No Fee Required RENTAL APPLICATION Office 717-4457 Fax To: 925/743-1878

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Name ___________________________ Phone: ___________ Phone:___________ Phone:____________

Social Drivers Date of E-mail

Security No._________________License No.____________Birth _________Address:____________________

Present Address ______________________________________________________________________

How long at this address? ______ Rent $ _______ Reason for moving ___________________________

Owner/Manager ______________________________________________ Phone: _________________

Previous Address _____________________________________________________________________

How long at Reason for

This address? __________ Rent $________ moving?__________________________________

Owner/Manager _____________________________________________ Phone __________________

Name & relationship of every person to live with you, even if only temporarily (include ages of minors)

___________________________________________________________________________________

Credit rating scale: how would you grade your credit 1 to 100 (100 the best): _____________

Present

Occupation _____________________ Employer _______________________ Phone ___________

How long with this

Employer? _______________ Supervisor _____________________ Phone ___________

Occupation _____________________ Employer _______________________Phone ___________

How long with this

Employer? _______________ Supervisor ______________________Phone ___________

Current Gross Income Per Month (before deductions) $________________

List sources and amount of other income ___________________________________________________

Amount of alimony and/or child support you receive $ ____or pay $ ______ Bachelor Degree: yes / no

Savings Account

Account: Bank _____________________________Branch _________________Number ____________

Checking Account

Account: Bank _____________________________Branch _________________ Number ____________

Major Credit Account Average

Card: ____________________________________ Number _________Balance__________ Expires_______

Credit Account Average Monthly

Reference ________________________________ Number _________Balance________Payment______

HAVE YOU

Ever filed bankruptcy? _____ Ever been evicted? ______ Ever been convicted of a felony? ____________

Have you ever made any late rent payments?______ How many?______ Foreclosure or Preforeclosure? ______

Vehicle(s)

Make(s) ________________ Model(s) ______________ Years(s)____________ License(s)___________

Personal

Reference ___________________________ Address ________________________ Phone ___________

Contact in

Emergency __________________________ Address ________________________ Phone ___________

Anticipated length of occupancy:__________________________________________________________

I declare that the statements above are true and correct. I authorize verification of my references and credit

as they relate to my tenancy and to future rent collections.

Date Signature _________Application for Unit #_Date Needed:_______

MUST BE 100 % COMPLETE OR WE WILL NOT RUN THE REPORT Office 717-4457 Fax To: 925/743-1878

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Credit rating scale: how would you grade your credit 1 to 100 (100 the best): _____________

Savings Account

HAVE YOU

Date ________ Signature _____________________Application for Unit #_________Date Needed:___________

Date Signature _________Application for Unit #_Date Needed:_______