APPLICATION TO RENT

(all sections must be completed) Individual applications required from each occupant 18 years of age or older.
R E B M U N Y T I R U C E S L A I C O S E M A N E L D D I M E M A N T S R I F E M A N T S A L
R E B M U N E N O H P K R O W D I R E H T O S R A E Y 0 1 T S A L E H T N I D E S U S E M A N R E H T O
( )
R E B M U N E N O H P E M O H E T A T S N O I T A R I P X E . O N E S N E C I L S R E V I R D H T R I B F O E T A D
( )
1 Y T I C S S E R D D A T N E S E R P STATE ZIP CODE
. O N E N O H P R G M / R E N W O E M A N R G M / R E N W O T U O E T A D N I E T A D
( )
REASON FOR MOVING
2 E D O C P I Z E T A T S Y T I C S S E R D D A S U O I V E R P
. O N E N O H P R G M / R E N W O E M A N R G M / R E N W O T U O E T A D N I E T A D
( )
REASON FOR MOVING
3 E D O C P I Z E T A T S Y T I C S S E R D D A S U O I V E R P T X E N
. O N E N O H P R G M / R E N W O E M A N R G M / R E N W O T U O E T A D N I E T A D
( )
REASON FOR MOVING
PROPOSED NAME NAME
OCCUPANTS
LIST ALL
IN ADDITION
TO
YOURSELF
WILL YOU DESCRIBE WILL YOU HAVE DESCRIBE
have pets? liquid filled
furniture?
A Present occupation Employer
or source of income name
How long with Supervisor's Employer
s s e r d d a ) ( # e n o h P r e y o l p m e s i h t
Name of your City, State
supervisor ZIP
B Prior Employer
occupation name
How long with Supervisor's Employer
s s e r d d a ) ( # e n o h P r e y o l p m e s i h t
Name of your City, State
supervisor ZIP
e n O k c e h C e m o c n i s s o r g t n e r r u C
R E P $ ? Week ? Month ? Year
r e b m u N t n u o c c A s s e r d d A r o h c n a r B k n a b r u o y f o e m a N
checking
savings
Please list ALL of your financial obligations below
California Apartment Association Approved Form
www.caanet.org
Form 3.0-R Revised 1/02 2002 All Rights Reserved
Page 1 of 2
UNAUTHORIZED REPRODUCTION
OF BLANK FORMS IS ILLEGAL
On the date on reverse, Owner received $ ___________________ from the undersigned, hereinafter called Applicant, who
offers to rent from Owner the premises located at:
___________________________________________________________________ , Unit # (if applicable) _________
__________________________________________ , CA _____________ .
Applicant authorizes verification of information supplied by applicant via methods which may include, but are not limited
to, tenant screening and credit checking.
CONTINUED
ON REVERSE
RECEIPT FOR TENANT SCREENING AND/OR CREDIT CHECKING FEES
(Street Address)
(City) (ZIP)
California Apartment Association Approved Form
www.caanet.org
Form 3.0-R Revised 1/02 2002 All Rights Reserved
Page 1 of 2
Name of creditor Address Phone Number Mo. pymt. amt.
( )
( )
( )
( )
( )
( )
In case of emergency, notify: p i h s n o i t a l e R y t i C e n o h P s s e r d d A
1. ( )
2. ( )
Length of
Personal References: n o i t a p u c c O e c n a t n i a u q c A e n o h P s s e r d d A
1. ( )
2. ( )
Automobile: Make ________________________________ Model _________________________________ Year ____________ License # __________________________
Automobile: Make _________________________________ Model __________________________________ Year ____________ License # __________________________
Other motor vehicles: __________________________________________________________________________________________________________________________
Have you ever filed for bankruptcy? _________________________ Have you ever been evicted or asked to move? _______________________________________________
Have you ever been convicted for selling, distributing or manufacturing illegal drugs? _________________________________________________________________________
Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including, but not limited to,
the obtaining of a credit report and agrees to furnish additional credit references upon request. Applicant consents to allow owner/manager to disclose
tenancy information to previous or subsequent owners/managers.
Owner will require a payment of $_________________ , which is to be used to screen Applicant with regards to credit history and other background
information. The amount charged is itemized as follows:
1. Actual cost of credit report, unlawful detainer (eviction) search, and/or other screening reports $ ____________________
2. Cost to obtain, process and verify screening information (may include staff time and other soft costs) $ ____________________
3. Total fee charged (cannot exceed $30 per applicant, which may be adjusted annually with the CPI as of 1-1-98) $ ____________________
The undersigned makes application to rent housing accommodations designated as:
Apt. No. __________________ Located at ____________________________________________________________________________________________
the rent for which is $ ______________ per _________________________ and upon approval of this application agrees to sign a rental or lease agreement
and to pay all sums due, including required security deposit of $_______________, before occupancy.
Date Applicant (signature required)
CALIFORNIA APARTMENT ASSOCIATION CODE FOR EQUAL HOUSING OPPORTUNITY
The California Apartment Association supports the spirit and intent of all local, state and federal fair housing laws for all residents without regard to color, race, religion,
sex, marital status, mental or physical disability, age, familial status, sexual orientation, or national origin.
The California Apartment Association reaffirms its belief that equal opportunity can best be accomplished through effective leadership, education, and the mutual
cooperation of owners, managers, and the public.
Therefore, as members of the California Apartment Association, we agree to abide by the following provisions of this Code for Equal Housing Opportunity:
We agree that in the rental, lease, sale, purchase, or exchange of real property, owners and their employees have the responsibility to offer housing
accommodations to all persons on an equal basis.
We agree to set and implement fair and reasonable rental housing rules and guidelines and will provide equal and consistent services throughout our residents
tenancy.
We agree that we have no right or responsibility to volunteer information regarding the racial, creed, or ethnic composition of any neighborhood, and we do not
engage in any behavior or action that would result in steering.
We agree not to print, display, or circulate any statement or advertisement that indicates any preference, limitations, or discrimination in the rental or sale of housing.
California Apartment Association Approved Form
www.caanet.org
Form 3.0-R Revised 1/02 2002 All Rights Reserved
Page 2 of 2
UNAUTHORIZED REPRODUCTION
OF BLANK FORMS IS ILLEGAL
t n e g A / r e n w O e t a D
t n a c i l p p A e t a D
Payment is to be used to screen Applicant with regards to credit history and other background information. The amount
charged is itemized as follows:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $ s t r o p e r g n i n e e r c s r e h t o r o / d n a , h c r a e s ) n o i t c i v e ( r e n i a t e d l u f w a l n u , t r o p e r t i d e r c f o t s o c l a u t c A . 1
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $ ) s t s o c t f o s r e h t o d n a e m i t f f a t s e d u l c n i y a m ( n o i t a m r o f n i g n i n e e r c s y f i r e v d n a s s e c o r p , n i a t b o o t t s o C . 2 _
3. Total fee charged (cannot exceed $30 per applicant, which may be adjusted annually with the CPI as of 1-1-98) $ _____________________