Application

Property of Interest * Select

Desired Move-In Date*

Referred By* Please Select Real estate agent Newspaper Sign Internet Other

First Name*

Middle Name

Last Name*

Email Address*

Home Phone Number

Cell Phone Number*

Social Security Number*

Driver License Number*

State License Issued*

Date of Birth*

Marital Status*

Emergency Contact Name*

Emergency Contact Phone Number*

Emergency Contact Email Address*

(1) First Name

Last Name

Relationship

Date of Birth

(2) First Name

Last Name

Relationship

Date of Birth

(3) First Name

Last Name

Relationship

Date of Birth

(4) First Name

Last Name

Relationship

Date of Birth

(5) First Name

Last Name

Relationship

Date of Birth

(6) First Name

Last Name

Relationship

Date of Birth

Present Address*

City*

State*

Zip*

Landlord's Name*

Landlord's Phone*

Date Moved-In*

Move-Out Date*

Reason for Moving*

Current Rent Per Month*

Previous Address

City

State

Zip

Previous Landlord's Name

Previous Landlord's Phone

Date Moved-In

Date Moved-Out

Reason for Moving

Previous Rent Per Month

Current Employer Name

Current Employer Address

City, State, Zip

Supervisor's Name

Employer Phone

Dates of Employment

Gross Monthly Income

Job Title / Position

Prior Employer Name

Prior Employer Address

City, State, Zip

Supervisor's Name

Employer Phone

Dates of Employment

Gross Monthly Income

Job Title / Position

Other Monthly Income Source; Explain Source

Amount

Make

Model

Year

License#

Monthly Payment

Make/Additional

Model/Additional

Year/Additional

License#/Additional

Monthly Payment/Additional

Do you have pets?*

Yes No

Description of Pets (If Applicable)

Do you have a waterbed?*

Yes No

Does anyone who will occupy the property smoke?*

Yes No

Will the applicant maintain renter's insurance?*

Yes No

Is the applicant or applicant's spouse, even if separated, serve in the military?*

Yes No

If the military person serving is under orders limiting the military person's stay to one year or less?*

Yes No

Has the applicant ever been evicted?*

Yes No

Has the applicant ever been asked to move out by a landlord?*

Yes No

Has the applicant ever breached a lease or rental agreement?*

Yes No

Has the applicant ever filed for bankruptcy?*

Yes No

Has the applicant ever lost property in a foreclosure?*

Yes No

Has the applicant ever had any credit problems, slow-pays, or delinquencies?*

Yes No

Is any occupant a registered sex offender?*

Yes No

Have you ever been convicted of a crime?*

Yes No

Are there any criminal matters pending against any occupant?*

Yes No

Explain any additional information the applicant wants considered?

Authorization

I authorize SDSU Rentals, Inc. to obtain my present and previous residence information, as well as any current and previous employment information. This includes any salary or other pertinent information that may assist in completing my rental application. I further authorize SDSU Rentals, Inc. to verify my credit history and perform a criminal record search by any means deemed reasonable. I understand that the information SDSU Rentals, Inc. obtains is to be used only in the processing of my rental application. Further, I authorize my current and former employers as well as other organizations to provide such information. I hereby release and hold harmless SDSU Rentals, Inc., my current and former employers, my current and former landlords, and any other organizations who have provided information from any and all liabilities arising out of the use of such information in connection with my consumer report.

Please enter your initials below to agree to the Applicant Credit Check Request and Authorization*

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