| RETREATO REAL ESTATE SERVICES - RENTAL APPLICATION
Rental Application
Applicant is completing Application as a (check one): tenant tenant with co-tenant(s) guarantor/co-signor
Total number of applicants ___
Name(s) of all other proposed occupant(s) and relationship to applicant: _____________________________________________________
Name: ____________________________ SS#: ______-_______-______ Driver’s license No. _____________ DOB: ______________
Home Phone: ________________ Work phone: _________________ Email: _______________________ Apt. desired: __________
Auto: Make ________________ Model ________________ Year ______ License No _____________ State _____ Color ______
Other vehicle(s): ______________________________________________________________________________________________
Does applicant or any proposed occupant plan to use liquid-filled furniture? ___ No ___ Yes Type __________________________
{Owner Does NOT allow any liquid-filed furnitures}
I was referred by _____ Sign _____ Chronicle _____ Bay Area Rental Guide _____ Online Advertisement _____ Other
Rental References_
Please list addresses for at least the last three consecutive years.
1. Current Address: _________________________________________________________________________Apt#_________
Complex Name: _________________________ City/State: ___________________ Zip: ________ From: _______ to ________
mo/yr mo/yr
Contact Person: ______________________________ Phone#: ______________________ Rent: $ _______________
Contact person is ___ Manager ___ Agent ___ Owner ___ Friend or relative ___ Other (Please explain) ________
Why are you moving? ____________________________________________________________________________
2. Previous Address: _________________________________________________________________________Apt#_________
Complex Name: _________________________ City/State: ___________________ Zip: ________ From: _______ to ________
mo/yr mo/yr
Contact Person: ______________________________ Phone#: ______________________ Rent: $ _______________
Contact person is ___ Manager ___ Agent ___ Owner ___ Friend or relative ___ Other (Please explain) ________
Why are you moving? ____________________________________________________________________________
3. Previous Address: _________________________________________________________________________Apt#_________
Complex Name: _________________________ City/State: ___________________ Zip: ________ From: _______ to ________
mo/yr mo/yr
Contact Person: ______________________________ Phone#: ______________________ Rent: $ _______________
Contact person is ___ Manager ___ Agent ___ Owner ___ Friend or relative ___ Other (Please explain) ________
Why are you moving? ____________________________________________________________________________
If you need more space, please use the forms on the back.
Employment References
Please list three consecutive years’ employment.
4. Employment: ___ Full Time ___ Part Time ___ Pay $ _______ per _______
Firm: ____________________________________ Address: ________________________City/State: _______________
Job title: _________________________________________ Phone#: __________________ from ________ to ________
mo/yr mo/yr
5. Previous Employment: ___ Full Time ___ Part Time ___ Pay $ _______ per _______
Firm: ____________________________________ Address: ________________________City/State: _______________
Job title: _________________________________________ Phone#: __________________ from ________ to ________
mo/yr mo/yr
If you need more space, please use the forms on the back.
Other Information
6. Non-employment Income:
If you are not currently employed, what is your source and amount of income?
Source: ____________________________________________________________ $ __________________ per _______________
How do we verify this? ______________________________________________________________________________________
7. Student Status:
Are you currently a student? ____ Yes ____ No
If yes, please answer the following: Are you: _____ full time _____ part time
School: __________________________________________________________
8. Occupants: For identification purposes only, names and age of all other occupants:
_____________________________________________ __________
_____________________________________________ __________
_____________________________________________ __________
9. Pets: Do you have pets? _____ Yes _____ No
Number: _______________ Type: _____________________________
Name(s): ____________________________________________________
10: Parent(s) (as emergency contact):
Names(s): _________________________________________Relation:_________________________Phone:____________________
Address: __________________________________________City/State: ____________________________ Zip: ________________
Acknowledgments
Please answer yes or no to the following:
Has applicant received the EPA’s lead hazard brochure and our lead disclosure? ________
Has applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years? ____ No ____ Yes
Has applicant or any proposed occupant ever been convicted of or pleaded no contest to a felony? ____ No ____ Yes
If Yes, explain: __________________________________________________________________________________
Has applicant ever been evicted from a tenancy? ______
If Yes, explain: __________________________________________________________________________________
Have you ever willfully and intentionally refused to pay rent when due? ______
If Yes, explain: __________________________________________________________________________________
I give specific permission to Retreato Real Estate Services to contact any owner, agent, manager, employer, court, law enforcement agency or other source to secure information about my payment and rental record, credit, employment, character and other factors for the verification of information contained in this application. I hereby authorize this release of information and do release from liability any person or entity supplying this information. I authorized the acquisition of investigative consumer reports from any of the agencies referenced on the list that I received from Retreato Real Estate Services, and I understand that I have the rights to dispute the accuracy of any information provided by a consumer report agency.
I have read the foregoing and agree that the information herein is true and correct and that this information is submitted by me for the purpose of securing approval of this application. I agree that the owner or agent may terminate any agreement entered into in reliance on any misstatement made above.
If application is not fully completed, or received without the screening fee: (i) the application will not be processed, and (ii) the application and any screening fee will be returned. Non-refundable screening fee is $20.00.
Signed: __________________________________________________ Dated: __________________________ Time: ___________
Additional Reference (if necessary):
11. Previous Address: __________________________________________________________________ Apt# ________________
Complex Name: _________________________ City/State: ___________________ Zip: ________ From: _______ to ________
mo/yr mo/yr
12. Previous Address: __________________________________________________________________ Apt# ________________
Complex Name: _________________________ City/State: ___________________ Zip: ________ From: _______ to ________
mo/yr mo/yr
13. Employment: ___ Full Time ___ Part Time ___ Pay $ ______________ per _______
Firm: _______________________________________ Address: ____________________________City/State: _______________
Job title: ___________________________________________ Phone#: ______________________ From ________ to ________
mo/yr mo/yr
14. Previous Employment: ___ Full Time ___ Part Time ___ Pay $ ______________ per _______
Firm: _______________________________________ Address: ____________________________City/State: _______________
Job title: ___________________________________________ Phone#: ______________________ From ________ to ________
mo/yr mo/yr
Retreato Real Estate Services
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