RENTAL APPLICATION
Equal Housing
The undersigned hereby
makes an application to rent the single-family detached home located at: 53
Half Moon Trail,
Anticipated move-in date of
September 1st , 2005, at a monthly rent of $2,350.00 and security
deposit of $2,350.00. Additional Deposit for Pets is $250.00, if
applicable. When this application is
complete, please fax to (949) 492-6713 or call (949) 230-3201 for mailing
address.
|
PLEASE TELL US ABOUT YOURSELF |
Full
Name__________________________________________________
Home Phone (_____)
________________________ Cell
Number (_____) ____________________
Date of Birth_________________________________ Social Security
____________________________
Email Address:____________________________________(optional)
Other Phone ( _____)
___________________
Co-Applicant Name_________________________________________
Names of
Dependents_________________________________________________________________
Co-Applicant Date of Birth______________________ Social Security
___________________________________
List All
Pets_________________________________________________________________________________
|
PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS) |
Current Address_______________________________Apt#________
City__________________ State______ Zip________
Month/Year Moved In______________ Reasons for
Leaving____________________________Rent $__________
Owner/Agent____________________________________________Phone (______)
______________________
Previous Address (last 3
years)_________________________________________________Rent $____________
Owner/Agent____________________________________________Phone (______)
_________________________
|
PLEASE DESCRIBE YOUR CREDIT HISTORY |
|
Have you declared bankruptcy in the past seven (7) years? |
Yes___________ No____________ |
|
Have you ever been evicted from a rental residence? |
Yes___________ No____________ |
|
Have you had two or more late rental payments in the past year? |
Yes___________ No____________ |
|
Have you ever intentionally refused to pay rent when due? |
Yes___________ No____________ |
|
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION |
Your Status: _____Full Time
_____Part Time _____Student _____Unemployed
Employer___________________________________________________________________________________
Dates employed____________________________ Employed
as_______________________________________
Supervisor Name_____________________________________ Phone (
______)______________________________
Salary $_________________per________________. (If employed by above less than
12 months, give name & phone of previous employer or
school:___________________________________________________________.)
If you have other sources of income that you would like us to consider, please
list income, source, and person (banker, employer, etc.) who we may contact for
confirmation. You do not have to reveal alimony, child support, or spouse's annual
income unless you want us to consider it in this application.
Amount $___________________ Source/Contact
Name__________________________________________________________
|
PLEASE LIST YOUR REFERENCES |
Banking Accounts:
Name_________________ Type of Account_________________ Account
Number_________________
Name_________________ Type of Account_________________ Account
Number_________________
Personal Reference or Emergency Contact:
Name _______________________ Address _______________________________________________
Phone _______________________ Relationship_______________________
Driver's License:
Your Driver's License Number_________________ State_________________
Vehicle Information:
Make / Model _________________Year _________________License Plate
State_________________
|
ADDITIONAL INFORMATION: |
Please give any additional
information that might help owner/management evaluate this application?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Where may we reach you to discuss this application?
Day Phone # (_____) ___________________________ Night Phone #
(______)____________________________
I hereby apply to lease the above described premises for the term and upon the
set conditions above set forth and agree that the rental is to be payable the
first day of each month in advance. As an inducement to the owner of the
property and to the agent to accept this application. I warrant that all
statements above set forth are true; however, should any statement made above
be a misrepresentation or not a true statement of facts, all of the deposit
will be retained to offset the agent's cost, time, and effort in processing my
application.
When so approved and accepted, I agree to execute a lease for ___________
months before possession is given and to pay the security deposit prior to the
move in date. If the application is not approved or accepted by the owner or
agent, the deposit will be refunded, the application hereby waiving any claim
for damages by reason off non-acceptance which the owner or agent may reject. I
recognize that as a part of your procedure for processing my application, and
investigative consumer report may be prepared whereby information is obtained
through personal interviews with others with whom I may be acquainted. This
inquiry includes information as to my character, general reputation, personal
characteristics and mode of living.
The above information, to the best of my knowledge, is true and correct.
Please sign: X__________________________________ __________________________________
Name of Applicant Date
AUTHORIZATION
Release of Information
I agree to permit an
investigation of my credit, tenant history, banking and employment for the
purposes of renting an apartment with this owner/manager.
_____________________________________________
Name (please print)
X_______________________________________ __________________________
Signature Date
APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)
Deposit of $__________________ Received by ____________________________ Date_______________
OFFICE NOTES: