The Jackson Lake Screening Application

The Jackson Lake

Apartment Residences 1533 Jackson St. Oakland, CA 94612
Apartment #:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
THE SCREENING FEE FOR JACKSON LAKE APARTMENTS IS $30.00 PER APPLICANT, ALL APPLICANTS AGED 18 OR OLDER MUST COMPLETE AN APPLICATION AND PAY THE FEE. SCREENING FEE IS NON-REFUNABLE ONCE WE OBTAIN YOUR CREIDT REPORT.

JACKSON LAKE APARTMENTS SCREENS FOR THE FOLLOWING:

√ CREDIT HISTORY

√ EVICTIONS (PUBLIC AND PRIVATE)

BY SIGNING YOU AGREE TO AND UNDERSTAND THESE TERMS:
APPLICANT SIGNATURE
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
APPLICANT SIGNATURE
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
WE ACKNOWLEDGE THAT WE ACCEPTED THE FOLLOWING PAYMENT:
AMOUNT RECEIVED: MADE PAYABLE TO MERRITT PROPERTIES
CHECK NUMBER:
RECEIVED BY:
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: