Application

Applying for Unit:

Applicant Information

Last Name*

First Name*

M.I

SSN*

Driver's Lic # & State*

Date of Birth*

Home Phone*

Work Phone

Email*

Current Address

Street Address*

City*

State*

ZIP*

Date In

Date Out

Landlord Name*

Landlord Phone*

Monthly Rent

Reason For Leaving*

Current Address

List names and birth dates of all additional occupants 18 years or older

List names and birth dates of all dependents 18 years or older

Pets

Pets?

Describe *Additional Pet Deposit Required

Employment & Income Information

1. Occupation*

Employer / Company*

Monthly Salary*

Supervisor Name*

Supervisor Phone*

Start Date*

End Date*

2. Occupation

Employer / Company

Monthly Salary

Supervisor Name

Supervisor Phone

Start Date

End Date

1. Other Income Description

Monthly Income

2. Other Income Description

Monthly Income

Emergency Contact

1. Name*

Address

Phone*

Relationship*

2. Name

Address

Phone

Relationship

Personal References

1. Name

Address

Phone

Relationship

2. Name

Address

Phone

Relationship

Background Information

Please answer the following questions

Have you ever:

Filed for Bankruptcy?*

No
Yes

Willfully or intentionally refused to pay rent when due?*

No
Yes

Been evicted from a tenancy or left owing money?*

No
Yes

If Yes, Please provide Property Name, City, State and Landlord Name.*

Been convicted of a crime?*

No
Yes

If Yes, Please provide Type of offense, County and State*

Vehicle Information

1. Make & Model*

Year

License No. & State*

2. Make & Model

Year

License No. & State

Other Vechicles

Other Information

How did you hear about this property?*

Please include any other information you believe would help to evaluate this application

Release

I hereby apply to lease the above described premises for the term and upon the conditions above set forth and agree that the rental is to be payable the 1st day of each month in advance. I warrant that all statements above set forth are true. I hereby give my permission to communicate with my current and former landlord or property manager for the purpose of discussing any and all of the facts and circumstances of my current or former tenancy, as well as the other information listed above. I also give my permission to communicate with my current employer(s) and/or supervisor(s) for the purpose of verifying the employment information listed above. I understand there are no limitations or restrictions regarding what may be discussed or revealed. I am aware that a credit history, eviction search and criminal background check will be done in conjunction with my application. I understand that I may have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation.

Signature*

Use your mouse to sign below

Type Your Full Name*

Supplemental Documents

Upload copies of your most recent pay stub and bank statement. We accept files in PDF format only.

Upload Pay Stub*

Accepted file types: pdf, Max. file size: 10 MB.

Upload Bank Statement*

Accepted file types: pdf, Max. file size: 10 MB.

Upload Driver's License*

Please provide an image of your driver's license.

Max. file size: 10 MB.

Consumer Report Disclosure and Authorization

In connection with my application for housing, I understand that Promenade Properties III, LLC and its partners may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application. These consumer reports will be obtained from one or more of the following consumer reporting agencies:

Equifax, E.C.I.F., P.O. Box 740241 Atlanta, GA, 30374 0241, (800) 685 1111
Trans Union, Regional Disclosure Center, 1561 Orangethrope Ave., Fullerton, CA, 92631, (714) 738 3800
Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX, 75002, (888) 397 3742
On Site Manager Inc., P.O. Box 1524, Los Altos, CA, 94023 1514, (887) 222 0384

Under California Law, these consumer reports are defined as investigative consumer reports. These reports may contain information on my character, general reputation, personal characteristics and mode of living. In connection with my application for housing, I authorize Promenade Properties III, LLC to obtain a consumer report from the consumer reporting agencies listed above.

Signature:*

Type Full Name

Date

PLEASE NOTE:

Under Section 1786.22 of the California Civil code, if you wish to dispute the accuracy or completeness of any item in the consumer report, you may contact the consumer reporting agency named above and request investigation. You may also view the file maintained on you by the above credit reporting agency during any normal business hours. You can receive a copy of your file by providing proper identification and paying any related copy costs. You may also receive a summary of the file by telephone. The agency is required to have employees available to explain your file to you, and they must explain any coded information in your file. You can bring someone with you to view the file, so long as they have identification.

Application Fee

You must complete payment in order for your application to be accepted. The application fee is non-refundable.

Application Fee

Price:

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

Card Details

Cardholder Name

Application for Rental - 525smb

Applicant Information

Current Address

Current Address

Pets

Employment & Income Information

Emergency Contact

Personal References

Background Information

Vehicle Information

Other Information

Release

Supplemental Documents

Consumer Report Disclosure and Authorization

Application Fee