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Online Application

APPLICATION TO RENT

THIS SECTION TO BE COMPLETED BY APPLICANT. A SEPARATE APPLICATION TO RENT IS REQUIRED FOR EACH OCCUPANT 18 YEARS OF AGE OR OVER, OR AN EMANCIPATED MINOR.

  1. Applicant is completing Application as a (check one) tenanttenant with co-tenant(s) orguarantor/co-signor .

    Total number of applicants

  2. PREMISES INFORMATION

    Application to rent property at ("Premises") Rent: $ per Proposed move-in date

  3. PERSONAL INFORMATION

    1. FULL NAME OF APPLICANT
    2. Date of Birth (For purpose of obtaining credit reports. Age discrimination is prohibited by law.)

    3. Social security No. Driver’s license No.

      StateExpires

    4. Phone number: Home Work

      Other

    5. Email

    6. Name(s) of all other proposed occupant(s) and relationship to applicant

    7. Pet(s) or service animals (number and type)

    8. Auto: Make Model

      YearLicense No.

      StateColor

      Other vehicle(s):

    9. In case of emergency, person to notify

      Relationship

      Address Phone

    10. Does applicant or any proposed occupant plan to use liquid-filled furniture?

      NoYes

      Type

    11. Has applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years? NoYes

      If yes, explain

    12. Has applicant or any proposed occupant ever been convicted of or pleaded no contest to a felony? NoYes

      If yes, explain

    13. Has applicant or any proposed occupant ever been asked to move out of a residence? NoYes

      If yes, explain

    14. Has applicant or any proposed occupant had a foreclosure or short sale within the last 7 years? NoYes

      If yes, explain

  4. RESIDENCE HISTORY

    NoYes
    NoYes
  5. EMPLOYMENT AND INCOME HISTORY

  6. CREDIT INFORMATION

    Name of creditor

    Account number

    Monthly payment

    Balance due

    Name of bank/branch

    Account number

    Type of account

    Account balance

  7. PERSONAL REFERENCES

    Name

    Address

    Phone

    Length of acquaintance

    Occupation

  8. NEAREST RELATIVE(S)

    Name

    Address

    Phone

    Relationship

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) Landlord or Manager or Agent may accept more than one application for the Premises and, using their sole discretion, will select the best qualified applicant, and (iii) Applicant will provide a copy of applicant’s driver’s license upon request.

An application fee of is hereby submitted for the cost of processing this application, to obtain credit history and other background information.

Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords and employers, and personal references. Applicant hereby authorizes owner/agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.

by checking the box applicant is legally signing the application

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Thanks again, and look forward to working with you.

Sincerely, Arman Hartoyan (Realtor)