Tenant

APPLICATION TO RENT Guarantor

(All sections must be completed) Individual applications required from each occupant 18 years of age or older.
Last Name First Name Middle Name Social Security Number or ITIN

Other names used in the last 10 years Work phone number Home phone number
( ) ( )
Date of birth E-mail address Mobile/Cell phone number
( )
Photo ID/Type Number Issuing government Exp. date Other ID

1. Present address City State Zip

Date in Date out Owner/Agent Name Owner/Agent Phone number

Reason for moving out Current rent

$ /Month
2. Previous address City State Zip

Date in Date out Owner/Agent Name Owner/Agent Phone number

Reason for moving out

3. Next previous address City State Zip

Date in Date out Owner/Agent Name Owner/Agent Phone number

Reason for moving out

Proposed Name Name

Occupants:
List all Name Name
in addition
to yourself Name Name

Do you have Describe Do you have a Describe

pets? waterbed?
How did you hear about this rental?

A. Current Employer Name Job Title or Position Dates of Employment

Employer address Employer/Human Resources phone number

( )
City, State, Zip Name of your supervisor/human resources manager

Current gross income Check one

$ Per  Week  Month  Year

B. Prior Employer Name Job Title or Position Dates of Employment

Employer address Employer/Human Resources phone number

( )
City, State, Zip Name of your supervisor/human resources manager

Other income source Amount $ Frequency

Other income source Amount $ Frequency

California Apartment Association Approved Form

www.caanet.org
Form 3.0 – Revised 1/12 - ©2012 – All Rights Reserved
Page 1 of 3
 Name of your bank Branch or address Account Number

Please list ALL of your financial obligations below.

Name of Creditor Address Phone Number Monthly Pymt. Amt.

( )

( )

( )

( )

( )

( )
In case of emergency, notify: Address: Street, City, State, Zip Relationship Phone
1.

2.

Length of
Personal References: Address: Street, City, State, Zip Acquaintance Occupation Phone
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, authorizes verification of the above items and agrees to
furnish additional credit references upon request. Applicant authorizes the Owner/Agent to obtain reports that may include credit
reports, unlawful detainer (eviction) reports, bad check searches, social security number verification, fraud warnings, previous
tenant history and employment history. 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.

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 shall pay all sums due, including required security deposit of $ , before occupancy.

Date Applicant (signature required)

California Apartment Association Approved Form

www.caanet.org
Form 3.0 – Revised 1/12 - ©2012 – All Rights Reserved
Page 2 of 3
 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 1/12 - ©2012 – All Rights Reserved
Page 3 of 3