Rental Application

Banana Cabana, 585 Iao Valley Road,

Wailuku

Please fill out one form for each adult occupant

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What date do you wish to move in ? :

Current Details:

Full Name

Phone Number

Email

Current Address

Current Landlord's Name/Phone Number

Number of years at current address

Previous Details:

Previous Address if lived at current address for less than one year

Previous Landlord's Name/Phone Number

Number of Occupants:

Total number of people who plan to occupy the unit

Employment Details:

Employer's Name/Phone Number

Employer's Address

Number of years and months with employer

Annual Gross Income

Vehicle:

***PLEASE NOTE ***

This unit has one car parking space only...

Driver's License Number and State it was issued

Vehicle - Make and Year

Vehicle - License Plate

References other than names listed above:

(Minimum of 2 required)

#1 Reference - Description(eg Co-worker, Previous Employer, Previous Landlord other Professional etc)/Name/Phone Number

#2 Reference - Description/Name/Phone Number

#3 Reference - Description//Name/Phone Number

Additional Comments. Feel free to add anything as it is always helpful:

***HELP***

If more than one person is sending us an Application Form, please help us tie the forms together by listing each applicant's name in the Comments box below...

Additional Comments