Free_Rental_Application_(Handwrite-In)-6.pdf



PERSONAL INFORMATIONFIRST NAMEMIDDLELASTS.S.#––DATE OF BIRTH//Property applying for AND When would you like to move in?DRIVERS LICENSE #STATEPHONE__? CELL ? HOMEPHONE__EXT.? HOME ? WORKEMAILPRESENT HOME ADDRESSCITY/STATE/ZIPMove in DateMove out datePRESENT LANDLORDLANDLORD PHONE__REASON FOR LEAVINGAMOUNT OF RENTIs your present rent up to date? ? YES ? NOPREVIOUS HOME ADDRESSCITY/STATE/ZIPMove in DateMove out DatePREVIOUS LANDLORDLANDLORD PHONE__REASON FOR LEAVINGAMOUNT OF RENTWas your rent up to date?? YES ? NONEXT PREVIOUS HOME ADDRESSCITY/STATE/ZIPMove in DateMove out DateNEXT PREVIOUS LANDLORDLANDLORD PHONE__REASON FOR LEAVINGAMOUNT OF RENTWas your rent up to date?? YES ? NOPROPOSED OCCUPANT(S)NAMERELATIONSHIPOCCUPATIONAGENAMERELATIONSHIPOCCUPATIONAGENAMERELATIONSHIPOCCUPATIONAGENAMERELATIONSHIPOCCUPATIONAGENAMERELATIONSHIPOCCUPATIONAGEPROPOSED PET(S)NAMETYPE/BREED? INDOOR? OUTDOORAGENAMETYPE/BREED? INDOOR? OUTDOORAGENAMETYPE/BREED? INDOOR? OUTDOORAGEVEHICLE(S) INFORMATIONYEARMAKEMODELCOLORPLATE #STATEYEARMAKEMODELCOLORPLATE #STATEEMPLOYMENTCURRENT EMPLOYEROCCUPATIONHOURS/WEEKSUPERVISORPHONE__EXT:Date Started:ADDRESSCITY/STATE/ZIPCURRENT EMPLOYEROCCUPATIONHOURS/WEEKSUPERVISORPHONE__EXT:Date Started:ADDRESSCITY/STATE/ZIPINCOMECURRENT INCOME $? WEEKLY ? BIWEEKLY ? MONTHLY ? YEARLYSOURCEPROOF OF INCOME ? YES ? NOCURRENT INCOME $? WEEKLY ? BIWEEKLY ? MONTHLY ? YEARLYSOURCEPROOF OF INCOME ? YES ? NOCURRENT INCOME $? WEEKLY ? BIWEEKLY ? MONTHLY ? YEARLYSOURCEPROOF OF INCOME ? YES ? NOCREDIT CARD / FINANCIAL INFORMATIONCAR LOAN LIEN HOLDERBALANCE OWEDMONTHLY PAYMENTCREDITOR’S PHONE #––CREDIT CARD COMPANYBALANCE OWEDMONTHLY PAYMENTCREDITOR’S PHONE #––CREDIT CARD COMPANYBALANCE OWEDMONTHLY PAYMENTCREDITOR’S PHONE #––CREDIT CARD COMPANYBALANCE OWEDMONTHLY PAYMENTCREDITOR’S PHONE #––CHILD SUPPORT/ OTHER CREDIT OWEDBALANCE OWEDMONTHLY PAYMENTCREDITOR’S PHONE #––BANK ACCOUNT NAME OF BANKBALANCEMONTHLY PAYMENTACCOUNT NUMBEREMERGENCY / PERSONAL REFERENCE INFORMATIONEMERGENCY CONTACTPHONE__? CELL? HOMEPHONE__? HOME ? WORKRELATIONADDRESSCITY/STATE/ZIPEMERGENCY CONTACTPHONE__? CELL? HOMEPHONE__? HOME ? WORKRELATIONADDRESSCITY/STATE/ZIPPERSONAL REFERENCEPHONE__? CELL? HOMEPHONE__? HOME ? WORKRELATIONADDRESSCITY/STATE/ZIPPERSONAL REFERENCEPHONE__? CELL? HOMEPHONE__? HOME ? WORKRELATIONADDRESSCITY/STATE/ZIPAPPLICANT QUESTIONNAIRE / AUTHORIZATIONHas applicant ever been sued for bills?? YES? NOHas applicant ever been locked out of their apartment by the sheriff?? YES? NOHas applicant ever been bankrupt?? YES? NOAre any applicants or proposed occupants a licensed medicinal marijuana grower or user?? YES? NOHas applicant ever been guilty of a felony?? YES? NOHas applicant ever moved owing rent or damaged an apartment?? YES? NOHas applicant ever broken a Lease?? YES? NOIs the total move-in amount available now (rent and deposit)?? YES? NOApplicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant.All information is true, accurate and complete to the best of applicant’s knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.X APPLICANT SIGNATURE DATEIf you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person.Release:The property shall be occupied ONLY by the person(s) named in the application. Applicant/Co-Applicants declare that the above information to be true, correct and complete. Applicant/Co-Applicant hereby authorize landlord to verify any or all of the information provided including obtaining credit reports the actual cost of $35.00 to be paid by Applicant/Co-Applicant. Applicant/Co-Applicants understands and agrees that landlord may terminate any rental agreement entered into for ANY MISREPRESENTATION made on this applicant. Credit report is available to applicant ONLY through the credit reporting agency.Rental Application Screening Fee: $35.00 per Applicant In a Money Order or Cashiers Check. Notes: Are any applicants or proposed occupants a licensed medicinal marijuana grower or user?Note: The following breeds are not allowed regardless of size: Pit Bulls, Rottweiler, Chows, Akitas, Jindos, Staffordshire Terriers, and Presa Canarios. 120 North “M” StreetTulare CA 93274Office: 559-688-3391Fax: 559-688-1834Website: ................
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