Fillable RESIDENTIAL RENTAL APPLICATION

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RESIDENTIAL RENTAL APPLICATION

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Page 1 of 5
RESIDENTIAL RENTAL APPLICATION
(1 per applicant)
Non-Refundable Fee: $__________
THE PROPERTY
Type (Apt, Home, Condo): ________________ Square Feet (SF): _____________SF
Bedrooms: ______ Rent Amount: $_______________/Month
Street Address: _______________________________________________________
City: ________________ State: ________________ Zip: ________________
Pets? ☐ Yes ☐ No Smoking Allowed? ☐ Yes ☐ No Parking? ☐ Yes ☐ No
If Yes, Describe the Parking: ______________________________________________
TENANCY
Type/Length: ____________ Start Date: ____________
APPLICANT DETAILS
Full Name: ______________________ DOB: _____________ SSN: _____________
Driver’s License No. ______________________ Phone: ______________
E-Mail: ____________________________
Other Occupants? ☐ Yes ☐ No
If Yes, Describe: ________________________________________________________
Pets? ☐ Yes ☐ No
If Yes, Describe: ________________________________________________________
Vehicles? ☐ Yes ☐ No
If Yes, Describe: ________________________________________________________
Ever Been Convicted of a Crime? ☐ Yes ☐ No
If Yes, Describe: ________________________________________________________
Page 2 of 5
Ever Filed for Bankruptcy? ☐ Yes ☐ No
If Yes, Describe: ________________________________________________________
Ever Been Evicted? ☐ Yes ☐ No
If Yes, Describe: ________________________________________________________
CURRENT EMPLOYMENT
Company: _____________________ Occupation/Title: _____________________
How Long? ___________ Gross Income: $_____________ (From Prior Year Tax Filing)
Street Address: _______________________________________________________
City: ________________ State: ________________ Supervisor: __________________
PREVIOUS EMPLOYMENT
Company: _____________________ Occupation/Title: _____________________
How Long? ___________ Gross Income: $_____________)
Street Address: _______________________________________________________
City: ________________ State: ________________ Supervisor: __________________
CURRENT RESIDENCE
Type (Apt, Home, Condo): ________________ Square Feet (SF): _____________SF
Bedrooms: ______ Rent Amount: $_______________/Month
Street Address: _______________________________________________________
City: ________________ State: ________________ Zip: ________________
How long at this Address? ___________ Current Lease Expiration Date: ___________
Desire for Moving? ______________________________________________________
CURRENT LANDLORD
Name: ________________________________________________________________
Address: ______________________________________________________________
Page 3 of 5
Phone: ______________ E-Mail: ____________________________
PREVIOUS RESIDENCE - 1
Type (Apt, Home, Condo): ________________ Square Feet (SF): _____________SF
Bedrooms: ______ Rent Amount: $_______________/Month
Street Address: _______________________________________________________
City: ________________ State: ________________ Zip: ________________
Start Date: ___________ End Date: ___________
PREVIOUS LANDLORD - 1
Name: ________________________________________________________________
Address: ______________________________________________________________
Phone: ______________ E-Mail: ____________________________
PREVIOUS RESIDENCE - 2
Type (Apt, Home, Condo): ________________ Square Feet (SF): _____________SF
Bedrooms: ______ Rent Amount: $_______________/Month
Street Address: _______________________________________________________
City: ________________ State: ________________ Zip: ________________
Start Date: ___________ End Date: ___________
PREVIOUS LANDLORD - 2
Name: ________________________________________________________________
Address: ______________________________________________________________
Phone: ______________ E-Mail: ____________________________
PERSONAL REFERENCES
Full Name: ____________________________ Relationship: __________________
E-Mail: ____________________________ Phone: __________________
Page 4 of 5
Full Name: ____________________________ Relationship: __________________
E-Mail: ____________________________ Phone: __________________
Full Name: ____________________________ Relationship: __________________
E-Mail: ____________________________ Phone: __________________
FINANCIAL INFORMATION
Bank: _________________ Account # _______________ Routing # _______________
Branch Location ____________________________ Type: ☐ Checking ☐ Savings
Bank: _________________ Account # _______________ Routing # _______________
Branch Location ____________________________ Type: ☐ Checking ☐ Savings
Credit Card: _________________ Card # _____-_____-_____-_____ Limit: $________
☐ Visa ☐ MasterCard ☐ Discover ☐ Amex ☐ Diner’s Club
Credit Card: _________________ Card # _____-_____-_____-_____ Limit: $________
☐ Visa ☐ MasterCard ☐ Discover ☐ Amex ☐ Diner’s Club
Credit Card: _________________ Card # _____-_____-_____-_____ Limit: $________
☐ Visa ☐ MasterCard ☐ Discover ☐ Amex ☐ Diner’s Club
CONSENT AND ACKNOWLEDGMENT
I hereby certify that I am at least 18 years of age. 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, employers, and personal references. Applicant hereby authorizes
owner/agent to obtain any and all Unlawful Detainer, Credit Reports, Telechecks, and/or
Criminal Background Reports. Applicant agrees to furnish additional credit and/or
personal references upon request. Applicant understands 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’s Signature _______________________ Date _______________
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Page 5 of 5
CONSUMER DISCLOSURE
I/we, the undersigned, authorize the 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. I authorize 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 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 have a right 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 have a right to know what is in your file, and this disclosure may be free.
• You have the right to ask for a credit 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 by 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.
In connection with my application for housing, I understand 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
California Residents
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, I
authorize owner/agent to obtain a consumer 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 a copy 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.
Washington Residents
In the event of a denial or other adverse action, you have a right to obtain a free copy of the consumer report from the screening
company or credit reporting agency
Massachusetts Residents
An applicant for employment or for housing or an occupational or professional license with a sealed record on file with the
commissioner of probation may answer ‘no record’ with respect to an inquiry herein relative to prior arrests, criminal court
appearances or convictions. An applicant for employment or for housing or an occupational or professional license with a sealed
record on file with the commissioner of probation may answer ‘no record’ to an inquiry herein relative to prior arrests or criminal
court appearances. In addition, any applicant for employment or for housing or an occupational or professional license may answer
‘no record’ with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as
a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution.
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RESIDENTIAL RENTAL APPLICATION

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Completed 23 October 2020

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