support24@domain.com

Squaw Valley, California(CA)

+91-628.088.2955

Form

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RENTAL APPLICATION

FAX TO: Dhar Sandhu @352-274-9136

Last	First	M.I.	BirthDate	Driver’s License #

Social Security #	Home Phone	Work Phone	Cell Phone

Names you have used in the past	Email Address

All Other Proposed Occupants	Birth Date	Relationship to Applicant

RENTAL/RESIDENCE HISTORY:

	Current Residence	Previous Residence	Prior Residence
Street Address
City, State, Zip
Rent per Month Paid
Owner/Manager
Phone Number
Reason for Leaving
Is/Was rent paid in full?	Yes No	Yes No	Yes No
Did you give notice?	Yes No	Yes No	Yes No
How much notice?
Were you asked to move?	Yes No	Yes No	Yes No
Name(s) in which your utilities are now billed
Dates of Residency	Form/To	Form/To	Form/To

CREDIT HISTORY:

	Bank/Institution Name	Balance on Deposit or Balance Owed
Savings Account
Checking Account
Credit Card
Auto Loan

Any other verifiable income (optional)

VEHICLES:(Include vehicles belonging to other proposed occupants also)

Make	Modal	Color	Year	License Plate #

REFERENCES & EMERGENCY CONTACTS:

By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we cannot locate you. Furthermore, if you abandon the apartment for any reason then you grant us permission to allow your relative listed above to remove all contents of the dwelling on your behalf.

	Doctor	Lawyer	Nearest Relative Living Elsewhere
Name
Street Address
City, State, Zip
Phone Number

GENERAL INFORMATION:

Have you ever been served a late rent notice?

Yes

Do you or any of the proposed occupants smoke?

Yes

Have you ever been served an eviction notice?

Yes

How long do you plan to rent from us?

When would you be able to move in?

Have you ever filed for bankruptcy?

Yes

Have you ever been convicted of a felony?

Yes

How did you hear about this apartment?

Have you been a party to a lawsuit in the past?

Yes

If yes, please explain why:

Have you had any recurring problems with your current apartment and/or landlord? If yes, please explain:

Why are you moving from your current address?

We run both a credit check and criminal background check on all applicants. Is there anything negative we will find?

Yes

Negative credit check?

Yes

Negative criminal background check?

Yes

If yes, please explain:

If you were to run into financial difficulty in the future and could not pay rent, would you be able to borrow money?

Yes

If so, provide that person’s contact information below:

Name	Street Address	City, State, Zip	Phone Number

Do you know of anybody else looking for an apartment? If so, please provide their contact information below. (NOTE: A $25.00 referral fee will be given once person completes 3-month rental.)

PETS:

Non-refundable pet deposit of $150.00 per pet is required. (Note: Deposit subject to discount on 2nd pet if applicant qualifies.) All pets must wear tags with name and owner’s address. All pets must wear tags showing all vaccinations are current.

	Pet #1	Pet #2
Name
Breed
Color
Weight
Age

AGREEMENT & AUTHORIZATION SIGNATURE

The statements made above are true and correct. I hereby authorize a credit and/or criminal background check to be made along with verification of any and all information provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. This is an application for an apartment and does not constitute a rental or lease agreement in whole or in part.

Applicant Name (please print)

You can also download the form by clicking here

PERSONAL INFORMATION

All Field Mandatory

RESIDENCE HISTORY

All Field Mandatory

EMERGENCY CONTACTS

All Field Mandatory

PETS

All Field Mandatory