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CALIFORNIA RENTAL APPLICATION

APPLICANTEachApplicantovertheageof18mustcompletetheirownapplicationform PLEASEPRINT
First,Middle,LastName DateofBirth SocialSecurity# DriversLicense#

OtherNamesUsedIntheLast10Years HomePhone CellPhone Email Address

ADDITIONALOCCUPANTSListeveryone,whowilllivewithyou:
First,Middle,LastName RelationshipToApplicant

EMPLOYMENT
CurrentEmployment PriorEmployment
Employer

Address

EmployerPhone

JobTitle

NameofSupervisor

DatesofEmployment From:To: From:To:

IncomePerMonth $ $

RESIDENCE
CurrentResidence PreviousResidence PreviousResidence
StreetAddress
City
State&Zip
DatesofStay
Owner/Manager
And
Phonenumber
ReasonForLeaving
LastRentPaid $ $ $

VEHICLES
Automobiles Make Model Color Year LicenseNo.

Motorcycles

PERSONALREFERENCES
InCaseOfEmergency,Notify Address/City Phone Relationship

CloseFriend

NearestRelativeLivingElsewhere

AOAFormNo.100A(Rev.07/10)Copyright2006ApartmentOwnersAssociationofCalifornia, Incwww.aoausa.com
SanFernandoValley(818) 9889200 LosAngeles(323) 9378811 LongBeach(562) 5972422 GardenGrove(714) 5396000 SanDiego(619) 2807007 NorthernCalifornia(510) 7697521
CREDITINFORMATION Pleaselistallyourfinancialobligations
NameofBankorSavings&Loan BranchorAddress AccountNo. Balance
Checking $
Savings $
CreditAccounts AccountNo. Address/City Phone Balance DueMonthly

GENERALINFORMATIONCheckanswerthatapplies
Doyousmoke? YES NO
Doyouhaveanypets? YES NO
Haveyoueverfiledforbankruptcy? YES NO
Doyouhaveanymusicalinstruments? YES NO
Doyouhaveanywaterfilledfurnitureordoyouintendtouse YES NO
waterfilledfurnitureintheapartment?
Haveyoueverbeenconvictedforselling,possessing, YES NO
distributingormanufacturingillegaldrugsorconvictedofany
othercrime?
Haveyoueverbeenevictedfornonpaymentofrentorany YES NO
otherreason?

Pleaseexplainanyyesanswerstotheabovequestions:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Whyareyouleavingyourcurrentresidence?____________________________________________________
________________________________________________________________________________________

Theapplicantherebyappliestorent/leaseApartment#_________at___________________________
________________________________for$__________permonth,anduponownersapprovalagreesto
enterintoaRentalAgreementand/orLeaseandpayallrentandsecuritydepositsrequiredbefore
occupancy.

Anapplicationfeeof$__________isherebysubmittedforthecostofprocessingthisapplication,toobtain
credithistoryandotherbackgroundinformation.

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 tocurrent and previous landlords
andemployers,andpersonalreferences.Applicantherebyauthorizesowner/agenttoobtainUnlawfulDetainer,
Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit
and/or personal references 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
additionalinformation.

Applicant:________________________________________Date:____________________________
(Signaturerequired)

AOAFormNo.100A(Rev.07/10)Copyright2006ApartmentOwnersAssociationofCalifornia, Incwww.aoausa.com
SanFernandoValley(818) 9889200 LosAngeles(323) 9378811 LongBeach(562) 5972422 GardenGrove(714) 5396000 SanDiego(619) 2807007 NorthernCalifornia(510) 7697521

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