RESIDENTIAL RENTAL APPLICATION 
(1 per applicant) 
Non-Refundable Fee: $__________ 
THE PROPERTY 
Type (Apt, Home, Condo): ________________ Square Feet (SF): _____________SF Bedrooms: ______ Rent Amount: $_______________/Month 
Street Address: _______________________________________________________ City: ________________ State: ________________ Zip: ________________ Pets? ☐ Yes ☐ No Smoking Allowed? ☐ Yes ☐ No Parking? ☐ Yes ☐ No  If Yes, Describe the Parking: ______________________________________________ TENANCY 
Type/Length: ____________ Start Date: ____________  
APPLICANT DETAILS 
Full Name: ______________________ DOB: _____________ SSN: _____________ Driver’s License No. ______________________ Phone: ______________ E-Mail: ____________________________ 
Other Occupants? ☐ Yes ☐ No  
If Yes, Describe: ________________________________________________________ Pets? ☐ Yes ☐ No  
If Yes, Describe: ________________________________________________________ Vehicles? ☐ Yes ☐ No  
If Yes, Describe: ________________________________________________________ Ever Been Convicted of a Crime? ☐ Yes ☐ No  
If Yes, Describe: ________________________________________________________
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Ever Filed for Bankruptcy? ☐ Yes ☐ No  
If Yes, Describe: ________________________________________________________ Ever Been Evicted? ☐ Yes ☐ No  
If Yes, Describe: ________________________________________________________ CURRENT EMPLOYMENT 
Company: _____________________ Occupation/Title: _____________________ How Long? ___________ Gross Income: $_____________ (From Prior Year Tax Filing) Street Address: _______________________________________________________ City: ________________ State: ________________ Supervisor: __________________ PREVIOUS EMPLOYMENT 
Company: _____________________ Occupation/Title: _____________________ How Long? ___________ Gross Income: $_____________) 
Street Address: _______________________________________________________ City: ________________ State: ________________ Supervisor: __________________ CURRENT RESIDENCE 
Type (Apt, Home, Condo): ________________ Square Feet (SF): _____________SF Bedrooms: ______ Rent Amount: $_______________/Month 
Street Address: _______________________________________________________ City: ________________ State: ________________ Zip: ________________ How long at this Address? ___________ Current Lease Expiration Date: ___________ Desire for Moving? ______________________________________________________ CURRENT LANDLORD 
Name: ________________________________________________________________ Address: ______________________________________________________________
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Phone: ______________ E-Mail: ____________________________ PREVIOUS RESIDENCE - 1 
Type (Apt, Home, Condo): ________________ Square Feet (SF): _____________SF Bedrooms: ______ Rent Amount: $_______________/Month 
Street Address: _______________________________________________________ City: ________________ State: ________________ Zip: ________________ Start Date: ___________ End Date: ___________ 
PREVIOUS LANDLORD - 1 
Name: ________________________________________________________________ Address: ______________________________________________________________ Phone: ______________ E-Mail: ____________________________ PREVIOUS RESIDENCE - 2 
Type (Apt, Home, Condo): ________________ Square Feet (SF): _____________SF Bedrooms: ______ Rent Amount: $_______________/Month 
Street Address: _______________________________________________________ City: ________________ State: ________________ Zip: ________________ Start Date: ___________ End Date: ___________ 
PREVIOUS LANDLORD - 2 
Name: ________________________________________________________________ Address: ______________________________________________________________ Phone: ______________ E-Mail: ____________________________ PERSONAL REFERENCES 
Full Name: ____________________________ Relationship: __________________ E-Mail: ____________________________ Phone: __________________
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Full Name: ____________________________ Relationship: __________________ E-Mail: ____________________________ Phone: __________________ Full Name: ____________________________ Relationship: __________________ E-Mail: ____________________________ Phone: __________________ FINANCIAL INFORMATION 
Bank: _________________ Account # _______________ Routing # _______________ Branch Location ____________________________ Type: ☐ Checking ☐ Savings  Bank: _________________ Account # _______________ Routing # _______________ Branch Location ____________________________ Type: ☐ Checking ☐ Savings  Credit Card: _________________ Card # _____-_____-_____-_____ Limit: $________ ☐ Visa ☐ MasterCard ☐ Discover ☐ Amex ☐ Diner’s Club 
Credit Card: _________________ Card # _____-_____-_____-_____ Limit: $________ ☐ Visa ☐ MasterCard ☐ Discover ☐ Amex ☐ Diner’s Club 
Credit Card: _________________ Card # _____-_____-_____-_____ Limit: $________ ☐ Visa ☐ MasterCard ☐ Discover ☐ Amex ☐ Diner’s Club 
CONSENT AND ACKNOWLEDGMENT 
I hereby certify that I am at least 18 years of age. 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, employers, and personal references. Applicant hereby authorizes  owner/agent to obtain any and all Unlawful Detainer, Credit Reports, Tele checks,  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.  
