Rental Application Process (Page 3 of 3) in pdf

1215 Solano Avenue , Albany, CA 94706

Ph: 510-528-2200 Fax: 510-528-2100

R E N T A L A P P L I C A T I O N

For Property located at:_____________________________________

A separate application to rent is required for each occupant 18 years of age or over, or an emancipated minor.

Applicant is completing Application as a (check one) □ tenant □ tenant with co-tenant(s) □ guarantor/co-signor ~ Please PRINT clearly

Check circle below

Please list ALL of your financial obligations below:

Current gross income $______________

Per

Wk.

Mo.

Yr.

In case of emergency, notify:

Address

Phone

City

Relationship

Personal References

Address

Phone

City

Length of acquaintance

Automobile: Make __________________ Model ___________ Year _______ Reg. State _______ Vehicle license number _________________

Additional vehicles, if any_____________________________________________________________________________________________

Have you ever filed for bankruptcy? ______ Have you ever been evicted from any tenancy or had an eviction notice served on you?_______

Have you ever willfully and intentionally refused to pay any rent when due?_______ Have you ever been convicted of a misdemeanor or felony

other than a traffic or parking violation?______ Are you a current illegal abuser or addict of a controlled substance?_______ Have you ever been

convicted of the illegal manufacture or distribution of a controlled substance?_____ Have you ever been asked to move out of a residence?______

If yes to any of the above, please indicate date/circumstance of occurrence: ______________________________________________________

Authorization

I hereby authorize Daniel Winkler & Associates, Inc. to order a consumer credit report, eviction reports, bad check searches, a social security

number verification, and verify other information, including employer and landlord references, that is needed to determine responsibility and

reliability as a tenant in a building we manage. It is understood that a copy of this application will also serve as this authorization. All personal

information Daniel Winkler & Associates, Inc. obtains is to be used exclusively in the processing of my rental application. Privacy Act Notice: this

information is used by the agency collecting it or its assignees in determining whether you qualify as a prospective tenant. It will not be disclosed

outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not, your application for

approval as tenant may be delayed or rejected. The information requested in this form is authorized by Title 38, USC Chapter 37.

Dated: ________________, 20______ Signature of Applicant: _____________________________________________________________

Applicant represents the above information to be true and complete, and hereby authorizes Daniel Winkler & Associates to: (i) verify the

information provided; and (ii) obtain credit report on applicant. Screening Fee: $30.00 payable to Daniel Winkler & Associates

Notice: Applicant understands and agrees: (i) this is an application to rent only and does not guarantee that applicant will be offered the Premises;

(ii) Landlord or Agent may accept more than one application for the Premises and, using their sole discretion, will select the best qualified

applicant; (iii) the Landlord or Agent may terminate any agreement entered into in reliance of any misrepresentation made above.

Rental Application Process Page 3