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APPLICATION TO RENT
You can submit this application online or , fax it, mail it or drop it off at the office. Each person in each apartment must complete and submit an application. Please complete all the questions on this form and initial the bottom before submitting.
Name:*
Email :*
Confirm Email:*
Drivers License/ ID #
State:
Birthday
Home Phone
Work Phone
Cell Phone
CURRENT ADDRESS
How Long? From :
To:
Last Rent Paid:
Amt.$
Owner/Manager
Tel:
Reason for Leaving
PREVIOUS ADDRESS
How Long? From
To:
Last Rent Paid:
Amt.$
Owner/Manager
Tel:
Reason for Leaving
CURRENT EMPLOYMENT
Company Name
Address
Company Phone
Occupation/ Position
Type of Business
Name of Supervisor
Dates of Employment- From:
To:
Monthly Salary
PREVIOUS EMPLOYMENT
Company Name
Address
Company Phone
Occupation/ Position
Type of Business
Name of Supervisor
Dates of Employment- From:
To:
Monthly Salary
For purposes of credit & rent liability only: LIST ALL ADDITIONAL ADULTS AND
CHILDREN
WHO WILL OCCUPY UNIT.
Please put "F" for full time or "P" for part time after each name.
If this box is checked there shall be no additional occupant(s).
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
ADDITIONAL INFORMATION
1. Have you ever had any credit problems?
Yes
No
2. Have you ever had an unlawful detainer filed against you?
Yes
No
3. Have you ever been evicted for non-payment of rent or for any other reason?
Yes
No
4. Have you ever filed for bankruptcy?
Yes
No
5. Have you ever been convicted of a felony?
Yes
No
6. Do you have any pets?
Yes
No
If Yes, How Many?
Describe:
7. Will you be using any water-filled furniture in your residence?
Yes
No
If Yes, do you have insurance coverage
Yes
No
8. Do you have any musical instruments?
Yes
No
9. Do you smoke?
Yes
No
Does an other proposed occupant smoke?
Yes
No
10. Please explain any "YES" answers.
CREDIT CARD REFERENCES (Credit Cards/ Car Payments/ Other Loans)
Company Name
Address/ City
Account #
Present Balance
Monthly Payment
Company Name
Address/ City
Account #
Present Balance
Monthly Payment
Company Name
Address/ City
Account #
Present Balance
Monthly Payment
EMERGENCY CONTACT
Name:
Address
Relationship
Phone
VEHICLES (Operable Automobiles including Trucks, Vans, Motorcycles)
Are you the registered owner?
Yes
No
If not who?
Year
Make
Model
Color
License #
State
Year
Make
Model
Color
License #
State
WHEN DO YOU PLAN TO MOVE IN?
Date:
Applicant represent that the statements made are true and correct and authorizes owners verification of credit, income, and references. Applicant agrees to pay for said verification via check or money order made payable to the Appartment Association of Greater Los Angeles, which shall accompany this application. Such payment is a part of the application process and is a charge for the administrative costs of application consideration. If Applicant's check is returned "NSF", applicant shall be liable for the charge on demand. The undersigned makes application to rent housing accomodations designated as:
I hereby apply to rent/lease Apartment No.
at
for $
per month and upon approval of my Application and signed Rental Agreement, I agree to pay the first month's rent of $
and a security deposit in the amount of $
Applicant maintains that the above is true and correct and authorizes verification, agrees to furnish references upon
request and waives any claim against any person or persons providing such verification. Your electronic signature is represented by retyping your name here:
and your initials in this box:
Date
