Application To Rent Form

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APPLICATION TO RENT
Complete separate application for each adult tenant.
Name: ________________________________________________________ Social Security #: _____________________________
LAST
FIRST
MIDDLE
Driver's Lic./ID #: ______________________________________ State___________
Birthdate __________________________
MONTH — DAY — YEAR
Home Phone (_____) _________________ Work Phone (____) __________________ Cell Phone (____) _____________________
CURRENT
Address: _______________________________________________________________________________________________
STREET
UNIT #
CITY
STATE
ZIP
How Long? From
: ___________ To: __________ Last Rent Paid: Month_____________________ Amt. $__________________
(Month/Year)
Owner/Manager __________________________ Tel:________________ Reason for Leaving_____________________________
PREVIOUS
Address: _______________________________________________________________________________________________
STREET
UNIT #
CITY
STATE
ZIP
How Long? From
: ___________ To: __________ Last Rent Paid: Month_____________________ Amt. $__________________
(Month/Year)
Owner/Manager __________________________ Tel:______________ Reason for Leaving________________________________
SECOND PREVIOUS
Address: _______________________________________________________________________________________________
STREET
UNIT #
CITY
STATE
ZIP
How Long? From
: ___________ To: __________ Last Rent Paid: Month_____________________ Amt. $__________________
(Month/Year)
Owner/Manager __________________________ Tel:______________ Reason for Leaving_______________________________
CURRENT EMPLOYMENT
Company Name ______________________________________ Address _____________________________________________
Company Phone _____________________ Occupation/Position _____________________ Type of Business _________________
Name of Supervisor _______________________ Dates of Employment - From: __________ To: _________ Monthly Salary_____________
PREVIOUS EMPLOYMENT
Company Name ______________________________________ Address _____________________________________________
Phone _____________________ Occupation/Position ___________________________ Type of Business ____________________
Name of Supervisor _______________________ Dates of Employment - From: __________ To: _________ Monthly Salary_____________
WHEN DO YOU PLAN TO MOVE IN? Date: _____________________________________
Applicant represents that statements made are true and correct and hereby authorizes owner's periodic verification of credit, income
and references to include but not limited to credit, unlawful detainer and bounced check checks and agrees to furnish additional credit
references on request. Applicant agrees to pay for said verification via check made payable to the Apartment Association of Greater Los
Angeles, which check shall accompany this Application. Such payment is a part of the application process and is a charge for the
administrative costs of application consideration. If applicant's check is returned "NSF", owner shall be liable for the charge on demand.
The undersigned makes application to rent housing accomodations designated as:
I hereby apply to rent/lease Apartment No. _________ at ____________________________________________________________
_________________________________________________________________________________________________________________
for $ ____________________ per month and upon approval of my Application and signed Rental Agreement, I agree to pay the first month's
rent of $ _________________ and a security deposit in the amount of $_____________.
Applicant Signature _________________________________________________________ Date ___________________________
Revised 5-05 - APP-RENT
Form provided as a membership service of the APARTMENT ASSOCIATION OF GREATER LOS ANGELES
621 South Westmoreland Avenue, Los Angeles, Ca 90005

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