Parkside Studios - Rental Application

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PARKSIDE STUDIOS – RENTAL APPLICATION
PLEASE RETURN THIS APPLICATION TO:
495 N. Wolfe Road, Sunnyvale, CA 94085
Equal Opportunity Housing
MONDAY THROUGH FRIDAY 9:00
.
- 4:00
.
A
M
P
M
TTY/VCO/HCO 711 to Vocie:
Charities Housing
English 800.855.7100
Spanish 800.855.7200
Note: Use blue or black ink only. Incomplete applications will not be accepted. Do NOT use white-out, cross mistakes with one line, initial
and write corrected information next to it.
I/ We understand that this property has a non-smoking policy but Charities Housing cannot guarantee a smoke free environment
Yes
No
APPLICANT
Special Needs: Homeless  Disabled
Full name ____________________________________________________
Phone numbers: Cell:(______)__________________Work:(______)___________________Home: (______)________________
Social Security or ITIN Number._________/_________/__________ Date of Birth_____/______/_____ email: ______________
Driver’s license or government issued Identification Number: ________________ Expires_____/______/_____ State_________
Current address: ___________________________________City: _________________________ State________ Zip _________
Does anyone in the household live or work in the City of Sunnyvale?
Yes
No
Documentation will be required to obtain local preference)
List 2 years of residential history below. Use additional sheet, if needed.
Name of current landlord / manager or management company________________________________________
Landlord/Manager’s phone(____)__________________From (date):______/_____/_______ To (date): ______/_____/_______
Reason for leaving ________________________________________________________________________________________
Previous landlord/manager___________________ Previous Address _______________________________________________
Landlord/Manager’s phone(____)__________________From(date):______/_____/_______To(date): ______/_____/________
Reason for leaving ________________________________________________________________________________________
Present employer _______________________ Supervisor ________________How long with this employer ________________
Employer’s address _________________________City ______________ State _____Zip_______ Phone (____) _____________
Position or title __________________________Gross income $ __________Circle one: Hourly /Weekly/Every two weeks/Monthly
Other Income: List all other sources of income (TANF, child support, General Assistance, Alimony, other family support, self employment,
VA benefits, etc.)
Source________________________ $ _______ Circle one: Hourly / Weekly / Every two weeks / Monthly
Source________________________ $ _______ Circle one: Hourly / Weekly / Every two weeks / Monthly
What do you estimate your total gross annual income to be? $____________________
Do you own an automobile?  Yes  No Auto make _______________ Model ___________ Year _______ Color _________
Bank Account Information. Do you have a bank account:
Yes
No If you checked Yes, please provide information below.
Name of Bank
Address/branch
Account number
Type
of
account
Instruments of Savings (Certificates of Deposit, Retirement Plans that you can access, etc.).
Do you have Instruments of Savings:
Yes
No If you checked Yes, please provide information below.
Name of account / location
Account number Balance
Interest rate
Do you own any Real Estate (such as a house), either alone or with someone else?  Yes  No
If yes, please provide the address:
If yes, do you receive any income from the Real Estate?  Yes  No. If yes, how much? $__________
Have you sold or disposed of any assets in the last two years?  Yes  No
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