APPLICATION TO RENT

1. NAME_______________________________________________________________________________
2. SS Number_____________________________ 2A DL Number________________________
Birthdate__________________________________

STATE___________________

3. CURRENT ADDRESS_________________________________________________________________
How Long? FromMonth/Year__________________________To___________________
Last Rent Paid Month________________ Amount $________________________
Owner/Manager____________________________ Why Leaving?______________________________

4. PREVIOUS ADDRESS________________________________________________________________
How Long? FromMonth/Year__________________________To___________________
Last Rent Paid Month________________ Amount $________________________
Owner/Manager____________________________ Why Leaving?______________________________

5. SECOND PREVIOUS__________________________________________________________________
How Long? FromMonth/Year__________________________To___________________
Last Rent Paid Month________________ Amount $________________________
Owner/Manager____________________________ Why Leaving?______________________________
:
CURRENT EMPLOYMENT
Company Name_________________________________________________________________________
Company Address_______________________________________________________________________
Phone_____________________Position_______________________Type of Business_________________
Name of Supervisor______________________________Date of Employment From_______ To_________
Monthly Salary______________________________

PREVIOUS EMPLOYMENT
Company Name_________________________________________________________________________
Company Address_______________________________________________________________________
Phone_____________________Position_______________________Type of Business_________________
Name of Supervisor______________________________Date of Employment From_______ To_________
Monthly Salary______________________________
WHEN DO YOU PLAN TO MOVE IN? Date:
____________________________________________________
Applicant represents that the statements made are true and correct and hereby authorizes owners periodic verification of credit, income and
references to include but not limited to credit, unlawful detainer and bounced check checks and agrees to furnish additional credit references on
request. Applicant agrees to pay for said verification via check made payable to Apartment Association of Greater Los Angeles, which check
shall accompany this Application. Such payment is a part of the application process and is a charge for the administrative costs of application
consideration. If applicants check is returned NSF, owner shall be liable for the charge on demand. The undersigned makes application to
rent housing accommodations designated as:

I hereby apply to rent/lease unfurnished room at 20437 Schoenborn Street, Winnetka, CA 91306
For $650 per month and upon approval of my Application and signed Rental Agreement, I agree to pay the first
months rent of $650 and a security deposit in the amount of $650,
Applicant Signature________________________________________________________ Date________________
______________________________________________________________________________________________

LIST ALL ADDITIONAL ADULTS AND CHILDREN WHO WILL OCCUPY UNIT
Name_____________________________________Age_________Rekation__________________________________
Name_____________________________________Age_________Rekation__________________________________
Name_____________________________________Age_________Rekation__________________________________
Name_____________________________________Age_________Rekation__________________________________
ADDITIONAL INFORMATION
1. Have you ever had any credit problems? Yes_________No________________
2. Have you ever had an unlawful detainer filed against you? Yes_________No________________
3. Have you ever been evicted for non-payment of rent or for other reason? Yes_________No________________
4. Have you ever foiled bankruptcy? Yes_________No________________
5. Have you ever been convicted for selling, possessing, distributing, or manufacturing illegal drugs? Yes___No__
6. Do you have any pets? Yes___No__ If yes, how many?______Describe________________________________
7. Will you be using any water-filled furniture in your residence? Yes___No____ If yes, do you have insurance? _
Yes___No__
8. Do you have any musical Instruments? Yes___No__If Yes, what kind________________________________
9. Please explain any YES answers
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
BANKING INFORMATION
Name of Bank/S&L/Credit Union___________________________Branch or Address__________________________
Checking #_______________________________Approx Bal.____________________________
Savings #_______________________________Approx Bal.____________________________
Name of Bank/S&L/Credit Union___________________________Branch or Address__________________________
Checking #_______________________________Approx Bal.____________________________
Savings #_______________________________Approx Bal.____________________________

CREDIT REFERNCES (Credit Cards/Car payments/Other Loans)

Company Name_______________________________Address City_____________________________________
Account #____________________Present Balance____________________Monthly Payment_________________
Company Name_______________________________Address City_____________________________________
Account #____________________Present Balance____________________Monthly Payment_________________
Company Name_______________________________Address City_____________________________________
Account #____________________Present Balance____________________Monthly Payment_________________
Company Name_______________________________Address City_____________________________________
Account #____________________Present Balance____________________Monthly Payment_________________
EMERGENCY CONTACT
Name__________________________Address____________________________________________________
Relationshp____________________________________________Phone_______________________________
________________________________________________________________________________________________
VEHICHILES (Operable Automobiles including Trucks, Vans, Motorcycles)
Are you the registered owner? Yes___No_ If not, who? _______________________________________________
Year_______Make_____________Model_________________Color____________License #____________ State____
Year_______Make_____________Model_________________Color____________License #____________ State____