Application to Rent NOTICE: You are applying for the right to rent an apartment owned by Paug-Vik Inc. Ltd. We will use the following information you provide to determine if you will be a suitable tenant. Please read the rules and regulations to see what we require of a suitable tenant. We will check your references, including previous landlords and current and past employers. If any discrepancies between what you write in below and what we learn will be cause for immediate disqualification. We do not discriminate on the basis of race, color, religion, sex, national origin, or any other prohibited basis. If the application is incomplete it will not be considered for renting. WE TAKE YOUR PRIVACY VERY SERIOUSLY AND USE OUR BEST EFFORTS TO ENSURE ITS PROTECTION: WE USE ENCRYPTION TO PROTECT THE TRANSMISSION OF THIS FORM WHEN YOU SEND IT AND A DEDICATED SERVER THROUGH WHICH TO PASS IT. Name: * Phone: * Email Address * Date of Birth * AK Driver's License No.: * SSN Address * Why are you leaving this address? * Emergency Contact Person: * Relation: * Who do I notify? Address: * Phone No.: * Other persons to occupy apartment: (No one else will be allowed to occupy the apartment without getting written approval from the landlord) Each Non-related adult must fill out a complete form. Name: Age Relationship SSN Name: Age Relationship SSN Name: Age Relationship SSN Note: No more than two Adults and two children or no more than three adults may occupy an apartment. Do you own a vehicle? yes Make: Model: Year: Tag No.: Note: Only one vehicle is allowed per unit. Additional vehicles must be approved by the landlord, in writing, and only on a space available basis. Each additional vehicle will be charged $35.00 per month. Do you own a dog, cat, or other pet? If so describe it Note: We reserve the right to not allow any pets, or, if after we approve one, we reserve the right to revoke the approval. Pet deposits are required prior to moving in. Deposits are $700 for each dog or cat. Deposits for other pets will be determined on a case by case basis. Do you own furniture? * Yes No How do you plan on furnishing your apartment? Have you ever filed for Bankruptcy? * Yes No When? Status: Have you ever been evicted from any tenancy? * Yes No When? Why? Have you ever refused to pay rent when due? * Yes No When? Why? Describe all residences lived in, in the last two years * Please follow this format (one entry per line): Dates -- Address -- Name or owner/manager -- Phone No. -- Rent Are you currently employed? * Yes No Name of current employer and previous employers for past two years. * Please follow this format (one entry per line): Employer - Address - Phone No. - Supervisor - Dates of employment - Job Title - Wage Current Bank: * Branch * Phone No.: * Checking Account No.: * Savings Account No.: * CREDIT REFERENCES: Give at least two business references where you have had at least $250 of credit extended to you, preferably here in Naknek or in Anchorage. Business Name: * Address: * Phone No.: * Account No.: * Business Name: * Address: * Phone No.: * Account No.: * Additional Information: Put any additional information with regards to your Credit References. PERSONAL REFERENCES: Give at least two personal references, not related to you. Name * Address * Phone No.: * Name * Address * Phone No.: * Additional Information Put any additional information with regards to your Personal References. Applicant represents that the information provided above, is true and correct and authorizes verification of references given, and gives permission for a credit check. By signing this document, you agree to the above statement. Rules and regulations * I have read and agree to the rules and regulations. Signature * Draw It Type It Clear Date Fee A $65 payment is needed to process your application. This includes $30 for the application fee and $35 for the background check. reCAPTCHA Please check the box. This feature helps us prevent robots from spamming our application by doing automatic submissions. Payment Click submit to go to PayPal and submit the payment that must accompany this form. Note: every transaction through PayPal is assessed a 2.9% + $0.30 fee. This fee is reflected in the amount charged to you. If you have any questions, please contact us here.