RESIDENTIAL APPLICATION Please list all home addresses back to at least TWO YEARS. Each adult 18 years of age must fill out a separate application. Remember to include your signature at the bottom of this application. Applicant is completing Application as a (check one) [ ] tenant [ ] guarantor/co-signor Last Name_______________________________First_____________________MI_____JR/SR Birthdates___/____/____ S.S.#________ _____ ________ Drivers License #______________ Home Ph. ____________________Work Ph. _________________ Cell____________________ EMAIL:_______________________________________________________________________ Current Address: _______________________________________________________________ City____________________________________________State__________Zip______________ From __________to_________ Monthly Rent _____________ 30 day notice given Y N Reason for leaving ______________________________________________________________ Landlord’s Name___________________________________ Phone #_____________________ ******************************************************************************* 1st Prior Address _______________________________ City________________ Zip_________ From __________to_________ Monthly Rent______________ 30 day notice given Y N Reason for leaving ______________________________________________________________ Landlord’s Name __________________________________ Phone #______________________ ******************************************************************************* 2nd Prior Address _____________________________ City________________ Zip_________ From __________to_________ Monthly Rent______________ 30 day notice given Y N Reason for leaving ______________________________________________________________ Landlord’s Name ___________________________________Phone #_____________________ ******************************************************************************* Current Employer _________________________________ Phone #______________________ Address ___________________________________ City _________________ Zip___________ Title ___________________________From _______to _______ Income per Mo. ___________ ******************************************************************************* Former Employer _________________________________ Phone #______________________ Address ___________________________________ City _________________ Zip___________ Title ___________________________From _______to _______ Income per Mo. ___________ ******************************************************************************* Former Employer _________________________________ Phone #______________________ Address ___________________________________ City _________________ Zip___________ Title ___________________________From _______to _______ Income per Mo. ___________ ******************************************************************************* *Additional Income* List Amounts Separately & Attach Copies of Verification _______________________________________________________________________________ _______________________________________________________________________________ Names/Ages of Children__________________________________________________________ _______________________________________________________________________________ Pets, Type/Breed/Ages ___________________________________________________________ Bank__________________________________ Checking Acct. #_________________________ Savings #________________________Auto Make/Yr _________________Lic #____________ Credit References 1. _____________________________________________________________ 2. _____________________________________________________________________________ Personal References 1. _______________________________________Ph#_________________ 2. _________________________________________________________Ph#________________ Nearest Relative ___________________________________Ph# _________________________ Address _______________________________________City _________________Zip ________ Submit this application with a $35.00 screening fee for credit, background check and processing. Each additional application submitted will be $25.00 per applicant. Everything I have stated in this application is true and correct. I understand Action 1 Property Management will retain this application whether or not it is approved. Action 1 Property Management is authorized to check my credit, employment, income, and rental history. I authorize anyone I have listed above to answer all questions regarding my credit, employment, income, and rental history. Signed _______________________________________Date _________ Print Name_________________________________________________ 925-884-3844 Office 925-605-4430 Fax P.O. Box 12062, Pleasanton, CA 94588 -- 3958 Valley Avenue, Suite H, Pleasanton, CA 94566 EQUAL HOUSING OPPORTUNITY: The Premises is offered in compliance with federal, state and local anti-discrimination laws. |