San Luis Obispo office: 1380 Broad St, San Luis Obispo, CA 93401
Tel:805-543-9119 Fax:805-543-4528 www.california-west.com Broker: Derek Banducci DRE # 01276163
RENTAL APPLICATION
1
st
Choice Address ______________________________________ Apt.#___________
2
nd
Choice Address______________________________________ Apt.#___________
3
rd
Choice Address______________________________________ Apt.#___________
NAME OF APPLICANT_________________________________________________________________________________
Last Name First Name Middle Initial 18 or Over?
Mobile Phone #_____________________ Home Phone #_____________________ Email: __________________________
Soc. Sec. # _____________________________ Dr. Lic. #____________________________ D.O.B.________________
CURRENT ADDRESS: ______________________________________ City_______________________ Zip____________
How Long___________________ Rent$______________________/Month
Landlord’s Name__________________________________________ Landlord’s Phone #___________________________
PREVIOUS ADDRESS___________________________________ City_______________________ Zip________________
How Long____________________________ Rent $________________________/Month
Landlord’s Name__________________________________________ Landlord’s Phone #___________________________
LEGAL NAMES OF ALL WHO WILL OCCUPY UNIT
Name Relationship 18 or Over?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
ARE YOU A STUDENT? YES____ NO____ if yes, complete #6 & #7.
WHICH SCHOOL WILL YOU BE ATTENDING? ____________________________________
DO YOU RECEIVE SUPPORT FROM YOUR PARENTS? Yes____ No____ Monthly Amount?________________
If Yes:
Parent’s Name_________________________________________________________________________________________
Address____________________________ City_______________________ Zip____________ Phone__________________
If No:
List your monthly sources of income:____________________________________________________________________
_________________________________________________ Amount $___________________________________________
CURRENT EMPLOYER___________________________ Address______________________________ Zip____________
How Long?______________ Job Title______________________________________ Gross Income $______________/Mo
Name of Supervisor_____________________________________________ Phone #________________________________
Full Time: Yes_____ No_____ Permanent: Yes_____ No_____
(OVER)
OTHER SOURCE OF INCOME: ______________________________________________ Amount $_________________
PREVIOUS EMPLOYER_______________________________________ Address_____________________ Zip________
How Long? ______________ Job Title________________________________________ Phone #______________________
MONTHLY PAYMENTS
Name and address of creditor Purpose Monthly Payment
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
PERSONAL REFERENCES
Name Address City Phone #
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
______________________________________________________________________________________
NEAREST RELATIVE________________________________Address___________________________________________
City____________________________________________________ Zip_____________ Phone #_______________________
BANK REFERENCE_____________________________ Branch_______________ City____________________________
Checking #________________________________________ Savings #___________________________________________
CAR: Make__________________ Model_________________ Year________________ License #_____________________
HAVE YOU EVER RENTED FROM CALIFORNIA-WEST, INC. BEFORE? Yes_____ No______
If yes, What address? _____________________________________ City ________________________ Zip_____________
HAVE YOU EVER BEEN EVICTED? _____ Why? ___________________________________________
HAVE YOU EVER BEEN CONVICTED OF A FELONY? ________________________________
DO YOU HAVE A PET? _____________________________________
A. If yes, what type of pet? ____________________________19B. How many?_________________
20. DO YOU HAVE A SERVICE ANIMAL? ________________________________________________
20 A. If yes, is the animal required because of a disability?_________________________
20 B. If yes, what work or task is the animal trained to perform?_____________________
APPLICANT DECLARES THAT THE ABOVE IS ACCURATE, COMPLETE AND UNDERSTANDS
THAT ANY MISREPRESENTATION WILL DISQUALIFY THE APPLICANT.
I give California-West, Inc. permission to process this Rental Application at a cost of $20.00, including but
not limited to tenant reference, employment reference, and credit check.
_________________________________ _________________
Signature Date
Rev.Jan/2019
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signature
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