APPLICATION TO RENT MARIO JIMENEZ

One application per person Property Manager

(858) 768-4334 Direct Line
(858) 483-3534 Office Line
(858) 299-5970 Text Line
4406 Bayard Street, San Diego, CA 92109 (858) 270-4066 Fax
[email protected]
PERSONAL INFORMATION MOVE-IN DATE:____________
Application to rent property at:____________________________________________________________________________
Full name of applicant:___________________________________________________________ D.O.B._____________________
Social Security:_________________________________________
Driver's Lic#___________________________
State________________
Auto year, make & model______________________________ Lic #_______________________________
State_______________________
Home Phone________________________________
Cell Phone______________________________________
Work Phone_________________
E-Mail Address:____________________________________________________________ Smoker?____________________
List additional occupants:________________________________________________________________________________
Do you have animals?____________________________
If so, how many & what kind?____________________________________________
RENTAL REFERENCES-Three years
Present address___________________________________________
City/State/Zip__________________________________________
Name of landlord________________________________________________________
Phone number_________________________________________
Rent Amount $_____________________________________Your Portion of the rent $_________________________________
Date of tenancy From____________
To________________
Reason for moving______________________________________
Previous address___________________________________
City/State/Zip__________________________________________
Name of landlord______________________________________
Phone number_________________________________________
Rent Amount $___________________________ Your Portion of the rent $_________________________________
Date of tenancy From______________
To_________________
Reason for moving______________________________________
Previous address_________________________________________
City/State/Zip__________________________________________
Name of landlord______________________________________
Phone number_________________________________________
Rent Amount$_____________________________________ Your Portion of the rent $________________________________
Date of tenancy From___________
To_______________
Reason for moving______________________________________
INCOME INFORMATION
Present Employer_______________________________________________________
Phone__________________________________
Employer's Address___________________________________________________
How Long?______________________________
Gross Income_________________________________
Per________________________
Position________________________________
Submit current pay stub or official written verification of employment. * If less than one year provide additional employment history below
___________________________________________________________________________________________________
If student: What school___________________________
Income Source?______________________________
Amount?_____________
Total Savings / IRA / Investment / Assests___________________________________________________________________
EMERGENCY INFORMATION
In case of an emergency, please notify_____________________________________________________________________
Address____________________________________________________________
Phone_________________________________________
CREDIT INFORMATION
Have you ever been party to a bankruptcy/explain?____________________________________________________________
Have you ever been party to an unlawful detainer or lawsuit over real property/explain:________________________________
_____________________________________________________________________________________________________
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/agent to disclose tenancy information to previous or subsequent owners/agents.
Applicant Signature____________________________________________________________________________
Date & Time: ________________
A payment of $40.00 is required to screen applicant with respect to credit history and other background information. The
amount charged is itemized as follows:
1. Actual cost of credit report, unlawful detainer (evictions) search, and/or other screening reports:
$15.00 Received/ check
2. Cost to obtain, process and verify screening information (including staff time and other soft costs): Number:_______________
$25.00
3. Total application fee charged: $40.00
2014ver2