Please print this application and please fill out this application clearly; either print or type. We need copy of your Driver License or ID with this application.
First Middle Last Name |
Birth Date |
Social Sec No. |
State & Driver Lic No. |
Date Exp. |
ID Address: |
Date ID Issued |
Web Site Address: |
E-mail Address |
Home Phone |
Mobile Phone |
Other Phone |
Fax No. |
Additional Occupants (Over 18 years should complete separate application)
First Middle Last Name |
Birth Date |
Social Sec No. |
Relationship to Applicant |
Years Known |
Provide Proof of Current Income/Business Card/Resume Helpful / Explain if unemployed
Employment |
Current Employment / Income |
Previous Employment / 2nd Job |
Employed by |
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Business Address |
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Employer Phone |
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Occupation |
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Type of Business |
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Supervisor |
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Dates of Employment |
From to |
From to |
Income Per Month |
$ Check/Cash/Direct Dep |
$ Check/Cash/Direct Dep |
Days & Hours |
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Other Income |
Provide copy of present Rental Agreement. Letter of recommendation from landlord is helpful
Residence |
Current Address House/Apt No. |
Prior Address |
Street Address |
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City, State & Zip |
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Dates of Stay |
From to |
From to |
Rent Due Date |
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Monthly Rent |
$ Check/Cash |
$ Check/Cash |
Owner/Manager |
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Phone No. |
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Owner's Address |
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Name of roommates |
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Why are you moving? |
1. Why do you like my property? |
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Available Funds to Move In (Provide Bank Statements)
Bank's Name |
Account in Name of |
Account No. |
Balance |
Date Opened |
Auto Loans/Other Loans/Credit Cards
Bank's Name |
High Credit Limit |
Account Number |
Balance |
Mon Payment |
Home Utility Bills/Phone Bills/Other Monthly Payments
Name of Company |
Account in name of |
Balance Owed |
Mon Payment |
Personal References/Nearest Relatives/Close Friends
First Name Last Name |
Address, City & Zip |
Phone No. |
Profession |
Relationship |
Years |
Automobile/Motorcycle/Truck/Van/Boats/Rv's (Provide proof of auto insurance)
Type/Make/Model |
Year |
License No. |
Color |
Registered Owner |
Applicant declares under penalty of perjury that all the information given on this application is true and correct and hereby authorizes periodic verification of all references and facts, obtaining Unlawful Detainer, Court Records, Employment, Income, Account Verification, Bounced check checks, background checks (Investigative Consumer Report) that concerns your character, reputation, personal characteristics, criminal history and Credit Reports.
Applicant also agrees to pay for said verifications and knows such payment is
a part of the application process and is a charge for the administrative cost
of application consideration. Submitted application and supporting documents
are not returnable and becomes property of Management Company.
Applicant hereby waives any claims and releases from liability any person providing or obtaining said verification or additional information. Applicant authorizes sharing of above information among his/her co-applicants. Applicant acknowledges that other prospective tenants may be interested and applying for the same property.
The undersigned hereby applies to lease Apartment No. ______ at_____________________________________for
$ _________ per month and upon owner's approval agrees to enter into a Lease
Agreement and pay all rent and security deposits required before occupancy.
This application will be incorporated into and part of Lease Agreement. Any
misrepresentation or omission made in this application will cause the denial
of this application, shall constitute a none-curable breach of this Agreement
and applicant may be charged additionally for investigation of untrue statements.
A non-refundable Application fee of $20.00 is hereby submitted as tenant's
screening fee to validate, review and/or process this application. This fee should be paid
in form of cash or money order payable to J. Nosrati and mail to Adoring Home
Property Management at Post Office Box 351023 Los Angeles, CA 90035-1023.
Incomplete application will delay your approval. Original signature is required
to process this application.
Applicant ___________________________ Dated: _____________________________ | Home Page | Top |