Applicant’s Signature _______________________ Date _______________
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CONSUMER DISCLOSURE 
I/we, the undersigned, authorize the Landlord and its agents to obtain an investigative consumer credit report including but not  limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender  search. I authorize the release of information from previous or current landlords, employers, and bank representatives. This  investigation is for resident screening purposes only and is strictly confidential. This report contains information compiled from  sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold Landlord and its agents free and  harmless of any liability for any damages arising out of any improper use of this information. 
Important information about your rights under the Fair Credit reporting Act: 
• You have a right to request disclosure of the nature and scope of the investigation. 
• You must be told if information in your file has been used against you. 
• You have a right to know what is in your file, and this disclosure may be free. 
• You have the right to ask for a credit score (there may be a fee for this service). 
• You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccurate,  incomplete, or unverifiable information. These reports are being processed by On-Site.com, P.O. Box 1514, Los Altos, CA  94023-1514, (877) 222-0384. A summary of your rights under the Fair Credit Reporting Act is available by visiting or  writing (Para information en espanol, visite o escribe): http://www.ftc.gov/credit  
Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Avenue N.W., Washington D.C. 20580. 
In connection with my application for housing, I understand that the property owner/agent may obtain one or more consumer  reports, which may contain public information, for the purposes of evaluating my application. These consumer reports will be  obtained from one or more of the following consumer reporting agencies: 
• Equifax, E.C.I.F., P.O. Box 740241, Atlanta, GA, 30374-0241, (800) 685-1111 
• Trans Union, Regional Disclosure Center, 1561 Orangethorpe Ave., Fullerton, CA, 92631, (714) 738-3800 • Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX, 75002, (888) 397-3742 
• On-Site Manager, Inc., P.O. Box 1514, Los Altos, CA, 94023-1514, (877) 222-0384 
California Residents 
Under California law, these consumer reports are defined as investigative consumer reports. These reports may contain information  on my character, general reputation, personal characteristics and mode of living. In connection with my application for housing, I  authorize owner/agent to obtain a consumer report from the consumer reporting agencies listed above. 
Signature: ________________________________________ 
Name Printed: ________________________________________ 
Date: ________________________________________ 
If you would like to receive a copy of any investigative consumer report at no cost to you, please initial here: ______ If you would like to receive a copy of any credit report at no cost to you, please initial here: ______ 
PLEASE NOTE: 
Under Section 1786.22 of the California Civil Code, if you wish to dispute the accuracy or completeness of any item in the consumer  report, you may contact the consumer reporting agency named above and request an investigation. You also may view the file  maintained on you by the above credit reporting agency during normal business hours. You can receive a copy of your file by  providing proper identification and paying any related-copy costs. You may also receive a summary of the file by telephone. The  agency is required to have employees available to explain your file to you, and they must explain any coded information in your file. You can bring someone with you to view the file, so long as they have identification. 
Washington Residents 
In the event of a denial or other adverse action, you have a right to obtain a free copy of the consumer report from the screening  company or credit reporting agency 
Massachusetts Residents 
An applicant for employment or for housing or an occupational or professional license with a sealed record on file with the  commissioner of probation may answer ‘no record’ with respect to an inquiry herein relative to prior arrests, criminal court  appearances or convictions. An applicant for employment or for housing or an occupational or professional license with a sealed  record on file with the commissioner of probation may answer ‘no record’ to an inquiry herein relative to prior arrests or criminal  court appearances. In addition, any applicant for employment or for housing or an occupational or professional license may answer  ‘no record’ with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as  a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution.
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