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Rent Application
Please fill out this form.
Your Name
*
Your Email
*
Your address
Your phone number
RENTAL APPLICATION
Personal Information
Move in date
Open the calendar
Number of all occupants
Names and ages of all other occupants
Repeatable Fields
Occupant Name
Occupant Age
Occupant Name
Occupant Age
Occupant Name
Occupant Age
Pets
Pets
No
Yes
Vehicle
Repeatable Fields
Vehicle Make Model and Year
Vehicle Color
Vehicle Make Model and Year
Vehicle Color
Vehicle Make Model and Year
Vehicle Color
Person to notify in case of emergency (not in household)
Repeatable Fields
Name
Address
Phone
Email
Name
Address
Phone
Email
Name
Address
Phone
Email
Has applicant filed for Bankruptcy, within the last 7 years?
*
Has applicant filed for Bankruptcy, within the last 7 years?
No
Yes
If yes, explain
Has applicant been a party to an Unlawful Detainer action, or eviction?
*
Has applicant been a party to an Unlawful Detainer action, or eviction?
No
Yes
If yes, explain
Has applicant or any proposed occupant ever been asked to move out of a residence?
*
Has applicant or any proposed occupant ever been asked to move out of a residence?
No
Yes
If yes, explain
Has applicant or any proposed occupant ever been convicted of or pleaded no contest to a felony within the last 7 years?
*
Has applicant or any proposed occupant ever been convicted of or pleaded no contest to a felony within the last 7 years?
No
Yes
If yes, explain
Residences Information
Current Residence
Address
Lived at this address since
Move out from this address
Reason for Leaving
Landlord Name
Landlord Phone
Landlord Email
Address
Lived at this address since
Move out from this address
Reason for Leaving
Landlord Name
Landlord Phone
Landlord Email
Previous Residence
Address
Lived at this address since
Move out from this address
Reason for Leaving
Address
Lived at this address since
Move out from this address
Reason for Leaving
Income Information
Current Employer
Employer Company
Address
Monthly Income
Date started work
Date ended work
Supervisor Name
Employer Phone
Employer Email
Employer Company
Address
Monthly Income
Date started work
Date ended work
Supervisor Name
Employer Phone
Employer Email
More Income Source: such as from second job, alimony, SSA, SSI, retirement, etc.
Repeatable Fields
Income Source
More Monthly Income
Income Source
More Monthly Income
Income Source
More Monthly Income
Credit Information
Repeatable Fields
Creditor Account
Monthly Payment
Balance
Creditor Account
Monthly Payment
Balance
Creditor Account
Monthly Payment
Balance
Bank Information
Repeatable Fields
Bank Branch
Bank Number
Balance
Bank Branch
Bank Number
Balance
Bank Branch
Bank Number
Balance
Personal References
Name
Address
Phone
Relationship
Name
Address
Phone
Relationship
Credit Check Information
Credit Check Information
Repeatable Fields
Date of Birth *
SSN
For purpose of credit report
Driver License Number *
Date of Birth
*
SSN
Driver License Number
*
Date of Birth
*
SSN
Driver License Number
*
Applicant understands and agrees that this is an application to rent only and does not guarantee that applicant will be offered the Premises. Housing Provider may receive more than one application for the Premises and Applicant will provide a copy of applicant driver license or other acceptable identification upon request. Applicant represents the above information to be true and complete, and hereby authorizes Housing Provider to verify the information provided; obtain a credit report on applicant and obtain an Investigative Consumer Report on and about applicant. The report may include, but not limited to, criminal background checks, reports on unlawful detainers, bad checks, fraud warnings, and employment and tenant history.
*
Contact Person
Got Investment
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Dao
Gina
Lieu
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After we receive your application, we will review and reply.
Rent Application
