Application For Rent Personal InformationResidence HistoryEmployment and Income HistoryCredit InformationPersonal ReferencesPersonal InformationApplication to rent property at (required) Full name of applicant (required)Date of birthSocial security No.Driver's license No.Phone number (required) Your Email Address (required)Name(s) of all other proposed occupant(s) and relationship to applicantPet(s) or service animals (number and type)Does applicant or any proposed occupant plan to use liquid-filled furniture? YesNo Type: Has applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years? YesNo If yes, Explain Has applicant or any proposed occupant ever been convicted of or pleaded no contest to a felony? YesNo If yes, Explain Has applicant or any proposed occupant ever been asked to move out of a residence?YesNo If yes, Explain Residence HistoryCurrent Address (required)From: To: Name of Landlord/Manager (required) Do you own this property? YesNoReasons for leaving current addressPrevious address: From: To: Name of Landlord/Manager: Did you own this property? YesNoReasons for leaving current addressEmployment and Income HistoryCurrent Employer's Name (required) Employer's Address (required)Position or TitleEmployment gross income $ per Supervisor (required)Supervisor's Phone Number (required)Credit InformationPlease list outstanding debt1st CreditorName of creditor: Account number: Monthly Payment: Balance Due: 2nd CreditorName of creditor: Account number: Monthly Payment: Balance Due: 3rd CreditorName of creditor: Account number: Monthly Payment: Balance Due: Bank Account InformationBank #1Name of Bank: Account Number: Type of Account: Account Balance: Bank #2Name of Bank: Account Number: Type of Account: Account Balance: Personal ReferencesPerson #1Name: Address: Phone Number: Length of acquaintance: Relation to applicant: Person #2Name: Address: Phone Number: Length of acquaintance: Relation to applicant: Questions?By typing my name and initials below, I authorize Michael Berdelis's office to run my credit, to determine my credit worthiness, and I acknowledge that the information provided in this application is true under penalty of perjury.Full name: Initials:
