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PABST KINNEY & ASSOCIATES

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RENTAL APPLICATION
248 Redondo Avenue, Long Beach, CA 90803
PH.(562) 439-2147— FAX.(562) 439-8339
www. pabstkinney.com
WELCOME!! APPLY NOW!!
PABST KINNEY & ASSOCIATES
In order to begin processing your application, the following requirements must be met:
• Each person age 18 years and older must fill out an application. (including co-signers) Regardless of income or
lack of, (i.e. student, roommate, etc.) ** Please note that all parties MUST be present at Lease/Contract Signing,
unless a prior arrangement has been made!
• Application fee $30.00 (no personal checks) for each application. This is a NON-REFUNDABLE administration
charge to cover processing your application. Application is valid for 60 days and can be used for any location
you qualify for.
• Applications MUST be completely filled out including all information for the last 5 years on rental/residency history
and employment. If there is a section that does not apply to you, please indicate by printing “N/A”. *** To Help
expedite the Process, Names and Phone Numbers to Verify Your Information Are Mandatory!
• We need a copy of Social Security card (if available) or MUST have SS# printed on pay stub or Proof of Income.
Copy of a valid driver’s license or state issued ID card.
• Proof of Income -- Two most recent paycheck stubs. If payroll is on a cash basis – please provide (on Company Let-
terhead) verification from employer of total earnings. If self-employed, provide copies of your most recent tax filing,
bank statements, or whichever source of taxable income is applicable. If on SSI, TANF or HUD, a copy of your
Notice of Action or an official letter of coverage must be submitted)
• Sign and Date the back of the application.
• Please include the address of the unit you are applying for and the monthly rent listed.
Gross monthly income MUST equal three (3) times the monthly rent amount. Example: If rent is $500, the required
income would be $1,500 monthly. Where more than one adult is applying, we look at Combined Gross monthly income.
If income requirements are not met, a co-signer may be required upon conditional acceptance by the property owner.
NOTE: Not all owners accept co-signers. Please consult the Rental Listing or an agent on this issue prior to
submitting your application.
If an individual is on the Housing program through the City of Long Beach, you MUST provide your Long Beach City
Voucher or Certificate and complete all information above, the same, as other applicants. Please verify with an agent
that the property of interest participates in the housing program.
Although we strive to process all applications as quickly as possible normal processing takes 3-5 business
days pending on our volume. However, if your application is inaccurate, incomplete or if verification calls are not being
returned, completion will be delayed. If any other application(s) are received for the same unit while your application is in
process, delays will occur. Selection by an owner will not be made until all applications have been completed for approv-
al or denial
My signature indicates that I have read and understand the Application Process and Requirements listed above.
_____________________________________________ _________________________
www.pabstkinney.com
248 Redondo Avenue, Long Beach, CA 90803
Bus: (562) 439-2147 Fax: (562) 439-8339 Ÿ rentals@pabstkinney.com
REQUIREMENTS TO RENT
EXCEPTION ON REQUIREMENT
Application Process and Requirements
NOTE: Submitted applications are valid for 60 days.
Any application with an Unlawful Detainer Action can result in a denial of tenancy.
Print Form
(PRINT YOUR NAME)
In order to insure the timely processing of your application to rent, please make sure you have
completed all of the following:
One application for each adult over the age of 18 year.
Social security number listed.
Drivers license number listed.
A current telephone/message number listed on application.
A current e-mail address listed at the bottom on this form.
Complete present / past addresses listed with city & zip codes.
Complete present / past owners / managers name and telephone numbers
Complete present / past employers information listed.
Proof of income such as pay stubs, bank statements, SSI, AFDC, Disability.
Copy of Social Security Card if Social Security number is not listed on paystubs.
Apt. # and apartment address listed on application.
Application has "signature".
Application fee attached - $30 each applicant.
I __________________________________ understand that only having a complete application
with the required documents and information can I be insured my application will be processed in
a timely manner.
_______________ ____________
E-mail Address: _____________________________________________
Applying for: Apartment Condo Home
Located at: ______________________________________________________ Unit: _________
SIGNATURE
DATE
Pabst, Kinney & Associates, Inc.
