CALIFORNIA RENTAL APPLICATION
APPLICANTEachApplicantovertheageof18mustcompletetheirownapp licationform PLEASEPRINT
First,Middle,LastName DateofBirth SocialSecurity# Driver’sLicense#
OtherN amesUsedIntheLast10Years HomePhone CellPhone Email Address
ADDITIONALOCCUPANTSListeveryone,whowilllivewithyou:
First,Middle,LastName RelationshipToApplicant
EMPLOYMENT
CurrentEmployment PriorEmployment
Employer
Address
EmployerPhone
JobTitle
NameofSupervisor
DatesofEmploymen t From: To: From: To:
IncomePerMonth $ $
RESIDENCE
CurrentResidence PreviousResidence PreviousResidence
StreetAddress
City
State&Zip
DatesofStay
Owner/Manager
And
Phonenumber
ReasonForLeaving 
LastRentPaid $ $ $
VEHICLES
Automobiles Make Model Color Year LicenseNo.
Motorcycles
PERSONALREFERENCES
InCaseOfEmergency,Notify Address/City Phone Relationship
CloseFriend
Neare stRelativ eLivingElsewhere
CREDITINFORMATION Pleaselistallyourfinancialobligations
NameofBankorSavings&Loan BranchorAddress AccountNo. Balance
Checking $
Sav ings $
CreditAccounts AccountNo. Address/City Phone Balance DueMonthly
GENERALINFORMATIONCheckanswerthatapplies
§ Doyousmoke? YES NO
§ Doyouhaveanypets? YES NO
§ Haveyoueverfiledforbankruptcy? YES NO
§ Doyouhaveanymusicalinstruments? YES NO
§ Doyouhaveanywaterfilledfurnitureordoyouintendtouse
waterfilledfurnitureintheapartment?
YES NO
§ Haveyoueverbeenconvictedforselling,possessing,
distributingormanufacturingillegaldrugsorconvictedofany
othercrime?
YES NO
§ Haveyoueverbeenevictedfornonpaymentofrentorany
otherreason?
YES NO
Pleaseexplainany“yes”answerstotheabovequesti ons:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Whyareyouleavingyourcurrentresidence?____________________________________________________
________________________________________________________________________________________
Theapplicantherebyappliestorent/leaseApartment#_________at___________________________
________________________________for$__________permonth,anduponowner’sapprovalagreesto
enterintoaRentalAgreementand/orLeaseandpayallrentandsecuritydepositsrequiredbefore
occupancy.
Anapplicationfeeof$__________isherebysubmittedforthecostofprocessingthisapplication,toobtain
credithistoryandotherbackgroundinformation.
Applicant represents that all information given on this application is true and correct. Applicant hereby
authorizesverificationof allreferences and facts, includingbut notlimited tocurrent andpreviouslandlords
andemployers,andpersonalreferences.Applicantherebyauthorizesowner/agenttoobtainUnlawfulDetainer,
CreditReports, Telechecks,and/orcriminal background reports. Applicant agrees to furnish additionalcredit
and/or personal references upon request. Applicant unders tands that incomplete or incorrect information
provided inthe application may cause adelayinprocessing whichmay result indenial of tenancy.Applicant
hereby waives any claim and releases from liability any person providing or obtaining said verification or
additionalinformation.
Applicant:________________________________________Dat e:____________________________
(Signaturerequired )
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signature
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