Tenant
Guarantor
APPLICATION TO RENT
Individual applications required from each occupant 18 years of age or older.
(All sections must be completed)
Last Name
First Name
Middle Name
Other names used in the last 10 years
Date of birth
Work phone number
(
)
Home phone number
(
)
Mobile/Cell phone number
(
)
Exp. date
Other ID
E-mail address
Photo ID/Type
Number
Issuing government
1. Present address
Social Security Number or ITIN
City
Date in
Date out
State
Owner/Agent Name
Owner/Agent Phone number
Reason for moving
2. Previous address
Date in
Current rent
$
State
City
Date out
Zip
Owner/Agent Name
/Month
Zip
Owner/Agent Phone number
Reason for moving
3. Next previous address
Date in
City
Date out
Owner/Agent Name
State
Zip
Owner/Agent Phone number
Reason for moving
Proposed
Occupants:
List all
in addition
to yourself
Name
Name
Name
Name
Name
Name
Will you have
Describe
pets?
How did you hear about this rental?
Will you have a
waterbed?
A. Present occupation or source of income
Dates of employment
Describe
Employer name
Supervisors phone number
(
)
Name of your supervisor
Employer address
City, State, Zip
B. Prior occupation
Employer name
Dates of employment
Supervisors phone number
(
)
Name of your supervisor
Current gross income
$
Name of your bank
Employer address
City, State, Zip
Per
Check one
Please list ALL of your financial obligations below.
Week Month Year
Branch or address
Account Number
California Apartment Association Approved Form
www.caanet.org
Form 3.0 Revised 1/10 - 2010 All Rights Reserved
Page 1 of 2
Name of Creditor
In case of emergency, notify:
Address
Phone Number
(
Address: Street, City, State, Zip
Monthly Pymt. Amt.
Relationship
Phone
Length of
Acquaintance
Occupation
Phone
1.
2.
Personal References:
Address: Street, City, State, Zip
1.
2
Automobile: Make:
Model:
Year:
License #:
Automobile: Make:
Model:
Year:
License #:
Other motor vehicles:
Have you ever filed for bankruptcy?
Have you ever been evicted or asked to move?
Have you ever been convicted of selling, distributing or manufacturing illegal drugs?
Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including, but not
limited to, the obtaining of a credit report and agrees to furnish additional credit references upon request. Applicant consents to allow Owner/
Agent to disclose tenancy information to previous or subsequent Owners/Agents.
Owner/Agent will require a payment of $
, which is to be used to screen Applicant with respect to credit history and other background information.
The amount charged is itemized as follows:
1. Actual cost of credit report, unlawful detainer (eviction) search, and/or other screening reports $
2. Cost to obtain, process and verify screening information (may include staff time and other soft costs) $
3. Total fee charged $
The undersigned is applying to rent the premises designated as:
Apt. No.
Located at
The rent for which is $
per
. Upon approval of this application, and execution of a rental/lease agreement, the applicant
, before occupancy.
shall pay all sums due, including required security deposit of $
Date
Applicant (signature required)
CALIFORNIA APARTMENT ASSOCIATION CODE FOR EQUAL HOUSING OPPORTUNITY
The California Apartment Association supports the spirit and intent of all local, state and federal fair housing laws for all residents without regard to color, race,
religion, sex, marital status, mental or physical disability, age, familial status, sexual orientation, or national origin.
The California Apartment Association reaffirms its belief that equal opportunity can best be accomplished through effective leadership, education, and the mutual
cooperation of owners, managers, and the public.
Therefore, as members of the California Apartment Association, we agree to abide by the following provisions of this Code for Equal Housing Opportunity:
We agree that in the rental, lease, sale, purchase, or exchange of real property, owners and their employees have the responsibility to
offer housing accommodations to all persons on an equal basis.
We agree to set and implement fair and reasonable rental housing rules and guidelines and will provide equal and consistent services throughout our
residents tenancy.
We agree that we have no right or responsibility to volunteer information regarding the racial, creed, or ethnic composition of any neighborhood, and we
do not engage in any behavior or action that would result in steering.
We agree not to print, display, or circulate any statement or advertisement that indicates any preference, limitations, or discrimination in the rental or sale
of housing.
California Apartment Association Approved Form
www.caanet.org
Form 3.0 Revised 1/10 - 2010 All Rights Reserved
Page 2 of 2
