Tenant Application
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2UCSB COMMUNITY HOUSING OFFICE
University Center, Santa Barbara, CA 93106-7160
E-Mail: ucsbcho@housing.ucsb.edu
v
Phone: 805-893-4371
ON-LINE LISTINGS v EDUCATION v DISPUTE RESOLUTION v RENTAL SUCCESS GUIDE
TENANT APPLICATION
PERSONAL INFORMATION
Name: Last
First
Middle
Phone Number:
Mailing Address:
Social Security Number:
Driver’s License # & State:
Last Rental Address:
Duration of Last Tenancy:
Reason for Moving: __________________________________________________________________________
__________________________________________________________________________________________
Name of your Last Property Provider/Manager:
Have you ever been evicted or asked to move? YES
NO Please explain: ____________________________
__________________________________________________________________________________________
Automobile – Make:
Model:
Year:
License #:
State:
LIST NAMES OF PROPOSED OCCUPANTS
1. __________________________________________
2. _________________________________________
3. __________________________________________
4. _________________________________________
Will you have pets? YES
NO
Describe:
SOURCE OF INCOME (%)
$ __________________
$ __________________
$ __________________
$___________________
Part-Time Job(s)
Self-Employed
Parental Support
Grants/Loans
If Employed…
Name of Employer/Supervisor:
Phone Number:
Employer’s Company & Address:
Sample Form
41
UCSB Community Housing Office /
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Parent category: Business