Supplemental Application to Rent

Supplemental Application to Rent
PLEASE DO NOT APPLY FOR THE PROPERTY UNLESS YOU HAVE VIEWED IT IN PERSON FIRST. APPLICATIONS WILL NOT BE CONSIDERED UNLESS YOU HAVE VIEWED THE PROPERTY IN PERSON.
- Address of the Property you are applying for:*
- Rent:*
- Lease Start Date:
  
  If your application is approved, you will be required to start the lease on this date. This is the date that will be presented to the Owner and will be part of their consideration. This date cannot be moved out once you have been approved.
- Desired Lease Start Date:*
  
  MonthDayYear
  Date
- If your desired lease start date is within a week, do you have flexibility with your start date? (if 'Yes', enter details otherwise enter 'No' or N/A'):*
- Desired Lease Term (in months):*
- Have you viewed the Property in person?*
- Are you interested in the optional Parking (if offered for this Property)?*
  
  YesNo
- Your Agent:*
  
  Brian Brown, Mahesh Patki & Marika NeemiaBarbara BurdickJeanne Zimmermann

- Applying as a:*
  
  TenantGuarantor
- Your Name:*
  
  First NameMiddle NameLast Name
- Other names used in the last 10 yrs.:
- Birth Date:*
  
  MonthDayYear
  Date
- Mobile Phone Number*
  
  Area CodePhone Number
- Email:*
  example@example.com
- Social Security Number:*
- A copy of your valid government issued ID is required:
- Type of ID (Driver's License, Passport etc):*
- Issuing Government:*
- ID Number:*
- ID Expiration Date:*
  
  MonthDayYear
  Date
- Please upload a copy of your valid Government issued Photo ID:*
  
  Cancelof
- Weblink to your LinkedIn profile:
- Total number of Occupants who will be residing at the Property (including yourself and any minors):*
- Names of other ADULT Occupants (enter 'NA' if none):*
- Names of MINOR Occupants (enter 'NA' if none):*
- I need a Guarantor*
  
  YesNo
- Name of Guarantor:*

- Please provide your residency history going back 5 years (whether you rented or not).
  
  Not providing a full 5 year history will delay the processing of your application.
  
  Please ensure there are no gaps in your residence history.
  
  As soon as you click 'Submit' on the last page of this application, an automated email will be sent to your landlords to verify your tenancy.
- Current Address:*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Move-in Date:*
  
  MonthDayYear
  Date
- Reason for moving from this address:*
- Type of occupancy for Current Address:*
- Add another address?*
  
  YesNo
- Current Rent:*
- Landlord Name:*
- Landlord Phone Number:*
  
  Area CodePhone Number
- Landlord Email:*
  example@example.com
- Previous Address #1:*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Move-in Date:*
  
  MonthDayYear
  Date
- Move-Out Date:*
  
  MonthDayYear
  Date
- Reason for moving from this address:*
- Type of occupancy:*
- Add another address? (Please be sure to provide a full 5 year residence history)*
  
  YesNo
- Rent:*
- Landlord Name:*
- Landlord Phone Number:*
  
  Area CodePhone Number
- Landlord Email:*
  example@example.com
- Previous Address #2:*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Move-in Date:*
  
  MonthDayYear
  Date
- Move-Out Date:*
  
  MonthDayYear
  Date
- Reason for moving from this address:*
- Type of occupancy:*
- Add another address? (Please be sure to provide a full 5 year residence history)*
  
  YesNo
- Rent:*
- Landlord Name:*
- Landlord Phone Number:*
  
  Area CodePhone Number
- Landlord Email:*
  example@example.com
- Previous Address #3:*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Move-in Date:*
  
  MonthDayYear
  Date
- Move-Out Date:*
  
  MonthDayYear
  Date
- Reason for moving from this address:*
- Type of occupancy:*
- Add another address? (Please be sure to provide a full 5 year residence history)*
  
  YesNo
- Rent:*
- Landlord Name:*
- Landlord Phone Number:*
  
  Area CodePhone Number
- Landlord Email:*
  example@example.com
- Previous Address #4:*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Move-in Date:*
  
  MonthDayYear
  Date
- Move-Out Date:*
  
  MonthDayYear
  Date
- Reason for moving from this address:*
- Type of occupancy:*
- Rent:*
- Landlord Name:*
- Landlord Phone Number:*
  
  Area CodePhone Number
- Landlord Email:*
  example@example.com

- I am *
- Company Name:*
- Industry:*
- Position:*
- Employment Start Date*
  
  MonthDayYear
  Date
- Monthly Gross Income:*
- As soon as you click 'Submit' on the last page of this application, an automated email will be sent to your employer to verify your employment.
  
