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779 Metropolitan
P.O. Box 426
Leavenworth, KS  66048


 

Phone: 913-682-1410
Fax: 913-682-0363
gandw@gw-properties.com

Home
Available Rentals
Management Information
Renters Information
  

 

Please fill out our Rental Application below then print the form and mail or fax to G and W Rentals. This will allow us to find a place that meets your housing needs as well as immediately approve your lease agreement. This agreement will be securely stored in our office until you decide to sign a lease on a property of your choice.

 Thank you for choosing G & W Properties, Inc.
Personal Information
Name of Applicant
Date of Birth
Social Security #
Name of Spouse
Bedroom Type Desired
Move In Date
# of Occupants
Do you have any pet(s)? # of pet(s)  Type pet -1  Type pet -2 
Yes No 
Applicant's Street Address 
E-mail: 
City 
State 
Zip Code 
Phone (w/area code)
Present Address is: Own Home Parent's Home Rented Home Rented Apartment 
If Rent: Present Landlord or Apartment Community
If Own: Name of Bank or Mortgage Company
Street Address of Present Landlord/Mortgage Company
City
State
Zip Code
Phone (w/area code)
Employment Information 
Present Employer 
Position
Annual Income 
How Long (years) 
Phone 
Credit References
Auto Loan Institution: 
Monthly Payment: 
Balance: 
Other Credit Reference: 
Monthly Payment: 
Balance: 
Have you had any credit problems or litigation? 
(i.e. Past due accounts, evictions, judgements, bankruptcies, foreclosures) 
Yes No 
If yes, please give details and dates: 


PLEASE READ CAREFULLY AND CHECK BELOW
Applicant represents that all above statements are true and complete. Applicant hereby authorizes verification of above information, references and credit records, and applicant releases from all liability or responsibility all persons and corporations requesting or supplying such information. Applicant acknowledges that false information may constitute grounds for rejection of this application, termination of right of occupancy and/or of deposits and may constitute a criminal offense under the laws of the State of Kansas.

I have read and agree to the provisions as stated.
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