Application to Lease Each applicant over the age of 18, must complete an application form: Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastDate of Birth: *Driver's License #: *Social Security #: *Other Name Used in the last 10 Years:Additional Occupants:FirstMiddleLastRelationship:FirstMiddleLastRelationship: FirstMiddleLastRelationship: FirstMiddleLastCurrent Employer: *Address: *Employer Phone: *Job Title: *Name of Supervisor: *Dates of Employment: *From/ToGross Monthly Income: *Prior Employer: *Address: *Employer Phone: *Job Title: *Name of Supervisor: *Dates of Employment: *From/ToGross Monthly Income: *Current Residence: *Address: *Owner/Manager and Phone Number: *Last Rent Paid: *Previous Residence: *Address: *Dates of Stay: *From/ToOwner/Manager and Phone Number: *Reason for Leaving: *Last Rent Paid: *Previous Residence: *Address: *Dates of Stay: *From/ToOwner/Manager and Phone Number: *Reason for Leaving: *Last Rent Paid: *Vehicles: *Please list your make, model, color, year, and license plate # for all automobiles you drivePlease list the make, model, color, year, and license plate # for all motorcycles you operatePersonal References: *Please list any Emergency Contacts, Close Friend, and Nearest Relative Living Elsewhere. Include their Address, Phone, and Relationship.Do you smoke? *YesNoDo you have any pets? *YesNoHave you ever filed for bankruptcy? *YesNoDo you have any musical instruments? *YesNoDo you have any water-filled furniture or do you Intend to use water filled furniture? *YesNoHave you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs or convicted of any other crime? *YesNoHave you ever been evicted for non-payment of rent or any other reason? *YesNoPlease explain any “yes” answers to the above questions: *Why are you leaving your current residence? *The applicant hereby applies to lease Apartment/Unit : *at: *for $: *per month, and upon owner’s approval, agrees to enter into a lease and pay all rent and security deposits required before occupancy. An application fee of $: *is hereby submitted for the cost of processing this application, to obtain credit history and other background information. Terms and Conditions: *I agree to the following:Applicant represents that all information provided 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 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. Applicant has read FAQ on the website of Pacific-Realtors.net.Applicant 1 Signature: *Date: *Phone: *Email: *Applicant 2 Signature:Date:Phone:Email:Applicant 3 Signature:Date:Phone:Email:Applicant 4 Signature:Date:Phone:Email:PhoneSubmit Thank You. Pacific-Realtors.net 818-991-5200
