Fillable Aform F1 - Pplication To Rent Template

Name of Bank/S&L/Credit Union: __________________________________ Branch or Address: _______________

Checking#: ________________ Approx. Bal. _____________ Savings#: _____________ Approx. Bal. __________

CREDIT REFERENCES (Credit Cards/Car Payments/Other Loans)

Company Name: _________________________________ Address/City: _________________________________

Account#: ____________________________ Present Balance: ______________ Monthly Payment: ___________

Company Name: _________________________________ Address/City: _________________________________

Account#: ____________________________ Present Balance: ______________ Monthly Payment: ___________

Company Name: _________________________________ Address/City: _________________________________

Account#: ____________________________ Present Balance: ______________ Monthly Payment: ___________

PERSONAL REFERENCES

Name

Address & City

Phone

Time

Relationship

Known

(

)

(

)

(

)

EMERGENCY CONTACT

Name: __________________________________ Address: ____________________________________________

Relationship: _______________________________________________ Phone: (_______) ___________________

VEHICLES (Operable Automobiles including Trucks, Vans, Motorcycles)

Year: ______ Make: _____________ Model: ______________ Color: ________ License#: __________ State: ____

Applicant represents that all of the above statements are true and correct and hereby authorizes their verification

including, but not limited to, the obtaining of a credit report and agrees to furnish additional credit references on request.

Owner/Agent is authorized to obtain a credit report now and in the future.

In connection with my application for rental and/or employment, I understand that background inquiries will be made on

myself including consumer, criminal, driving and other reports. Employment reports may include information as to my

character, work habits, performance and experience along with reasons for termination of past employment from previous

employers. I understand that information will be requested from various federal, state and other agencies and entities,

public and private, which maintain records concerning my past activities relating to driving, credit, criminal, civil and other

experiences as well as claims involving me in insurance company files.

I authorize, without reservation, any party or agency contacted, to furnish completely and without limitation, any and all of

the above mentioned information and any other information related thereto. Further, I will release from liability and will

defend and hold harmless all requesters and suppliers of information in accordance herewith.

The undersigned makes application to rent housing accommodations designated for the amount and location as set forth

above and upon approval of this application agrees to sign a rental or lease agreement and to pay all sums due, including

requested deposits before occupancy. Fraudulent information herein will result in automatic denial of application.

Dated: ______________ , __________ ___________________________________________________________

Applicant

UNAUTHORIZED USE PROHIBITED

For Members Only

Apartment Association,

California Southern Cities

Approved Form# F1 – 1/2001

Aform F1 - Pplication To Rent Template - 2001 Page 2

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