Rental Application by 7439JqI3

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									                          Rental Application
                  To be completed separately by every adult tenant

Property Address: 172 Marylinn Drive, Milpitas CA 95035

Background Information and Rental History
Full Name______________________________________________________________

Home Phone:(______)______-________        Work Phone: (______)______-_________

Driver’s License No. __________________ Social Security No. __________________

Date of Birth _______________________ Cell Phone:      (______)______-_________

Current Address _________________________________________________________

Email Address __________________________________________________________

Years at Address: ________   Reason for leaving _______________________________

Owner/Manager: _____________________ Phone No: (______)________-__________

Name and Relationship of every adult person to live with you: _____________________

_______________________________________________________________________




Name and Relationship of every child to live with you: ___________________________

_______________________________________________________________________




Employment History
Current Occupation:_______________________________________________________

Name and Address of Employer:_____________________________________________

Years with this Employer: _____ Name of Supervisor ___________________________
Phone No: (______)______-_________         Monthly Income: $______________________

Credit History
Savings Acct No.:____________________ Bank _______________________________

Checking Acct No.:___________________ Bank _______________________________

Monthly Debt (Excluding rent for residence) $__________________________________


Miscellaneous
Vehicle Make:__________________ Model: ___________________ Year: _________

License Plate no.: __________________


References
Personal Reference: _______________________________________________________

Address: _______________________________ Phone No: (______)______-_________


Emergency Contact:
Name: __________________________________ Relationship:____________________

Address: ________________________________________________________________

___________________________________ Phone No: (______)______-_________

I certify that all the information given above is true and correct, and I hereby authorize
the Owner/Manager of the property listed above to verify any and all of the information
and references provided to obtain all relevant credit information pertaining to me. I agree
to pay the Owner/Manager a nonrefundable credit-checking fee of $25.00 to obtain a
report on my credit from a credit reporting agency.

Date:_________________________ Signed:___________________________________

Notes:

								
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