Rental Application Form

Rental Application
APPLICANT INFORMATION

Notice: All adult applicants (18 years or older) must complete a separate application for rental.
Full Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.
E-mail
example@example.com
Birthdate
Date (MM/DD/YYYY)
SSN
Please enter your social security number.
Drivers License #
Drivers License number

CURRENT ADDRESS
Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Move In

MonthDayYear
Date
Move Out

MonthDayYear
Date
Monthly Rent
Landlord Name

First NameLast Name
Landlord Phone
Please enter a valid phone number.
Reason for Leaving

PREVIOUS ADDRESSES
Previous Address #1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Move In

MonthDayYear
Date
Move In

MonthDayYear
Date
Landlord Name

First NameLast Name
Landlord Phone
Please enter a valid phone number.
Reason for Leaving
Previous Address #2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Move In

MonthDayYear
Date
Move Out

MonthDayYear
Date
Landlord Name

First NameLast Name
Landlord Phone
Please enter a valid phone number.
Reason for Leaving

VEHICHLE INFORMATION

List the information of the vehicles that would be on the premises.

	MAKE	MODEL	YEAR	LICENSE NO.	STATE
VEHICLE ONE
VEHICLE TWO
VEHICLE THREE

OTHER OCCUPANTS

List names and birthdates of ALL additional occupants 18 years or older.

	FIRST NAME	LAST NAME	BIRTHDATE (MM/DD/YYYY)
SECOND
THIRD
FOURTH
FIFTH
SIXTH

List names and birthdates of ALL additional occupants under 18 years of age.

	FIRST NAME	LAST NAME	BIRTHDATE (MM/DD/YYYY)
SECOND
THIRD
FOURTH
FIFTH
SIXTH

EMPLOYMENT & INCOME INFORMATION
Are you currently employed?

YesNo
Current Employer/Company
Occupation
Supervisor Name

First NameLast Name
Start Date

MonthDayYear
Date
Supervisor Phone
Please enter a valid phone number.
Monthly Salary (USD)
Other Sources of Income
Please describe any additional sources of income.
Additional Monthly Income (USD)
Proof of Employment & Income

Please provide proof of employment & income (Last 2-3 Pay Stubs/Certificate of Employment/W2/Employment Offer Letter/Bank Statement).
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PERSONAL REFERENCES
Reference 1

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship
Reference 2

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship
Reference 3

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship

BACKGROUND INFORMATION
Have you ever been evicted?

YesNo
Have you ever been convicted of a felony?

YesNo
Have you ever declared bankruptcy?

YesNo
If you answered yes to any of these questions, please explain:

PETS

No more than two pets are allowed in select pet friendly units.
Do you have pets?

YesNo

If yes, please complete the table below.

	NAME	BREED(Dogs only)	GENDER (M/F)	WEIGHT (Lbs.)	HEIGHT (In)	AGE	SPAYED/NEUTERED(Yes/No)
PET 1
PET 2

Additional Notes on pets
Upload a Recent Photo of Your Pet(s)

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OTHER INFORMATION
Preferred Move in Date

MonthDayYear
Preferred Floor Plan
How much do you have at hand now to secure the property? (USD)
Please include any additional information you believe would help to evaluate this application.
I/we, the undersigned, authorize Villa Capri apartments/Temporary VIP Housing, Landlord and its agents to obtain an investigative consumer credit report including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender search. I authorize the release of information from previous or current landlords, employers, and bank representatives. This investigation is for resident screening purposes only, and is strictly confidential. This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold Villa Capri Apartments/Temporary VIP Housing, Landlord and its agents free and harmless of any liability for any damages arising out of any improper use of this information.

Important information about your rights under the Fair Credit reporting Act:

• You have a right to request disclosure of the nature and scope of the investigation.
• You must be told if information in your file has been used against you.
• You have a right to know what is in your file, and this disclosure may be free.
• You have the right to ask for a credit score (there may be a fee for this service).
• You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correctinaccurate, incomplete, or unverifiable information.

These reports are being processed by Villa Capri Apartments/Temporary VIP Housing, 225 East Ridgecrest BLVD., Ridgecrest, CA 93555, (760) 371-1364. A summary of your rights under the Fair Credit Reporting Act is available by visiting or writing (Para information enespanol, visite o escribe): http://www.ftc.gov/credit

Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Avenue N.W., Washington D.C. 20580HERE
Confirm

I Agree
Signature

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Authroization of background check.
CONSUMER REPORT DISCLOSURE & AUTHORIZATION
In connection with my application for housing, I understand that the property owner/agent may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application. These consumer reports will be obtained from one or more of the following consumer reporting agencies:

• Equifax, E.C.I.F., P.O. Box 740241, Atlanta, GA, 30374-0241, (800) 685-1111
• Trans Union, Regional Disclosure Center, 1561 Orangethorpe Ave., Fullerton, CA, 92631, (714) 738-3800
• Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX, 75002, (888) 397-3742

Under California law, these consumer reports are defined as investigative consumer reports. These reports may contain information on my character, general reputation, personal characteristics and mode of living. In connection with my application for housing, I authorize owner/agent to obtain a consumer report from the consumer reporting agencies listed above.
Signature

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Consumer report authorization.
Print Name

First NameLast Name
Date

MonthDayYear
Date
Would you like a copy of (check all that apply):

Any investigative consumer reportAny credit report
PLEASE NOTE:

Under Section 1786.22 of the California Civil Code, if you wish to dispute the accuracy or completeness of any item in the consumer report, you may contact the consumer reporting agency named above and request an investigation. You also may view the file maintained on you by the above credit reporting agency during normal business hours. You can receive a copy of your file by providing proper identification and paying any related-copy costs. You may also receive a summary of the file by telephone. The agency is required to have employees available to explain your file to you, and they must explain any coded information in your file. You can bring someone with you to view the file, so long as they have identification.
Please verify that you are human*
Should be Empty:

Rental Application

APPLICANT INFORMATION

CURRENT ADDRESS

PREVIOUS ADDRESSES

VEHICHLE INFORMATION

OTHER OCCUPANTS

EMPLOYMENT & INCOME INFORMATION

PERSONAL REFERENCES

BACKGROUND INFORMATION

PETS

OTHER INFORMATION

CONSUMER REPORT DISCLOSURE & AUTHORIZATION