Application to Lease

APPLICATION TO LEASE

Rental Property Address: 33 South Wilson, Pasadena, CA91106 / Unit No.

Applicant InformationEach applicant over the age of 18 must complete their own application form

Last Name / First Name / Middle Initial / Social Security Number / Date of Birth
Driver’s License Number / State / Home Phone Number / Work Phone Number / Cell Phone Number
E-mail Address

Other Names you have used

Last Name / First Name / Middle Initial / Social Security Number / Date of Birth

Additional Occupants List everyone, who will be living with you

Last Name / First Name / Middle Initial / Social Security Number / Relationship

Address Information

Current Residence / Previous residence / Previous residence
Street Address
City
State & Zip
Dates of Stay / From: To: / From: To: / From: To:
Owner/Manager
Phone Number
Reason for Leaving
Last Rent Paid / $ / $ / $

Occupation Information

Current Employment / Prior Employment
Employer
Address
Employer Phone
Job Title
Gross Monthly Salary
Employed since
Name of Supervisor
Phone Number

Vehicle Information

Automobile / Make / Model / Color / Year / License No.
Motorcycles

Financial Information

Name of Bank or Savings & Loan / Branch or Address / Account Number / Balance
Checking
Savings

List of Financial Obligations

Name of Creditor / Account No. / Address / Phone Number / Balance / Monthly Payment Amount
Have you ever filed for Bankruptcy? If yes, list date filed:
General Information Please check Yes or No / YES / NO
Will you smoke in the apartment?
Will you have any pets in the apartment?
Will you play any musical instrument in the apartment?
Will you have any outdoor grill in the apartment?
Do you intend to use water filled furniture in the apartment?
Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs or convicted of any crime?
Have you ever been evicted for non-payment of rent or any other reason?

Please explain any “yes” answers to the above questions?

The applicant hereby applies to lease Apartment # at33 S. Wilson Ave., Pasadena, Ca 91106 for

$ per month, and upon owner’s approval agrees to enter into a Rental Agreement and/or Lease and pay for all rent and security deposits required before occupancy.A non-refundable application fee of $ is hereby submitted for the cost of processing this application, to obtain credit history and other background information.

Applicant to submit a hold deposit of $400.00. Upon Owner’s approval of Applicant’s application, the hold deposit becomes non-refundable. Hold Deposit will be applied towards your Security Deposit to be specified by Owner/Agent.If Applicant changes one’s mind and fails to enter into a lease with Owner/Agent, said hold deposit will be retained by Owner/Agent as liquidated damage for compensating Owner the loss of other potential tenant, the cost of re-advertising andadministrative charges.

In case of Emergency, contact:

Name / Phone / City / Relationship

Applicanthereby authorizes Owner/KOBA Properties, Inc. to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit and/or personal references upon request. 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 waives any claim and releases from liability any person providing or obtaining said verification or additional information. Applicant further authorizes Owner/KOBA Properties, Inc. to release any information provided regarding future and present rental history.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 represents that all information given on this application is true and correct and that Owner/KOBA Properties, Inc. may immediately terminate any tenancy entered into in reliance upon misinformation given on this application.

Name of Applicant Signature of Applicant Date

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