954 H Street
Humboldt Property Management
Arcata, CA 95521 U.S.A.
(A division of Humboldt Realty, Corp)
Main Office: (707) 825-1515
Fax: (707) 825-1558
Email:
Residential * Commercial * Lt. Industrial
RENTAL APPLICATION
We do not accept applications until you have viewed the interior of any interested property.
Please drive by any properties of interest. Afterwards schedule an appointment to view the
inside of property. A $20.00 NON-REFUNDABLE APPLICATION FEE REQUIRED BEFORE
PROCESSING. Please provide as much information as possible including phone numbers, zip
codes and unit number. For all non-married co-applicants, please submit separate
applications.
ADDRESS YOU ARE APPLYING FOR:__________________________________________________________
FULL NAME:________________________________________________ PHONE: ( )__________________
DATE OF BIRTH:____/____/____ SSN#_____________________ Email:____________________________
NAME OF CO-APPLICANTS:_______________________________________________________________
NAME OF SPOUSE:_____________________ DATE OF BIRTH____/____/____SSN#___________________
INTENDED #OF OCCUPANTS:_______________________________________________________________
PETS (LIST TYPES & BREED):_______________________________________________________________
DO YOU PLAN TO USE LIQUID FILLED FURNITURE (Waterbed)?___________________________________
RESIDENCE INFORMATION LAST 3 YEARS CURRENT ADDRESS FIRST.
Current Address:__________________________________________City:________________
Zip Code____________ Dates of Occupancy - From:___/___/___ To: ___/___/____
Reason for leaving:_________________________________Owner or Agent:_________________
LANDLORD PHONE#:__________________ Amount of Rent: $__________
Previous Address: _________________________________________City:_________________
Zip Code:________Dates of Occupancy - From: ____/____/___ To: ____/____/____
Reason for leaving:_________________________________Owner or Agent:_________________
LANDLORD PHONE#:____________________Amount of Rent: $__________
Previous Address:__________________________________________City:_________________
Dates of Occupancy - From: __________________ To: _________________________
Reason for leaving:________________________________Owner or Agent:__________________
LANDLORD PHONE#:____________________Amount of Rent: $__________
**Our income to rent ratio is 3 to 1. This means that the total monthly pre-tax income of all
applications must be equal or greater than 3 time the monthly rental rate. If the total pre-tax income is less
than this, a co-signer will be needed. Co-signer forms are available in office or on our web site at
Please attach evidence of AFDC, SSI, SCHOOL GRANTS, or other forms of
award-based income**
PLEASE GIVE YOUR EMPLOYMENT INFORMATION
YOUR STATUS
Full-Time
Part-Time
Student
Retired
Unemployed
CURRENT EMPLOYER:_____________________________________________________________________
FULL ADDRESS:________________________________POSITION:_________________________________
DATES EMPLOYED:_____________________________ SUPERVISOR:______________________________
PHONE:__________________SALARY - Hourly: $_________ Monthly: $__________
SPOUSE’S CURRENT EMPLOYER:____________________________________________________________
FULL ADDRESS:_______________________________POSITION:__________________________________
DATE EMPLOYED:______________________________SUPERVISOR:_______________________________
PHONE:__________________SALARY – Hourly: $_________ Monthly: $____________
CONTINUED ON OTHER SIDE