Application To Rent Form (Page 6 of 6) in pdf

Application To Rent Form Page 6

Please Type or Print Neatly in Blue or Black Ink

Each Proposed Tenant Must Fill Out a Separate Application

ATTACH COPIES OF ALL OF THE FOLLOWING TO THIS APPLICATION

1. Vehicle registrations, picture identification (California Drivers License or I.D.)

2. Social Security Cards and Birth Certificates for all family members who apply.

3. Copies of most recent federal and State income tax returns and W-2’s for all family members who apply.

4. 2 most recent wage statements (i.e. pay stub) if employed.

5. Most recent Social Security benefits statement or signed verification of disability form if not receiving

benefits.

6. Last 6 months of checking and savings account statements.

7. Savings passbook(s) for all family members who apply.

8. Stocks/bonds, most recent statement with I.D. numbers and address.

9. Health/Life insurance policy number(s), with name and address.

10. Any ongoing prescription costs not reimbursed by insurance.

11. Annuity/pension statements with I.D. numbers and address.

12. Written verification of all, prior living situations during the last 6 months (if you are at risk of

homelessness).

13. Completed Housing Authority of the City of Santa Barbara application titled, “Applicant/Tenant

Certification of Program Obligations”

ATTESTATION

DECLARE UNDER PENALTY OF PERJURY OF THE LAWS OF THE STATE OF

CALIFORNIA THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND

CORRECT, DATED

, SANTA BARBARA, CALIFORNIA.

_______________________________________ _______________________________________

SIGNATURE

NAME (PRINT)

Hollister Apartments Rental Application, rev. 1/2016

Application Page 4 of 4

Application To Rent Form Page 6