APPLICATION TO LEASE OR RENT/SCREENING FEE THIS SECTION TO BE COMPLETED BY APPLICANT. A SEPARATE APPLICATION TO LEASE OR RENT IS REQUIRED FOR EACH OCCUPANT 18 YEARS OF AGE OR OVER, OR AN EMANCIPATED MINOR.
Applicant is completing Application to Lease or Rent as a (check one)
Total number of applicants*
Date of Birth (For purpose of obtaining credit reports. Age discrimination is prohibited by law.)*
See section 11, paragraph 20 for Social Security Number/Tax Identification Numbers. Such number shall be provided upon request from Rental Property Owner, Authorized Broker or Agent, or Property Manager ("Housing Provider").
Name(s) of all other proposed occupant(s) and relationship to applicant*
Pet(s) (Other than service or companion animals) (number and type)
Make / Model / Year / Color
License plate No. / State
In case of emergency, name person to notify (other than occupants of applicant's household)*
Does applicant or any proposed occupant plan to use liquid-filled furniture? If yes, explain
Has applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years? If yes, explain
Has applicant or any proposed occupant ever been asked to move out of a residence? If yes, explain
Has applicant or any proposed occupant ever been convicted of or pleaded no contest to a felony within the last seven years? If yes, explain
(After completing a credit review, Housing Provider may consider the nature of the felony and the length of time since it occurred so long as the felony is directly related to the applicant's ability to meet its obligations under the lease terms, and any other relevant mitigating information pursuant to 2 CCR §12266.)
Current address City/State/Zip *
Time lived at this address EX: From 2019 to present *
Name of Housing Provider*
Housing Provider's phone*
Do you own this property?*
Reason for leaving current address*
Previous address City/State/Zip
Time lived at this address EX: From 2013 to 2019
Do you own this property?
Reason for leaving current address
EMPLOYMENT AND INCOME HISTORY
Current employer address*
Time worked for employer EX: From 2021 to Present *
Employment monthly gross income*
Previous employer address
Time worked for employer EX: From 2019 to 2021
Employment monthly gross income
Applicant understands and agrees that: (i) this is an application to rent only and does not guarantee that applicant will be offered the Premises; (ii) Housing Provider may receive more than one application for the Premises and, (iii) Applicant will provide a copy of applicant's driver's license or other acceptable identification upon request.
Applicant represents the above information to be true and complete, and hereby authorizes Housing Provider to: (i) verify the information provided; and (ii) obtain a credit report on applicant and (iii) obtain an "Investigative Consumer Report" ("ICR") on and about applicant. An ICR may include, but not be limited to, criminal background checks, reports on unlawful detainers, bad checks, fraud warnings, and employment and tenant history. By signing below, you also acknowledge receipt of the attached NOTICE REGARDING BACKGROUND INVESTIGATION PURSUANT TO CALIFORNIA LAW (CAR. form BIRN).
Applicant further authorizes Housing Provider to disclose information to prior, current, or subsequent owners and/or agents with whom applicant has had, or intends to have, a rental relationship.
If application is not fully completed, or if section II, 2 is applicable and the application is received without the full screening fee: (i) the application will not be processed, and (ii) the application and any portion of the screening fee paid will be returned.
Applicant Signature (Type Name)
Upload your driver License,
Proof of income (6 months minimum) and 6 months of bank statements (May be deposit only) statements. *