PERSONAL INFORMATION
FullName :
Phone :
Work Phone :
Socal Security No. :
Driver's License :
Address :
City :
State :
Zip :
How Long?(Period) :
Phone :
Landloard Name :
Alternative Phone :
Leaving Reason :
Current Rent :
Landloard Name :
Previous Address :
Apartment No. :
Phone :
Location :
How Long?(Period) :
City :
State :
Zip :
Alternative Phone :
Leaving Reason :
Previous Rent :
Employer :
Position :
How Long(Period) :
Address :
Phone :
Gross Salary before deduction :
Other Income :
Source :
Former Employer :
Position :
How Long(Period) :
Address :
Phone :
Leaving Reason :
Have you ever been evicted? :
YES
NO
PERSONAL HISTORY
Evict Reason :
Have you ever had a foreclosure / repossession? :
YES
NO
Foreclosure Reason :
Have you ever filled for bankruptcy? :
YES
NO
CHAPTER 7
CHAPTER 13
Bankrupt Reason :
Have you ever been convicted of a crime, other than a traffic violation? :
YES
NO
Crime Reason :
PERSONAL REFERENCES
(List 4 persons, OTHER THAN YOUR RELATIVES, that we may contact to verify your character.)
Relative Name :
Relation:
Phone :
Address :
City :
State :
Zip :
Relative Name :
Relation:
Phone :
Address :
City :
State :
Zip :
Relative Name :
Relation :
Phone :
Address :
City :
State :
Zip :
Relative Name :
Relation:
Phone :
Address :
City :
State :
Zip :
EMERGENCY
(In an emergency you may contact- List 2 starting with nearest relative first)
Relative Name :
Relation:
Phone :
Address :
City :
State :
Zip :
Relative Name :
Relation :
Phone :
Address :
City :
State :
Zip :
OTHER INFORMATION
(Other persons, who will live in the dwelling unit, include children)
Name :
Age :
Name :
Age :
Name :
Age :
Name :
Age :
PETS
Name :
Type :
Weight :
Name :
Type :
Weight :
*NOTE: No pets are allowed at any time on the premises without prior Management consent, and NO PETS OVER 15 POUNDS ARE ALLOWED, NO EXCEPTIONS.
LIST ALL MOTOR VEHICLES, INCUDING RECREATIONAL TO BE KEPT AT THE PROPERTY
Make :
Color :
Model :
Year :
License Plate :
State :
Make :
Color :
Model :
Year :
License Plate :
State :
Make :
Color :
Model :
Year :
License Plate :
State :
Make :
Color :
Model :
Year :
License Plate :
State :
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