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Rental Application
Separate application required from each applicant age 18 or older.
THIS SECTION TO BE COMPLETED BY LANDLORD
Address of Property to Be Rented:
Rental Term: month to month lease from to
Amounts Due Prior to Occupancy
First months rent.................................................................................. $
Security deposit ................................................................................... $
Credit-check fee ................................................................................... $
Other (specify): $
TOTAL .................................... $
Applicant
Full Nameinclude all names you use(d):
Home Phone: ( ) Work Phone: ( ) Cell Phone: ( )
Fax (By providing this number, I agree to receive Fax transmissions from the landlord
or landlords agent): ( )
Email: Social Security Number:
Drivers License Number/State:
Other Identifying Information:
Vehicle Make: Model: Color: Year:
License Plate Number/State:
Additional Occupants
List everyone, including children, who will live with you:
Full Name Relationship to Applicant
Rental History
Current Address:
Dates Lived at Address: Reason for Leaving:
Landlord/Manager: Landlord/Managers Phone: ( )
Previous Address:
Dates Lived at Address: Reason for Leaving:
3925 Monroe Avenue, San Diego, CA 92116
x 1 year
14.95 per adult
300 pet deposit
Date of birth:
Include color photocopy of driver's license (or State ID)
and a copy of most recent paystubs
1495
1495
(paid at experian.com/connect)
Landlord/Manager: Landlord/Managers Phone: ( )
Previous Address:
Dates Lived at Address: Reason for Leaving:
Landlord/Manager: Landlord/Managers Phone: ( )
Employment History
Name and Address of Current Employer:
Phone: ( )
Name of Supervisor: Supervisors Phone: ( )
Dates Employed at This Job: Position or Title:
Name and Address of Previous Employer:
Phone: ( )
Name of Supervisor: Supervisors Phone: ( )
Dates Employed at This Job: Position or Title:
Income
1. Your gross monthly employment income (before deductions): $
2. Average monthly amounts of other income (specify sources): $
TOTAL: $
Credit and Financial Information
Bank/Financial Accounts Account Number Bank/Institution Branch
Savings Account:
Checking Account:
Money Market or Similar Account:
Type of Account Account Name of Amount Monthly
Credit Accounts & Loans (Auto loan, Visa, etc.) Number Creditor Owed Payment
Major Credit Card:
Major Credit Card:
Loan (mortgage, car, student loan, etc.):
Other Major Obligation:
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Miscellaneous
Describe the number and type of pets you want to have in the rental property:
Describe water-lled furniture you want to have in the rental property:
Do you smoke? yes no
Have you ever: Filed for bankruptcy? yes no Been sued? yes no
Been evicted? yes no Been convicted of a crime? yes no
Explain any yes listed above:
References and Emergency Contact
Personal Reference: Relationship:
Address:
Phone: ( )
Personal Reference: Relationship:
Address:
Phone: ( )
Contact in Emergency: Relationship:
Address:
Phone: ( )
I certify that all the information given above is true and correct and understand that my lease or rental
agreement may be terminated if I have made any material false or incomplete statements in this application.
I authorize verication of the information provided in this application from my credit sources, credit
bureaus, current and previous landlords and employers, and personal references. I understand that if I
have initiated a security freeze on my credit information with any of the credit reporting agencies, I will
promptly lift the freeze for a reasonable time so that my credit report may be accessed by the Landlord/
Manager; and I understand that if I fail to do so, the Landlord/Manager may consider this an incomplete
application. (CC 1785.11.2.) This permission will survive the expiration of my tenancy.
Date Applicant
Notes (Landlord/Manager):
