REQUEST TO VISIT PAU HANA RANCH
Please answer the questions
which follow and email to
Guest@PauHanaRanch.Com
ONE PERSON ONLY/ NO PETS (UNLESS OTHERWISE AGREED IN WRITING)
Date of Potential Occupancy:
How long would you plan to stay ?
Name ____________________________________________________________
Phone No.(____)_______________
ADDRESS City only: _______________________________________________
How long: __________________________
Current rent payment: _________
Reason for moving: _______________________________________________
No. Of occupants: ___________
PRIOR ADDRESS City only: ___________________________________________________
How long: ___________
Rent payment: _______________________
Reason for moving: __________________________________________________
Water bed: Yes _____ No _____
Smoker: Yes _____ No _____
Pets: Yes _____ No _____ What kind:
Alcohol: Heavy _____ No ______ Light _________
Quiet: Yes _______ N0_____________
Visitors: Many _______ Few ____________ Very Few ___________ None ________________
Neatness: Very: ________ Slightly ___________ Slob ______________
How is your credit? Great _____ Good ____ Ok _____ Little Problem ____ Big Problem _________
Health Problems _________ Special Health Requirements: _______________
SKILLS:
CONSTRUCTION/ HANDYMAN EXPERIENCE:
RANCH/HORSE EXPERIENCE:
EDUCATION: Last grade ______ year ______ School _________________________
Present Employer: __________________________________________________________
Address: ___________________________________________________________
Position: __________________________ How long: _______________
If present employment is less than two years:
Prior Employer:
Position: How long:
Reason for Leaving:
Have you ever been arrested?
Have you ever been evicted?
Have you ever been sued?
Have you ever sued anyone?
Were you in the armed service? If yes, What rank, rate and service?
Have you been a party to an unlawful detainer action or filed bankruptcy?
What are your hobbies and interests?
What are Your Most Important Requirements and Concerns?
Any Additional Comments:
I represent that the information provided in this Application is true and
correct to the best of my knowledge.
Applicant understands that the landlord may terminate any rental agreement
entered into for any misrepresentation made on this Request to Visit.