  Please provide the contact information of your supervisor/HR contact that can verify your employment:
- Supervisor Name:*
- Supervisor Email:*
  example@example.com
- Supervisor Phone:*
  
  Area CodePhone Number
- Title or Position for Self-Employment:*
- Job Description for Self-Employment:*
- Monthly Gross Income:*
- Provide details about your sources of income/assets:*
- Monthly Gross Income:*
- Do you receive a government rent subsidy?*
  
  YesNo
- Under California law, applicants with a government rent subsidy have the option, at the applicant's discretion, of providing lawful, verifiable alternative evidence of the applicant's reasonable ability to pay the portion of the rent to be paid by the tenant, including, but not limited to, government benefit payments, pay records, and bank statements. If an eligible applicant elects to submit such alternative evidence, that alternative evidence will be considered instead of the applicant's credit history.
- Choose one:*
  
  Consideration of Credit History: I, the Applicant, authorize the housing provider to obtain reports that may include 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.Alternative Evidence of Ability to Pay: I, the Applicant, authorize the housing provider to obtain reports other than credit reports, such reports may include unlawful detainer (eviction reports), 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.
- If you have any additional sources of income, please list them here:
- Please upload Proof of Income Documentation below.
  
  Not doing so will delay the processing of your application.
  
  Examples of Proof of Income are:
  - Two most recent paystubs (if you are currently employed)
    OR
  - Offer letter on company letterhead, signed by both you and a company representative (if this is a new job you will be starting)
    OR
  - If self-employed/not-employed, documentation such as:
    
    Federal Income Tax statement for the past year
    
    1099 for the past year
    
    Bank/Brokerage statements for the last two months
  NO SCREENSHOTS PLEASE!
  
  PDF DOCUMENTS ARE STRONGLY ENCOURAGED.
  
  All income documentation must show your name, gross income/bank balances, dates, name of the employer/bank/brokerage etc.
- Upload Income Documentation using the link below. You can use this link repeatedly to upload multiple files (no passworded files, please):*
  
  Cancelof
- Bank Name:*
- Approximate Balance:*

- Name:*
  
  First NameLast Name
- Address:*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Phone Number*
  
  Area CodePhone Number
- Email:*
  example@example.com
- Relationship:*
- Name*
  
  First NameLast Name
- Relationship:*
- Phone Number*
  
  Area CodePhone Number
- Email:*
  example@example.com
- Years Known:*
- Occupation:*

- Do you have any vehicles (including motorcycles)?*
  
  YesNo
- How many vehicles (including motorcycles) do you have?*
- Please list YEAR, MAKE & MODEL of ALL vehicles & motorcycles:*
- Do you intend to live with an animal or animals?*
  
  YesNo
- Does the animal(s) work, provide assistance, or perform tasks for the benefit of a person in your household with a disability, or provide emotional support that alleviates one or more identified effects of a person’s disability in your household?*
  
  YesNo
- How many Animals do you have?*
- Enter details for ALL Animals in the boxes below:
- Type:*
  Example: Cat & Dog, 2 Cats, etc.
- Breed:*
  Example: Dachshund & Tabby etc.
- Age (in years):*
- Weight (in lbs.):*
- Name:*
- Coloration:*
- Sex:*
- Please upload a photo of your animals:*
  
  Cancelof
- If your animal is a 'Support Animal', please upload documentation from your care provider for your animal. If your animal is a 'Service Animal', please upload a document stating the name of the person with the service animal, and list the disability-related task(s) the animal has been trained to perform:*
  
  Cancelof

- Applicant represents that statements made within this application are true and correct, authorizes verification of credit, income, personal references and landlord references and agrees to furnish additional credit references upon request. Applicant authorizes the Owner/Agent to obtain reports that may include 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 Owner/Agent to disclose tenancy information to previous or subsequent Owners/Agents.
  
  The signature below indicates that the Applicant has read, understand and agrees to all of the terms outlined above
- Signature*
- Name:*
  
  First NameLast Name
- Date:*
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option
- Should be Empty: