KELLBROENTERPRISES
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Rental application

Apply for a Kellbro home

About 15 minutes. Read the rental criteria before you apply. Paper applications and help completing this form are available: call 816-935-9595.

Page details

Fields marked * are required. One application per adult, 18 or older, who will live in the home.

01The home
02About you

Your date of birth, Social Security number or ITIN, and identity verification are entered only in Kellbro’s secure screening system, not on this form. A Social Security number is not required to apply.

03Household

Each adult completes a separate application.

04Where you live now
05Income

All lawful sources of income count, including wages, self-employment, Social Security, SSI, disability, VA benefits, child support, and rental assistance. You will upload proof in the screening system.

06Rental assistance
Will a voucher or housing program help pay rent?

The listed rent is the same with or without a voucher. The income test applies only to the share of rent you pay.

07Pets and vehicles

Up to two pets. $300 refundable deposit and $35 monthly pet rent per pet.

For off-street parking.

Assistance animals are not pets. You do not need to list them here, and they are never charged pet fees. To request one, see assistance animals.

08Emergency contact

For example, a past debt now resolved or a reference from a case manager. Do not include medical information.

09Authorizations and signature

Authorization to obtain consumer reports

Kellbro Enterprises LLC ("Kellbro") will obtain one or more consumer reports about you from a consumer reporting agency to evaluate this rental application. Reports may include credit history, eviction court records, and criminal conviction records, and are used only as described in Kellbro's written rental criteria. The name, address, and phone number of the consumer reporting agency are shown in Kellbro's secure screening system before you complete authorization there.

If Kellbro denies your application, requires a guarantor, or sets any other condition based in whole or in part on information in a consumer report, you will receive a written adverse action notice with the agency's contact information, a statement that the agency did not make the decision, your right to a free copy of the report if requested within 60 days, and your right to dispute inaccurate or incomplete information. You can read a summary of your rights at consumerfinance.gov.

Electronic records and signatures

By checking the box below, you agree to receive this application's notices and records electronically and to sign electronically. You may request a paper copy of any record at no cost, and you may withdraw this consent at any time by contacting Kellbro at info@kellbro.com or 816-935-9595. Withdrawing consent does not affect records already delivered.

Equal Housing Opportunity. Kellbro does not discriminate on the basis of race, color, religion, national origin, ancestry, sex, disability, familial status, marital status, age, sexual orientation, gender identity, gender expression, status as a survivor of domestic violence, sexual assault, or stalking, or any other basis protected by federal, state, or local law. Kellbro accepts all lawful sources of income, including housing vouchers. Do not include information about a disability or medical condition on this form. To request a reasonable accommodation, see our accommodation policy or call 816-935-9595.

Return a completed paper application to Kellbro Enterprises LLC by email at info@kellbro.com, or call 816-935-9595 to arrange delivery. Do not write a Social Security number on a paper application.