Kolatis Enterprises - Full Property Management Service

935 Wheeler Avenue, Scranton, PA 18510
214 First Street, Old Forge, PA 18518
570-451-3967 - Cell: 570-954-6916
kolatis@aol.com

Apartment Applying For

Total # of people who will reside in unit

Full Name

Social Security #

Driver's License #

Date of Birth

Present Address

City

State

Zip

Phone

How long you live at this address?

Reason for leaving?

Name of Landlord

Landlord Phone #

What is/was the monthly rent in unit?

Place of employment

Job Title

Supervisor/contact person

Supervisor/contact Phone Number

Employment Address

How long employed?

Weekly Gross Salary?

Last three places of residence (mandatory)

References

#	Name	Phone Number	Relationship
1
2

Signature