APPLICATION FOR RENTAL
Notice: All adult applicants (18 years or older) must completeaseparate application for rental.
APARTMENT RENT START DATE AGENT/REFERRED BY
APPLICANT INFORMATION
LAST NAME FIRST NAME M.I. SSN DRIVER'S LICENSE #
BIRTH DATE HOME PHONE WORK PHONE EMAIL
( ) ( )
CURRENT ADDRESS
STREET ADDRESS CITY STATE ZIP
DATE IN DATE OUT LANDLORD NAME LANDLORD PHONE
( )
MONTHLY RENT REASON FOR LEAVING
$
PREVIOUS ADDRESS
STREET ADDRESS CITY STATE ZIP
DATE IN DATE OUT LANDLORD NAME LANDLORD PHONE
( )
MONTHLY RENT REASON FOR LEAVING
$
OTHER OCCUPANTS
LIST NAMES AND BIRTH DATES OF ALL ADDITIONAL OCCUPANTS 18 YEARS OR OLDER
LIST NAMES AND BIRTH DATES OF ALL OCCUPANTS 18 YEARS OR YOUNGER
PETS
PETS? DESCRIBE
EMPLOYMENT & INCOME INFORMATION
1. OCCUPATION EMPLOYER/COMPANY MONTHLY SALARY
$
SUPERVISOR NAME SUPERVISOR PHONE START DATE END DATE
( )
2. OCCUPATION EMPLOYER/COMPANY MONTHLY SALARY
$
SUPERVISOR NAME SUPERVISOR PHONE START DATE END DATE
( )
1. OTHER INCOME DESCRIPTION MONTHLY INCOME
$
2. OTHER INCOME DESCRIPTION MONTHLY INCOME
$
EMERGENCY CONTACT
1. NAME ADDRESS PHONE RELATIONSHIP
( )
2. NAME ADDRESS PHONE RELATIONSHIP
( )
PERSONAL REFERENCES
1. NAME ADDRESS PHONE RELATIONSHIP
( )
2. NAME ADDRESS PHONE RELATIONSHIP
( )
BACKGROUND INFORMATION
HAVE YOU EVER: Filed for bankruptcy? Willfully or intentionally refused to pay rent when due?
Been evicted fromatenancy or left owing money? If yes, please provide Property Name, City, State, and Landlord Name.
Yes No
Been convicted ofacrime? If yes, please provide Type of Offense, County, and State.
Yes No
VEHICLE INFORMATION
1. MAKE&MODEL YEAR LICENSE NO. & STATE
2. MAKE&MODEL YEAR LICENSE NO. & STATE
OTHER VEHICLES
OTHER INFORMATION
HOW DID YOU HEAR ABOUT THIS PROPERTY?
PLEASE INCLUDE ANY OTHER INFORMATION YOU BELIEVE WOULD HELP TO EVALUATE THIS APPLICATION
I/we, the undersigned, authorize On-Site.com, Landlord and its agents to obtain an investigative consumer credit report
including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and
registered sex offender search.Iauthorize the release of information from previous or current landlords, employers, and bank
representatives. This investigation is for resident screening purposes only, and is strictly confidential. This report contains
information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold
On-Site.com, Landlord and its agents free and harmless of any liability for any damages arising out of any improper use of
this information.
Important information about your rights under the Fair Credit reporting Act:
You havearight to request disclosure of the nature and scope of the investigation.
You must be told if information in your file has been used against you.
You havearight to know what is in your file, and this disclosure may be free.
You have the right to ask foracredit score (there may be a fee for this service).
You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct
inaccurate, incomplete, or unverifiable information.
These reports are being processed b
y On-Site.com, P.O.
Box 1514, Los Altos, CA 94023-1514, (877) 222-0384.
A summary of your rights under the Fair Credit Reporting Act is available by visiting or writing (Para information en espanol,
visite o escribe): http://www.ftc.gov/credit
Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Avenue N.W., Washington D.C.
20580
***SIGN HERE*** {}{} {} {}
(Signed/Applicant) Date
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Consumer Report Disclosure and Authorization
In connection with my application for housing,Iunderstand that the property owner/agent may obtain one or more consumer reports, which may contain public
information, for the purposes of evaluating my application. These consumer reports will be obtained from one or more of the following consumer reporting
agencies:
Equifax, E.C.I.F., P.O. Box 740241, Atlanta, GA, 30374-0241, (800) 685-1111
Trans Union, Regional Disclosure Center, 1561 Orangethorpe Ave., Fullerton, CA, 92631, (714) 738-3800
Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX, 75002, (888) 397-3742
On-Site Manager, Inc., P.O. Box 1514, Los Altos, CA, 94023-1514, (877) 222-0384
Under California law, these consumer reports are defined as investigative consumer reports. These reports may contain information on my character, general
reputation, personal characteristics and mode of living. In connection with my application for housing,Iauthorize owner/agent to obtainaconsumer
report from the consumer reporting agencies listed above.
Signature: ________________________________________
Name Printed: ________________________________________
Date: ________________________________________
If you would like to receive a copy of any investigative consumer report at no cost to you, please initial here: ______
If you would like to receive a
copy of any credit report at no cost to you, please initial here: ______
PLEASE NOTE:
Under Section 1786.22 of the California Civil Code, if you wish to dispute the accuracy or completeness of any item in the consumer report, you may contact the
consumer reporting agency named above and request an investigation. You also may view the file maintained on you by the above credit reporting agency during
normal business hours. You can receive acopy of your file by providing proper identification and paying any related-copy costs. You may also receive a summary
of the file by telephone. The agency is required to have employees available to explain your file to you, and they must explain any coded information in your file.
You can bring someone with you to view the file, so long as they have identification. Form Made Fillable by eForms
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