TENANT APPLICATION

Property Address:____________________________________________________________Apt. No. _________________________

Name(s) of Applicant(s)_______________________________________________________________________________________

Other Name(s) used within last 3 years:___________________________________________________________________________

Names and Age of Other Occupants _____________________________________________________________________________

___________________________________________________________________________________________________________
Have you ever been Evicted?______________________________
Pets (Number & Type):_______________________________________________________________________________________

Present Address:___________________________________City-State____________________________Zip___________________

How long?__________________Reason for leaving:_________________________________________________________

Landlords Name and Phone Number:__________________________________________Rent/Mo.:___________________

Previous Address (Past 3 Years)__________________________________City-State _________________________Zip__________

How long?______________Reason for leaving:_____________________________________________________________

Landlords Name and Phone Number:__________________________________________Rent/Mo.:___________________

Previous Address (Past 3 Years)_________________________________________________________________________________

How long?______________Reason for leaving:_____________________________________________________________

Landlords Name and Phone Number:__________________________________________Rent/Mo.:___________________

Employment: (Applicant’s Name:______________________)
Social Security Number __________-______-____________ Drivers License Number_____________________________________

Birth Date (Mo.-Day-Yr.)________________________________________ (State and Expiration Date)_______________________

Present Employer:______________________________________________________How Long?_____________________

Address:______________________________________________________________Telephone:_____________________

Employed as:___________________________________________Salary: $__________________per_________________

Other Occupant: (Applicant’s Name:_____________________)
Social Security Number_________-_____-______________Drivers Lincense Number____________________________________

Birth Date (Mo.-Day-Yr.)________________________________________(State and Expiration Date)______________________

Present Employer_______________________________________________________How long?____________________

Address:______________________________________________________________Telephone:____________________

Employed as:___________________________________________Salary:$__________________per_________________
Other Income: $_____________________________Source:_________________________________________________________

Credit References (2):_______________________________________________________________________________________

Credit Cards: Issuer_________________Acct. No._______________________________________________________
Issuer_________________Acct. No._______________________________________________________

Bank Branch Address and Account Number

___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

Automobile License No._____________________________________State of Registry:____________________________________

Make & Model:_______________________________Year:_____________________Color:_________________________

In Case of Emergency:
Name of person to be informed:______________________________________________Relationship:_________________
Address:_________________________________________________________________Telephone:__________________

AUTHORIZATION TO VERIFY INFORMATION

I Authorize Landlord or his Authorized Agents to Verify the above information, including but not limited to obtaining a
Credit Report and if this application is accepted I agree to execute the residential lease or rental agreement as set forth on
the reverse side hereof.

Date______________________20__________ Applicant:________________________________________________

Telephone No.__________________________ Applicant:________________________________________________

A $10.00 per adult processing fee and $15.00 per married couple is charged upon receipt of an application!
California West, Inc., 145 So. Halcyon #D, Arroyo Grande (805) 489-9401 fax (805) 489-9439