Rental Application

Rental Application
Applicant*

First NameMiddle NameLast Name
Cell Phone Number*

Area CodePhone Number
Do you receive Text MSG*

YesNO
Copy of Social Security

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Social Security #*
Date of Birth*

MonthDayYear
Driver's License #*
Driver's License State
Copy of Driver's License

Upload a File

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E-mail*
Additional Applicants
Additional Applicant 1

First NameLast Name
Relationship To Applicant
Date of Birth

MonthDayYear
Additional Applicant

First NameLast Name
Relationship To Applicant
Date of Birth

MonthDayYear
Current Employment
Current Employment*
Phone Number*

Area CodePhone Number
Email
example@example.com
Name of Supervisor*

First NameLast Name
Current Job title*
Income Per Month*
Start Date*

MonthDayYear
End Date

MonthDayYear
Current Employment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Rental & Employment Verification Form

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Secondary Employment
Prior Employment*
Prior Employment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
HR/Supervisor Email
example@example.com
Name of Supervisor*

First NameLast Name
Prior Job title*
Income Per Month*
Start Date*

MonthDayYear
End Date*

MonthDayYear
Residence
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Starting Date of Stay*

MonthDayYear
Name of Owner/ Manager*

First NameLast Name
Owner/ Manager Phone Number*

Area CodePhone Number
Current Rent Paid*
Owner/Manager email
example@example.com
Reason for Leaving*
Previous Address #1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Starting Date Of Stay*

MonthDayYear
Ending Date Of Stay*

MonthDayYear
Previous Owner/ Manager*

First NameLast Name
Previous Owner/ Manager *

Area CodePhone Number
Previous Owner Email
example@example.com
Last Rent Paid*
Reason for Leaving*
Vehicles
Make, Model, Color, Year*
License Plate #*
Personal References
Emergency Contact*

First NameLast Name
Emergency Contact*

Area CodePhone Number
Emergency Contact Relationship*
Emergency Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Close Friend*

First NameLast Name
Close Friend *

Area CodePhone Number
How long have you know each other?*
Close Friend Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nearest Relative Living Elsewhere*

First NameLast Name
Nearest Relative Living Elsewhere *

Area CodePhone Number
Nearest Relative Living Elsewhere Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nearest Relative Living Elsewhere Relationship*
Credit Information
Checking Bank Account Name*
Checking Account Balance*
Savings Bank Account Name*
Savings Account Balance
Total Amount of Monthly Bills*
Copy of Last 3 Pay Stubs

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Copy of Last 3 Months's Bank Statements or Latest Tax Return

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Additional Proof of Income Uploads

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Do you have a Lawyer*

YesNo
If yes, what is your Lawyer's Name/Co?
Do you have an online banking account set up to make rent payments online?*

yesno
General Inforamtion
Do you Smoke?*

YesNo
Do you have pets?*

yesno
Have you filed bankruptcy?*

YesNo
Do you have musical instruments?*

YesNo
Do you have any water-filled furniture?*

YesNo
Have you ever been convicted for a drug related crime?*

YesNo
Have yo ever been evicted or named as a defendant in an eviction?*

YesNo
If yes to any of the above, please explain.*
What Address are you applying for?*

4767 San Vicente Blvd#75071 W. 21st street #41414 S. Orange Grove #11414 S. Orang Grove #94212 Leimert BlvdApplying to be added to Existing Lease

Application Fee*

Rental Application Fee $50 +(2.9% +0.31 Stripe Fee+1.00 Process Fee)$52.76

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Rental Application

Additional Applicants

Current Employment

Secondary Employment

Residence

Vehicles

Personal References

Credit Information

General Inforamtion