RENTAL APPLICATION

Bourbon Holdings . p: 909.591.0152 . f: 949.289.9104

FIRST NAME

MIDDLE

LAST

DATE OF BIRTH

Date

Social Security Number

MARITAL STATUS

MARRIED (Since)

HOME PHONE:

MOBILE PHONE:

WORK PHONE:

EMAIL:

example@example.com

ADDRESS

PRESENT HOME ADDRESS

Street Address Line 2

CITY/STATE/ZIP

LENGTH OF TIME:

IS YOUR RENT CURRENT?:

PRESENT LANDLORD:

LANDLORD PHONE:

REASON FOR LEAVING:

CURRENT RENT AMT:

PREVIOUS HOME ADDRESS:

CITY/STATE/ZIP

LENGTH OF TIME:

PREVIOUS LANDLORD:

LANDLORD PHONE:

WAS YOUR RENT CURRENT?

REASON FOR LEAVING:

PREVIOUS RENT AMOUNT:

PREVIOUS HOME ADDRESS:

CITY/STATE/ZIP

LENGTH OF TIME:

PREVIOUS LANDLORD:

LANDLORD PHONE:

WAS YOUR RENT CURRENT?

REASON FOR LEAVING:

PREVIOUS RENT AMOUNT:

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?

How many children

Name and age of child

Do you have pets?

Proposed Number of Pets?

NAME:

TYPE/BREED:

AGE

NAME:

TYPE/BREED:

AGE

NAME:

TYPE/BREED:

AGE

NAME:

TYPE/BREED:

AGE

YEAR:

MAKE:

MODEL:

COLOR:

PLATE#:

STATE:

YEAR:

MAKE:

MODEL:

COLOR:

PLATE#:

STATE:

CURRENT EMPLOYER:

OCCUPATION:

HOURS PER WEEK:

SUPERVISOR:

PHONE:

YEARS EMPLOYED:

ADDRESS:

CURRENT EMPLOYER:

OCCUPATION:

HOURS PER WEEK:

SUPERVISOR:

PHONE:

YEARS EMPLOYED:

ADDRESS:

Type of Income

CURRENT MONTLY INCOME:

PROOF OF INCOME:

Type of Income

CURRENT MONTLY INCOME:

PROOF OF INCOME:

Do you owe Child Support

BALANCE OWED:

MONTHLY PAYMENT:

BANK ACCOUNT/NAME OF BANK:

BALANCE:

MONTHLY PAYMENT:

ACCOUNT NUMBER:

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):

HAS APPLICANT EVER BEEN SUED FOR BILLS?

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

HAS APPLICANT EVER BEEN BANKRUPT?

HAS APPLICANT EVER BEEN BROUGHT TO COURT BY ANOTHER LANDLORD?

HAS APPLICANT EVER BEEN GUILTY OF A FELONY?

HAS APPLICANT EVER BROKEN A LEASE?

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

HAS APPLICANT EVER MOVED OWING RENT OR DAMAGED AN APARTMENT?

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

DATE SIGNED

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

Rental Application$40.00

Quantity

Total $0.00

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)

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