APPLICATION TO RENT OR LEASE APPLICATION FOR:—Please choose an option—McLaughlin C - 2 Bed, 1 BathSanta Ana Ave - 4 Bed, 2 BathSanta Ana Ave - ADU Studio 1 Bed, 1 BathSanta Ana Ave - Yoga/ Hobby Room20Th St. ADU 2 Bed20Th St. Extension 1 Bed597 17th C 1 bed 1 bath597 17th D 2 bed 1 bath597 N 17th AGion 3 bed 1 bathGion 3 bed 2 bath15th St 1 bed 1 bath15th St 1 bed 1.5 bath15th StudioElester 1 bed 1 bathSimon StudioSimon 1 bed 1 bathSimon 2 bed 1 bathSimon 3 bed 2 bathIllinois 2 bed 1 bathIllinois 1 bed 1 bath9th St 2 bed 1 bathDixie 4 bed 2 bathDixie 2 bed 1 bathDixie 1 bed 1 bathRoblar 3 bed 2.5 Bath Your Name (required) Date of Birth (required) Social Security # Driver's License #: Other Names: Home Phone: Cell Phone (required) Your Email (required) Desired Move In Date (required) ADDITIONAL OCCUPANTS: List everyone, who will live with you: Occupant 1: Relationship: Occupant 2: Relationship: Occupant 3: Relationship: Occupant 4: Relationship: Occupant 5: Relationship: Occupant 6: Relationship: EMPLOYMENT: Current Employment Employer (required) Job Title: Employer Phone: Income Per Month: Name of Supervisor: Dates of Employment: Full Address with Zip: Prior Employment: (If current job is less than 2 years) Employer: Job Title: Employer Phone: Income Per Month: Name of Supervisor: Dates of Employment: Full Address with Zip: RESIDENCE: Current Residence Full Address: Dates of Stay: Owner/Manager: Phone Number: Reason For Leaving: Last Rent Paid: Previous Residence:1 (If current residence is less than 5 years): Full Address: Dates of Stay: Owner/Manager: Phone Number: Reason For Leaving: Last Rent Paid: Previous Residence:2 (If current residence is less than 5 years) Full Address: Dates of Stay: Owner/Manager: Phone Number: Reason For Leaving: Last Rent Paid: VEHICLES: Automobile 1 Make: Model: Color: Year: License Plate #: VEHICLES: Automobile 2 Make: Model: Color: Year: License Plate #: PERSONAL REFERENCE: In case of emergency, notify Name: Relationship: Phone #: Full Address: PERSONAL REFERENCE: Close friend Name: Relationship: Phone #: Full Address: PERSONAL REFERENCE: Nearest relative living elsewhere Name: Relationship: Phone #: Full Address: CURRENT FINANCIAL ASSETS: List all your bank names and current balances Name of the Bank: Current Balance: Name of the Bank: Current Balance: Name of the Bank: Current Balance: GENERAL INFORMATION: Select answer that applies: 1. Do you smoke? —Please choose an option—YesNo 2. Do you have any pets or emotional support animals? —Please choose an option—YesNo 3. Have you ever filed for bankruptcy? —Please choose an option—YesNo 4. Do you have any musical instruments? —Please choose an option—YesNo 5.Do you have any water-filled furniture or do you intend to use water-filled furniture in the apartment? —Please choose an option—YesNo 6. Have you ever been convicted for selling possessing, distributing, or manufacturing illegal drugs or convicted of any other crime? —Please choose an option—YesNo 7. Have you ever been evicted for non-payment of rent or any other reason? —Please choose an option—YesNo Please explain any "Yes" answers to the above questions: Why are you leaving your current residence? An application fee of $40/person is hereby submitted for the cost of processing this application, to obtain credit history and other background information. Applicant represents that all information given on this application is true and correct, Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords and employers, and personal references. Applicant hereby authorizes the owner/agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. The application agrees to furnish additional credit and/or personal reference upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information. Please prove you are human by selecting the Star.