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About Applying

Online Form



Online Rental Application

(All fields marked with * are required)
Separate application required from each applicant age 18 or older.

Prove you're human: 
two times two equals... 
*
Property You're Applying For
Property Address *
Desired Starting Date *
Desired Tenancy Length*
(Please refer to the ad for available starting date and tenancy terms)
Applicant
Full Name: *
Home Phone:
Cell Phone: *
Work Phone:
Email:



(By providing this email address I agree to receive
email communications from the landlord or landlord's agent)
Social Security #: *
Driver License #: *   State: *
Additional occupants

List everyone, including children, who will live with you:

Full Name:Social Security #:   Relationship to Applicant:  
     
     
     
Rental History

Current Address:

Address:
Dates lived at this address:
Reason for leaving:
Landlord/Manager:
Landlord/Manager's Phone:

Previous Address:

Address:
Dates lived at this address:
Reason for leaving:
Landlord/Manager:
Landlord/Manager's Phone:
Employment History

Current Employer:

Name of the employer:
Address of the employer:
Phone of the employer:
Name of the supervisor:
Supervisor's phone:
Dates employed at this job:
Position or title:

Previous Employer (if less than 1 year on current job):

Name of the employer:
Address of the employer:
Phone of the employer:
Name of the supervisor:
Supervisor's phone:
Dates employed at this job:
Position or title:
Income
Your gross monthly employment income (before deductions):
Average monthly amounts of other income:
Sources of other income:
TOTAL:
Pets

Describe the number and type of pets you want to have in the rental property:

Breed:
Weight:
Went to obedience class: Yes     No    
Ever had a biting/attack incident: Yes     No    
Miscelaneous
Do you smoke? Yes     No    
Have you ever filed for bancrupcy? Yes     No    
Have you ever been sued? Yes     No    
Have you ever been evicted? Yes     No    
Have you ever been convicted of a crime? Yes     No    
Explain any "yes" listed above:
References and Emergency Contact

Personal Reference:

Reference:
Relationship:
Address:
Phone:

Personal Reference:

Reference:
Relationship:
Address:
Phone:

Emergency Contact:

Name:
Relationship:
Address:
Phone:
Electronic Signature

Landlord is not aware of any lead-based paint in the property you are applying to rent. However, please read this lead based paint hazard pamphlet.
*   I have received and read the lead based hazard pamphlet.

I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any material false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, credit bureaus, current and previous landlords and employers, and personal references. I understand that if I have initiated a "security freeze" on my credit information with any of the credit reporting agencies, I will promptly lift the freeze for a reasonable time so that my credit report may be accessed by the Landlord/Manager; and I understand that if I fail to do so, the Landlord/Manager may consider this an incomplete application. (CC § 1785.11.2.) This permission will survive the expiration of my tenancy.
I Agree: *   Type your name: *