RENTAL APPLICATION

RENTAL APPLICATION
Bourbon Holdings . p: 909.591.0152 . f: 949.289.9104
PERSONAL INFORMATION
FIRST NAME*
MIDDLE
LAST*
DATE OF BIRTH*

MonthDayYear
Date
Social Security Number
MARITAL STATUS*

SINGLEMARRIEDDIVORCED
MARRIED (Since)
HOME PHONE:
MOBILE PHONE:*
WORK PHONE:
EMAIL:*
example@example.com
ADDRESS*

PRESENT HOME ADDRESS

Street Address Line 2

CITY/STATE/ZIPState / Province

Postal / Zip Code
LENGTH OF TIME:*
IS YOUR RENT CURRENT?:*

YESNO
PRESENT LANDLORD:*
LANDLORD PHONE:*
REASON FOR LEAVING:*
CURRENT RENT AMT:*
Address History

Please note we require a full 2 year address history
PREVIOUS HOME ADDRESS:
CITY/STATE/ZIP
LENGTH OF TIME:
PREVIOUS LANDLORD:
LANDLORD PHONE:
WAS YOUR RENT CURRENT?

YESNO
REASON FOR LEAVING:
PREVIOUS RENT AMOUNT:
PREVIOUS HOME ADDRESS:
CITY/STATE/ZIP
LENGTH OF TIME:
PREVIOUS LANDLORD:
LANDLORD PHONE:
WAS YOUR RENT CURRENT?

YESNO
REASON FOR LEAVING:
PREVIOUS RENT AMOUNT:
PROPOSED OCCUPANTS
Proposed Number of Occupants Including Yourself*
NAME:
*IF THIS PERSON IS 18 OR OLDER THEY MUST COMPLETE A SEPARATE APPLICATION
RELATIONSHIP:
OCCUPATION
NAME:
*IF THIS PERSON IS 18 OR OLDER THEY MUST COMPLETE A SEPARATE APPLICATION
RELATIONSHIP:
OCCUPATION
Will there be children living with you?

YesNo
How many children
Name and age of child
Name and age of child
Name and age of child
Name and age of child
Name and age of child
Name and age of child
PROPOSED PET(S)
Do you have pets?*

YesNo
Proposed Number of Pets?*
NAME:
TYPE/BREED:
INDOOROUTDOOR
AGE
NAME:
TYPE/BREED:
INDOOROUTDOOR
AGE
NAME:
TYPE/BREED:
INDOOROUTDOOR
AGE
NAME:
TYPE/BREED:
INDOOROUTDOOR
AGE
VEHICLE INFO
YEAR:
MAKE:
MODEL:
COLOR:
PLATE#:
STATE:
YEAR:
MAKE:
MODEL:
COLOR:
PLATE#:
STATE:
EMPLOYMENT INFO

Please note we require a full 2 year history
CURRENT EMPLOYER:*
OCCUPATION:*
HOURS PER WEEK:*
SUPERVISOR:*
PHONE:*
YEARS EMPLOYED:*
ADDRESS:*
CURRENT EMPLOYER:
OCCUPATION:
HOURS PER WEEK:
SUPERVISOR:
PHONE:
YEARS EMPLOYED:
ADDRESS:
INCOME
Type of Income*
CURRENT MONTLY INCOME:*
PROOF OF INCOME:*

YESNO
Type of Income
CURRENT MONTLY INCOME:
PROOF OF INCOME:

YESNO
Do you owe Child Support*

YesNo
BALANCE OWED:
MONTHLY PAYMENT:
BANK ACCOUNT/NAME OF BANK:*
BALANCE:*
MONTHLY PAYMENT:*
ACCOUNT NUMBER:*
EMERGENCY / PERSONAL REFERENCE INFORMATION
EMERGENCY CONTACT:*
CELL PHONE:*
HOME PHONE:
RELATION:*
ADDRESS (STREET/CITY/STATE/ZIP):*
EMERGENCY CONTACT:*
CELL PHONE:*
HOME PHONE:
RELATION:*
ADDRESS (STREET/CITY/STATE/ZIP):*
PERSONAL REFERENCE:*
CELL PHONE:*
HOME PHONE:
RELATION:*
ADDRESS (STREET/CITY/STATE/ZIP):*
PERSONAL REFERENCE:*
CELL PHONE:*
HOME PHONE:
RELATION:*
ADDRESS (STREET/CITY/STATE/ZIP):*
APPLICANT QUESTIONAIRRE / AUTHORIZATION (CIRCLE YES OR NO)
HAS APPLICANT EVER BEEN SUED FOR BILLS?*

YESNO
HAS APPLICANT EVER BEEN LOCKED OUT OF THEIR APARTMENT BY THE SHERIFF?*

YESNO
HAS APPLICANT EVER BEEN BANKRUPT?*

YESNO
HAS APPLICANT EVER BEEN BROUGHT TO COURT BY ANOTHER LANDLORD?*

YESNO
HAS APPLICANT EVER BEEN GUILTY OF A FELONY?*

YESNO
HAS APPLICANT EVER BROKEN A LEASE?*

YESNO
IS THE TOTAL MOVE-IN AMOUNT AVAILABLE NOW (RENT AND DEPOSIT)?*

YESNO
HAS APPLICANT EVER MOVED OWING RENT OR DAMAGED AN APARTMENT?*

YESNO
DESIRED MOVE IN DATE:*
Applicant authorized the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant(s All information is true, accurate and complete to the best of the applicant’s knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
APPLICANT SIGNATURE*

Powered by Jotform SignClear
DATE SIGNED*

Powered by Jotform SignClear
NOTES:
$40 APPLICATION FEE (PER APPLICANT)DUE - UPON CLICKING SUBMIT YOU WILL AUTOMATICALLY BE REDIRECTED TO PAYPAL.
For EXPEDITED APPROVAL, SEND THE FOLLOWING DOCUMENTATION TO Joe@BOURBONHOLDINGS.COM

-TWO MOST RECENT MONTHS OF BANK STATEMENTS (ALL PAGES)
-COPY OF IDENTIFICATION
-TWO MONTHS PROOF OF INCOME

https://www.paypal.com/paypalme/BourbonHoldings?country.x=US&locale.x=en_US
My Products
prevnext( X )
Rental Application$40.00

Quantity

Total $0.00
Should be Empty:

RENTAL APPLICATION

PERSONAL INFORMATION

Address History

PROPOSED OCCUPANTS

PROPOSED PET(S)

VEHICLE INFO

EMPLOYMENT INFO

INCOME

EMERGENCY / PERSONAL REFERENCE INFORMATION

APPLICANT QUESTIONAIRRE / AUTHORIZATION (CIRCLE YES OR NO)