Please use this below to print an application to mail it to Coffman’s Apartments at 1100 S. Ft. Thomas Ave, Fort Thomas, KY 41075-2495. You may also submit your application online by using the form provided below. Click Here for a Printable Application For: Property Located At: Your Information Your Basic Information Full Name: Current Address: Daytime Phone Home Phone Cell Phone Work Phone E-mail Your Current Residence Current Landlords Name: Current Landlords Phone Number: Home Work Cell Current Landlords Address: How Long Have You Lived There: Your Previous Residence Previous Address: Reason for Leaving: Previous Landlords Name: Previous Landlords Phone Number: Home Work Cell Previous Landlords Address: Your Information Driver's License # / State: Date of Birth: S.S. #: Current Employer: Date Employed: Position: Gross Monthly Salary (from all sources): Supervisor: Supervisor's Phone #: Bank Name: Checking Account #: Bank Name: Savings Account #: Your Spouse's Information Spouse's Basic Information Full Name: Current Address: Daytime Phone Home Phone Cell Phone Work Phone Spouse's Current Residence Current Landlords Name: Current Landlords Phone Number: Home Work Cell Current Landlords Address: How Long Have You Lived There: Spouse's Previous Residence Previous Address: Reason for Leaving: Previous Landlords Name: Previous Landlords Phone Number: Home Work Cell Previous Landlords Address: Spouse's Information Driver's License # / State: Date of Birth: S.S. #: Current Employer: Date Employed: Position: Gross Monthly Salary (from all sources): Supervisor: Supervisor's Phone #: Bank Name: Checking Account #: Bank Name: Savings Account #: Additional Information Other Occupants Name: Age: Relationship: Name: Age: Relationship: Name: Age: Relationship: Name: Age: Relationship: If both parents work or there is only one (1) parent with child/children, who is responsible for the child/children while the parent(s) are at work? These premises shall be used solely by Applicant as a single-family resident. Any other tenants / occupants must be approved by Coffman Apartments. Any other tenants / occupants must be approved by Coffman Apartments. Do you have any of the following: Pets: Water-filled Furniture: Automobiles/Motorcycles/Boats/Campers that you own and wish to keep on this property: Model: Year: License #: Model: Year: License #: Model: Year: License #: Do you have any allergies including but not limited to smoke: NoYes If yes, please explain: Have you ever been delinquent in payment of your rent or any other financial obligations? NoYes If yes, please explain: Have you ever been convicted for a felony? [select felony first_as_label "" "No" "Yes" If yes, please explain: [textarea felony-explanation] Have you ever been a defendant in a forcible detainer (eviction) lawsuit or defaulted (failed to perform) any obligation of any rental agreement or lease? NoYes If yes, please explain: Other Personal References Reference #1 Name: Address: Phone: Reference #2 Name: Address: Phone: Reference #3 Name: Address: Phone: In Case of Emergency Please Notify: Emergency Contact #1 Name: Address: Home Phone: Work Phone: Cell Phone: Emergency Contact #2 Name: Address: Home Phone: Work Phone: Cell Phone: Emergency Contact #3 Name: Address: Home Phone: Work Phone: Cell Phone: Emergency Contact #4 Name: Address: Home Phone: Work Phone: Cell Phone: I/we certify that the information on this application is true and accurate to the best of my/our knowledge. I hereby authorize John Coffman Sr, John Coffman Jr, Deborah Koester or their agents to verify the above information and obtain a consumer credit report on each of the applicants. There is a $25 fee for each adult applicant for the credit check. Husband and wife may do a joint check. All Applicants please sign below: Applicant: Date: Applicant: Date: Applicant: Date: Applicant: Date: