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Rental Application

Address of Property
How did you hear about this property?
PLEASE NOTE: A separate application is required for each applicant over the age of 18 (excluding dependent children) who will reside at the property. This guarantees our compliance with Federal, state and local Fair Housing laws. Incomplete applications will not be processed.
THE FOLLOWING TWO OPTIONS* ARE MADE AVAILABLE TO ALL APPLICANTS:
First Option: Applicants desiring to live together as a single housekeeping unit may elect to financially qualify for tenancy as a group, in which case Landlord has the right to immediately terminate the rental contract when any one member of that group vacates the property.
Second Option: Each legal entity may elect to financially qualify for tenancy individually, in which case the occupant may continue to lease the property if one or more of the other parties to the rental contract vacate the property for any reason.
*Note: All applicants desiring to live together must choose the same option

Desired move-in date?


NOTE: APPLICANTS WILL NOT BE ACCEPTED ON A “FIRST-COME, FIRST-SERVED” BASIS. LANDLORD WILL ASSIST ALL PERSONS WITHOUT REGARD TO RACE, COLOR, CREED, SEX, RELIGION, NATIONAL ORIGIN, FAMILIAL STATUS, MARITAL STATUS, HANDICAP, OR ANCESTRY.
 
Applicant's full legal name
Soc Sec #
Other name(s) used within the past 3 years
Date of Birth
Home Phone
Work Phone
Cell Phone
Email Address
Length of desired occupancy?
Have you applied for residency or leased from us in the past?


What is the best way for us to contact you regarding this application?

List your last four years residence history & at least your last two addresses
Current Address
Address:   City:   State:   Zip:
Type of property (apartment, duplex/4-plex, townhouse, condo, mobile home, house, etc.):
How long at present address?  Occupancy dates:
Monthly Rent or Mortgage:  Landlord or Mortgage Company:
Landlord or Mortgage Company Phone:  Loan # (if applicable):
Why are you moving?

Former Address
Address:   City:   State:   Zip:
Type of property (apartment, duplex/4-plex, townhouse, condo, mobile home, house, etc.):
How long at former address?   Occupancy dates:
Why moved?
Former Landlord's Name:   Phone:

Former Address
Address:   City:   State:   Zip:
Type of property (apartment, duplex/4-plex, townhouse, condo, mobile home, house, etc.):
How long at former address?   Occupancy dates:
Why moved?
Former Landlord's Name:   Phone:

List your vehicles that will be parked at the property
Driver’s License #
Vehicle
Make/Model/Year
License No./State

Employment History
List your employment history for the last four years (Please include titles or military ranks, etc. Note: If you are self employed you will be required to substantiate your income with copies of tax returns, 1099s and/or other relevant data.)
Current Employer:   Dates:   Phone:
Address:   City:   State:   Zip:
Position/Job Description:   Monthly gross pay
Monthly take-home:  Superior's name & position:   Phone:
List any additional monthly income you wish to be considered in qualifying your application (child support, SS, etc.)
Former Employer:   Dates:   Phone:
Address:   City:   State:   Zip:
Position/Job Description:   Monthly gross pay
Superior's name & position:   Phone:
Former Employer:   Dates:   Phone:
Address:   City:   State:   Zip:
Position/Job Description:   Monthly gross pay
Superior's name & position:   Phone:

List bank accounts
Bank Name
Account #
Type
Approx. Balance
Checkings Savings
Checkings Savings
Credit References - Credit Cards & Loans
Name
Account#
Purpose
$ Limit
Balance
Mo Payment

List nearest relatives (for Emergency Contact and/or Reference)
Name
Address
Phone
Relationship

List two personal / professional (accountant, lawyer, banker, etc.) references
Name
Address
City/State/Zip
Phone

List all pets that you desire to have live on the premises
Pet’s Name
Type/Breed/Size
Sex/Neutered/Spayed
Indoor/Outdoor/Both

Personal Skills
Plumbing Carpentry Painting Electrical Mechanical  Other:
Tools You Own
Tool Box Mower Yard tools Snow shovel Hoses/Sprinklers

Please answer the following questions
(explain your answers at the bottom as necessary)
1. Have you ever been evicted or asked to move from any tenancy? Yes No
2. Have you ever broken a rental agreement or lease? Yes No
3. Have you ever willfully and intentionally refused to pay rent when due? Yes No
4. Do you know of anything that might interrupt your income or ability to pay rent?  Yes No
5. Are there any outstanding judgments against you? Yes No
6. Have you had property foreclosed upon or given title or deed in lieu of foreclosure in the past 7 years? Yes No
7. Have you ever filed a petition of bankruptcy? (If yes, please note when and where, if the bankruptcy has been discharged and date of discharge.) Yes No
8. Are you a named party to a criminal proceeding, lawsuit or unlawful detainer filing? Yes No
9. Have you ever initiated or been the defendant in a lawsuit?     Yes No
10. Have you or anyone in your household ever been convicted of a felony or misdemeanor? Yes No
11. Rent is due in advance on the last business day of each month. Are you able to fulfill this requirement? Yes No
12. Are you obligated to pay child support, alimony or separate maintenance?
If yes, how much? 		Yes No
13. Are you the co-maker or endorser on any lease, loan or mortgage? Yes No
14. Do you plan to conduct any commercial business from the residence? Yes No

List any additional info you think will help us process your application

Applicant agrees to pay an application fee of $20 to Landlord for the processing of this application.

Applicant understands that any false statements or deliberate misrepresentation of facts will automatically disqualify this application and cause any subsequent rental contract to be null and void and of no effect.

AUTHORIZATION: I do hereby authorize a review and full disclosure of all records, or any part thereof, concerning myself by/to Steve Dye. The intention of this authorization is to provide information which will be utilized in connection with a rental application, current lease, former lease, lease renewal and/or collection of funds due Steve Dye.
Terms of Agreement
I hereby authorize current and past landlords, current and past employers, financial institutions, personal references, Courts of law and any other person/entity to release information regarding my rental, employment, credit and/or criminal history. I agree to indemnify and hold harmless the person to whom this request is presented and his agents and employees from and against all claims, damages, losses and expenses, including reasonable attorneys’ fees arising out of or by reason of complying with this request. This authorization shall survive the original application process and be valid during or subsequent to any lease term. A copy of this authorization may be accepted as an original. By printing my name below, it is understood that the printed name will act as my electronic signature.
I agree to the terms   |   Print Name:    Date:
  

NorCal Property Solutions Group
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