RENTAL
APPLICATION:
Please
Print and then FAX to (650) 284-2284
Or eMail
to Carla.Bunch@yahoo.com
PROPERTY INFORMATION:
Address line 1: _______________________________________
Address line 2: _______________________________________
City/State/Zip: _______________________________________
Proposed rent ($): _______________________________________
Proposed move-in date: _______________________________________
Proposed rental length: _______________________________________
PRIMARY APPLICANT INFORMATION:
Name (F): ______________ (M): _____________ (L): _____________
Phone (D): _____________ (N): _____________ (C): _____________
Social
security: _______________ Date of birth: _____________
Drivers license
#: _______________ DL_State: _____________
Highest
education: _______________ School: _____________
eMail: _____________________________________________________
Other: _____________________________________________________
SECONDARY APPLICANT INFORMATION:
Name (F): ______________ (M): _____________ (L): _____________
Phone (D): _____________ (N): _____________ (C): _____________
Social
security: _______________ Date of birth: _____________
Drivers
license #: _______________ DL_State: _____________
Highest
education: _______________ School: _____________
eMail: _____________________________________________________
Other: _____________________________________________________
CURRENT ADDRESS:
Address line 1: ____________________________________________
Address line 2: ____________________________________________
City/State/Zip: ____________________________________________
Years
there: ______________ Own: _[___]_ Rent: _[___]_
Owner/Manager: ____________________________________________
O/M_Phone
(Day): ______________ (Night): ____________________
PREVIOUS ADDRESS:
Address line 1: ____________________________________________
Address line 2: ____________________________________________
City/State/Zip: ____________________________________________
Years
there: ______________ Own: _[___]_ Rent: _[___]_
Owner/Manager: ____________________________________________
O/M_Phone
(Day): ______________ (Night): ____________________
CHILDREN:
Name & age: _______________________________________________
Name & age: _______________________________________________
Name & age: _______________________________________________
OTHER PERSONS LIVING WITH YOU:
Name & relation: ____________________________________________
Name & relation: ____________________________________________
Name & relation: ____________________________________________
PETS (PLEASE LIST ALL):
Type: ___________ Breed: ___________ Sex: ____________
Neutered: ___________ Weight: ___________ Name: ____________
Type: ___________ Breed: ___________ Sex: ____________
Neutered: ___________ Weight: ___________ Name: ____________
PRIMARY APPLICANT EMPLOYMENT INFORMATION:
Occupation: ________________ Position: __________________
Employer: ________________ Contact: __________________
Superviser: ________________ Contact: __________________
Income
(Monthly): ___________ (Bonus): __________________
SECONDARY APPLICANT EMPLOYMENT
INFORMATION:
Occupation: ________________ Position: __________________
Employer: ________________ Contact: __________________
Superviser: ________________ Contact: __________________
Income
(Monthly): ___________ (Bonus): __________________
OTHER SOURCES OF INCOME:
Amount & explanation: ________________________________________
Amount & explanation: ________________________________________
Amount & explanation: ________________________________________
PRIMARY APPLICANT CREDIT
HISTORY:
Savings acct. &
balance: ___________________________________
Chesking acct. &
balance: ___________________________________
Investment acct. &
balance: ___________________________________
Investment acct. &
balance: ___________________________________
Investment acct. &
balance: ___________________________________
Credit card acct. &
balance: ___________________________________
Credit card acct. &
balance: ___________________________________
Credit card acct. &
balance: ___________________________________
If you have ever filed for bankruptcy then please explain:
___________________________________________________________
___________________________________________________________
If you have ever been sued then please explain:
___________________________________________________________
___________________________________________________________
If you have ever been party to an unlawful detainer then please explain:
___________________________________________________________
___________________________________________________________
If you have ever been evicted then please explain:
___________________________________________________________
___________________________________________________________
If you have a judgment against you or your property then please explain:
___________________________________________________________
___________________________________________________________
If you have ever been convicted of a felony then please explain:
___________________________________________________________
___________________________________________________________
3 PERSONAL OR BUSINESS
REFERENCES WITH
DAYTIME AND NIGHTTIME NUMBERS:
Name (F): _____________ (M): _____________ (L): _____________
Phone (D): _____________ (N): _____________ (C): _____________
eMail: _____________________________________________________
Other: _____________________________________________________
Name (F): _____________ (M): _____________ (L): _____________
Phone (D): _____________ (N): _____________ (C): _____________
eMail: _____________________________________________________
Other: _____________________________________________________
Name (F): _____________ (M): _____________ (L): _____________
Phone (D): _____________ (N): _____________ (C): _____________
eMail: _____________________________________________________
Other: _____________________________________________________
TOTAL VEHICLES:
Vehicle
1 (Make): ____________ (Model): _______________
(Year): ____________ (License plate): _______________
Vehicle
1 (Make): ____________ (Model): _______________
(Year): ____________ (License plate): _______________
Vehicle
1 (Make): ____________ (Model): _______________
(Year): ____________ (License plate): _______________
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:
FAX (650)
284-2284
Or eMail
to Carla.Bunch@yahoo.com