IT'S A HUMMER PROPERTIES
RENTAL
APPLICATION:
Please
Print and then FAX to (650)-529-1300
Or eMail
to gCreevy@yahoo.com
PROPERTY
ADDRESS: ____________________________________________
PERSONAL INFORMATION:
NAME: __________________________________________________
SOCIAL
SECURITY: ______________________________
DATE OF
BIRTH: ______________________________
DRIVERS
LICENSE #: ______________________________
STATE: ______________________________
HIGHEST
EDUCATION: ______________________________
SPOUSE
NAME: ___________________________________________
SOCIAL
SECURITY: ______________________________
DATE OF
BIRTH: ______________________________
DRIVERS
LICENSE #: ______________________________
STATE: ______________________________
HIGHEST
EDUCATION: ______________________________
CURRENT
ADDRESS: _______________________________________
CITY: ______________________________
STATE: ______________________________
ZIP: ______________________________
YEARS AT
ADDRESS: ______________________________
OWN: __[____]_______________________
RENT: __[____]_______________________
OWNER/MANAGER: ______________________________
PHONE
(Day): ______________________________
PHONE
(Evening): ______________________________
HOME
PHONE: ________________________________________
WORK
PHONE: ________________________________________
CELL
PHONE: ________________________________________
OTHER
CONTACT: ________________________________________
CHILDREN
AND AGES: ______________________________________
________________________________________________________
OTHER
PERSONS LIVING WITH YOU: __________________________
________________________________________________________
WILL YOU
HAVE PETS?:
TYPE: _______________________________________
BREED: _______________________________________
SEX: _______________________________________
NEUTERED: _______________________________________
WEIGHT: _______________________________________
NAME: _______________________________________
FORMER
ADDRESS: _______________________________________
________________________________________________________
CITY: ______________________________
STATE: ______________________________
ZIP: ______________________________
YEARS AT
ADDRESS: ______________________________
OWN: __[____]_______________________
RENT: __[____]_______________________
OWNER/MANAGER: ______________________________
PHONE
(Day): ______________________________
PHONE
(Evening): ______________________________
EMPLOYMENT:
OCCUPATION/POSITION: ____________________________
EMPLOYER: ____________________________
ADDRESS: ____________________________
PHONE: ____________________________
SUPERVISOR/CONTACT: ____________________________
MONTHLY
INCOME: ____________________________
BONUS: ____________________________
SPOUSE
OCCUPATION: ____________________________
EMPLOYER: ____________________________
ADDRESS: ____________________________
PHONE: ____________________________
SUPERVISOR/CONTACT: ____________________________
MONTHLY
INCOME: ____________________________
BONUS: ____________________________
OTHER
SOURCES OF INCOME AND AMOUNT: __________________
________________________________________________________
EXPLAIN: ___________________________________________
CREDIT HISTORY:
SAVINGS
ACCOUNT: ______________________________________
BAL: __________________________________________
INVESTMENT
ACCTS: ______________________________________
BAL: __________________________________________
CREDIT
CARD: ______________________________________
BAL DUE: __________________________________________
CHECKING
ACCOUNT: ______________________________________
BAL: __________________________________________
HAVE YOU
EVER FILED FOR BANKRUPTCY?
________________________________________________________
HAVE YOU
BEEN SUED?
________________________________________________________
HAVE YOU
BEEN A PARTY TO AN UNLAWFUL DETAINER?
________________________________________________________
HAVE YOU
EVER BEEN EVICTED?
________________________________________________________
DO YOU
HAVE A JUDGEMENT AGAINST YOU OR YOUR PROPERTY?
________________________________________________________
OTHER
NEGATIVE ITEMS ON YOUR CREDIT REPORT?
____________________________________________________
IF SO,
EXPLAIN: ______________________________________
________________________________________________________
________________________________________________________
________________________________________________________
3 PERSONAL OR BUSINESS REFERENCES WITH
DAYTIME AND EVENING NUMBERS:
NAME: _________________________________________________
PHONE(DAY): __________________________________
PHONE(EVENING): __________________________________
EMAIL: __________________________________
NAME: _________________________________________________
PHONE(DAY): __________________________________
PHONE(EVENING): __________________________________
EMAIL: __________________________________
NAME: _________________________________________________
PHONE(DAY): __________________________________
PHONE(EVENING): __________________________________
EMAIL: __________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
VEHICLES:
TOTAL
NUMBER OF VEHICLES: ____________________________
VEHICLE
01 MAKE: ________________________________________
MODEL: ____________________________________
YEAR: ____________________________________
LICENSE
PLATE: ____________________________________
VEHICLE
02 MAKE: ________________________________________
MODEL: ____________________________________
YEAR: ____________________________________
VEHICLE
03 MAKE: ________________________________________
MODEL: ____________________________________
YEAR: ____________________________________
EMERGENCY CONTACT: ________________________________
____________________________________________________
I certify
that all of the information given above is true and correct and hereby
authorize Broker to verify any information and to obtain credit report from
credit reporting agency.
DATE: ______________________________________________
SIGNATURE: ______________________________________________
COMPLETE
AND SEND BY FAX TO:
IT'S A HUMMER PROPERTIES
FAX (650) 529-1300
Or eMail
to gCreevy@yahoo.com