RENTAL APPLICATION CHECKLIST
(Continued)
APPLICATION TO RENT
(all sections must be completed)
Individual applications required from each proposed occupant 18 years of age or older
APPLYING FOR:
Apt No. _______ Located at _____________________________________ Rent Amt __________ Per
Ho
w did you hear about rental? __________________________________ Expected Move-In Date:
Name: __
____________________________________________________ Phone: (____) ________-
Last First Middle Mobile: (____) ________-
Social Se
curity #: __________________ Driver’s Lic and State: _________________
Birthdate:
Month-Day-Year
LIST ALL ADDITIONAL OCCUPANTS WHO WILL RESIDE IN UNIT
Name:
Date of Birth: Name: Date of Birth:
Name:
Date of Birth: _______ Name: Date of Birth:
RENTAL/RESIDENCY HISTORY
1. Current
Address:
Street Unit # City State Zip
How Long? From (Month/Year): _____________ To: ____________ Rent Paid:
Own
er/Manager: _____________________Tel: ________________ Reason for leaving:
2. Previous
A
ddress:
Street Unit # City State Zip
How Long? From (Month/Year): _____________ To: ____________ Rent Paid:
Own
er/Manager: _____________________Tel: ________________ Reason for leaving:
3. Second Previous
A
ddress:
Street Unit # City State Zip
How Long? From (Month/Year): _____________ To: ____________ Rent Paid:
Own
er/Manager: _____________________Tel: ________________ Reason for leaving:
C
URRENT EMPLOYMENT
Company Name: ____________________________________ Address:
Phone: ___
_______________ Occupation: _____________________________ Monthly Salary: $
Name of Sup
ervisor: ______________________________ Dates of Employment - From:
To:
PREVIOUS EMPLOYMENT
Comp
any Name: ____________________________________ Address:
Phone: ___
_______________ Occupation: _____________________________ Monthly Salary: $
Name of Sup
ervisor: ______________________________ Dates of Employment - From:
To:
A
DDITIONAL INFORMATION
1. Have you ever had a
ny credit problems? Yes No
2. Have you ever had a
n unlawful detainer filed against you? Yes No
3. Have you ever bee
n evicted for non-payment of rent or for any other reason? Yes
No
4. Have you ever filed for
bankruptcy? Yes
No
5. Have you ever bee
n convicted of a felony? Yes No If yes: What ___________________ Wh
en
6. Do you ha
ve any pets? Yes No If yes: How many? _______ Describe:
7. Will you be
using any water-filled furniture (including aquariums) in your residence? Yes
No
8. Have you ever used oth
er names? Yes No If yes: How many? _______ Li
st:
9. Do you re
ceive income other than salary? Yes No If yes: Source?
Amt:
Source:
Amt:
BANKING INFORMATION
Name of Bank/S&L/Credit Union: __________________________________ Branch or Address:
Checking #: ________________ Approx. Bal. _____________ Savings #: _____________ Approx. Bal.
Name of Bank/S&L/Credit Union: __________________________________ Branch or Address:
Checking #: ________________ Approx. Bal. _____________ Savings #: _____________ Approx. Bal.
CREDIT REFERENCES (Credit Cards/Car Payments/Other Loans)
Company Name: _________________________________ Address/City:
Account #: ____________________________ Present Balance: ______________ Monthly Payment:
Company Name: _________________________________ Address/City:
Account #: ____________________________ Present Balance: ______________ Monthly Payment:
Company Name: _________________________________ Address/City:
Account #: ____________________________ Present Balance: ______________ Monthly Payment:
PERSONAL REFERENCES
Name Address & City Phone
Time
Known
Relationship
( )
( )
( )
EMERGENCY CONTACT
Name: __________________________________ Address:
Relationship: _______________________________________________ Phone: (_______)
VEHICLES (Operable Automobiles including Trucks, Vans, Motorcycles)
Year: ______ Make: _____________ Model: ______________ Color: ________ License#: __________ State:
Year: ______ Make: _____________ Model: ______________ Color: ________ License#: __________ State:
Applicant represents that all of the above statements are true and correct and hereby authorizes their verification
including, but not limited to, the obtaining of a credit report, and agrees to furnish additional credit references on request.
Owner/Agent is authorized to obtain a credit report, now and in the future, as evidenced by signing below. Applicant
expressly authorizes Landlord to contact all persons or firms named as references, former landlords and employers to
verify the contents of this Application.
In connection with my application for rental and/or employment, I understand that background inquiries will be made on
myself including consumer, criminal, driving and other reports. Employment reports may include information as to my
character, work habits, performance and experience along with reasons for termination of past employment from previous
employers. I understand that information will be requested from various federal, state and other agencies and entities,
public and private, which maintain records concerning my past activities relating to driving, credit, criminal, civil and other
experiences as well as claims involving me in insurance company files.
I authorize, without reservation, any party or agency contacted to furnish, completely and without limitation, any and all of
the above mentioned information and any other information related thereto. Further, I will release from liability and will
defend and hold harmless all requesters and suppliers of information in accordance herewith.
You declare that all your statements on this Application to Rent are true and complete. If you fail to answer any
question or give false information, we will reject the application. Giving false information is a serious criminal
offense. We may at any time furnish information to consumer reporting agencies and other rental housing owners
regarding your performance of your legal obligations, including both favorable and unfavorable information about your
compliance with the Lease Contract, the rules and financial obligations.
Date: _______________________ _____________________________________________________
Applicant
UNAUTHORIZED USE PROHIBITED
For Members Only
Apartment Association,
California Southern Cities
Approved Form # F01 - 1/08
Pabst, Kinney & Associates has established four methods for payment of rent:
1. ACH electronic payment from your bank to our bank.
Here is how the automatic (ACH) rent payment works:
Your rent is due on the 1st day of each month and your payment will
automatically be deducted from your bank account at that time.
It’s your responsibility to insure that there are sufficient funds in your
account to cover your rent payment.
2. Cashier’s check or Money Order.
Please make payment payable to Pabst, Kinney & Associates and include
your tenant(s) full name, address and signature. Payments with errors will
not be accepted.
3. Electronic Cash Payments (ECP)
If you choose this method, we will provide you with a reusable Pay Slip that
you can use at 7-Eleven, CVS, Ace Cash Express, or Casey’s General Store
to pay your rent in cash. (A $3.99 transaction fee applies; $1,500 maximum
per transaction. Fee may change without prior notice).
4. Online Rent Payment by eCheck Only (Free) - NO CREDIT CARDS ACCEPTED
Contact your property supervisor to activate your Online Portal (email required).
PERSONAL CHECKS ARE NOT ACCEPTED
PAYMENT OF RENT
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Completed 13 August 2021

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