwn
RentOwn
HourlyMonthly
HourlyMonthly
Month(s)Year(s)
Month(s)Year(s)
Month(s)Year(s)
Month(s)Year(s)
Yes
No
Indoor
Outdoor
Car Loan
Mortgage
Credit Cards
Bankruptcy?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No