BLR Rental Application

BLR Commercial Real Estate, Inc. Application to Rent

Congratulations on taking your first step towards a home with BLR Commercial Asset Management. If you have any questions, please contact the property manager for further helpful assistance.
Property Name *
Name of property you are applying to rent.
Full Name*

First NameMiddle NameLast Name
Other Names Used In The Last 10 Years

First NameMiddle NameLast Name
E-mail
Phone Number*

Area CodePhone Number

Personal Information
Birth Date*

MonthDayYear
Social Security #*
Photo ID Type*
DL Licence, Passport, Military ID
Photo ID #
Photo ID #*
ex: AB123456
Issuing Government
Expiration Date*

Current Employment History
Current or Most Recent Employer
Position
Dates of Employment
MM/YYYY - MM/YYYY
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Salary
Salary per

WeekMonthYear
Supervisor Name

First NameLast Name
Supervisor Phone #

Area CodePhone Number
Other income source, Amount $, and Frequency :
Source / Amount $ / Frequency
Proof of Income Documentation*

Browse Files
Paystubs, Child Support, 1099 Cancelof
Additional Proof of Income Documentation

Browse Files
Paystubs, Child Support, 1099 Cancelof

Prior Employment History
Prior Employer
Prior Position
Dates of Employment
MM/YYYY - MM/YYYY
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name

First NameLast Name
Supervisor Phone #

Area CodePhone Number

Rental History
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Move in Date

MonthDayYear
Move Out Date

MonthDayYear
Amount Paid Monthly
Landlord or Company Name
Landlord Phone #

Area CodePhone Number
Landlord Email
(if available)
Reason for Leaving
If "other" please explain:
Previous Address
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Move in Date

MonthDayYear
Move Out Date

MonthDayYear
Amount Paid Monthly
Landlord or Company Name
Landlord Phone #

Area CodePhone Number
Landlord Email
(if available)
Reason for Leaving
If "other" please explain:

Banking Reference
Bank Name
Account Number
In the account from which you pay rent
Account Type
Checking, Savings

Personal References
Reference #1 Full Name

First NameLast Name
Relationship to Applicant
Length of Acquaintance
Phone Number

Area CodePhone Number
E-mail
Reference #2 Full Name

First NameLast Name
Relationship to Applicant
Length of Acquaintance
Phone Number

Area CodePhone Number
E-mail

Other Information
Pets (please describe weight, breed, temperament) :*
Weight/Breed/Temperament
Proposed Occupants (List all in addition to yourself.) :*
First and Last Name(s)
How did you hear about this rental?*
Referral Source
Vehicles to be parked on premises :*
Make/Model/Year/License #
Do you use a waterbed?*

YesNo
Have you ever filed for bankruptcy?*
Have you ever been evicted or asked to move?*

Final Submit
Terms
The information on this application is true and correct to the best of my knowledge. I hereby authorize to verify the above information and obtain consumer or investigative credit report, criminal background report, and/or eviction records.*

I Agree
Signature*

Clear
NOTICE REGARDING CALIFORNIA INVESTIGATIVE CONSUMER REPORTING AGENCIES ACT

Landlord does intent to request an investigative consumer report regarding the Applicant.

Landlord intends to request an investigative consumer report regarding the Applicant's character, general reputation, personal characteristics, and mode of living. Under Section 1786.22 of the California Code, the files maintained on you by the investigative consumer agency shall be made available to you during business hours and on reasonable notice, provided you furnish proper identification, as follows: (1) You may appear at the investigative consumer reporting agency identified below in person, (2) you may take a written request for copies to be sent by certified mail to a specified addressee, or (3) you may make written request for a summary of the files be provided over the telephone. The agency may charge a fee, not to exceed the actual duplication costs, if you reques a copy of your file. The agency is required to have personnel available to explain your file to you, and the agency may require you to furnish a written statement granting permission to the investigatvie consumer reporting agency to discuss your file in the other person's presence. The agency that will prepare the report(s) identified in this section is listed below:

Name of Agency: Checkpoint Screening

Address of Agency: 1911 Douglas Blvd. #85-2020 Roseville, CA 95661

If you would like a copy of the report(s) that is/are prepared, please check the box below:
I would like to receive a copy of the report(s) that is/are prepared
If the box above is checked, Landlord agrees to send the report to Applicant within three (3) business days of the date of the report is provided to Landlord. Landlord may contract with another entity to send a copy of the report.

Applicant represents that all the above statements are true and correct, authorizes verification of the above items, and agrees to furnish additional credit references upon request. Applicant authorizes Landlord to obtain reports that may included credit reports, unlawful detainer (eviction) reports, bad check searches, social security number verification, fraud warnings, previous tenant history and employment history. Applicant consents to allow Landlord to disclose tenancy information to previous or subsequent Landlords.

Landlord will require a NON-REFUNDABLE payment of $45, which is used to screen Applicant.

The amount charged is itemized as follows:

1. Actual cost of credit report, unlawful detainer (eviction) search, and/or other screening reports is $20.

2. Cost to obtain, process and verify screening information (may include staff time and other soft costs) is $25.

3. Total fee charged, $45, NON-REFUNDABLE.
The undersigned Applicant is applying to rent the premises designated as:
Property you are applying to rent*
Upon approval of this application, and execution of a rental/lease agreement, the applicant shall pay all sumes due, including a security deposit, before occupancy.
TODAY'S Date*

MonthDayYear
Date
Signature*

Clear
Upload your photo ID:*

Browse Files
Driver's License or other photo ID. Cancelof
My Products
prevnext( X )
Application Fee$45.00

Total $0.00
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty:

BLR Commercial Real Estate, Inc. Application to Rent

Terms