Application to rent



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CALIFORNIA ASSOCIATION OF REALTORS®

APPLICATION TO RENT/SCREENING FEE

(CAR. Form LRA, Revised 4/03)


  1. APPLICATION TO RENT

THIS SECTION TO BE COMPLETED BY APPLICANT. A SEPARATE APPLICATION TO RENT IS REQUIRED FOR EACH OCCUPANT 18 YEARS OF AGE OR OVER, OR AN EMANCIPATED MINOR.


Applicant is completing Application as a (check one)  tenant  tenant with co-tenant(s) or  guarantor/co-signor.

Total number of applicants  



PREMISSES INFORMATION

Application to rent property at       (“Premises”)

Rent:       per month

Proposed move-in date      


PERSONAL INFORMATION

FULL NAME OF APPLICANT      

Social Security No.      

Driver’s License No.      

State   

Expires      

Phone Number: Home      

Work      

Other      

Email:      

Name(s) of all other proposed occupant(s) and relationship to applicant      

Pet(s) or service animals (number and type)      

Auto: Make      

Model      

Year      

License No.      

State   

Color      

Other Vehicle(s):      

In case of emergency, person to notify      

Relationship      

Address      

Phone      

Does applicant or any proposed occupant plan to use liquid-filled furniture? No Yes

Type      

Has applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years? No Yes

If yes, explain      


Has applicant or any proposed occupant ever been convicted of or pleaded no contest to a felony? No Yes

If yes, explain      


Has applicant or any proposed occupant ever been asked to move out of a residence? No Yes

If yes, explain      



RESIDENCE HISTORY

Current address      

Previous address      

City/State/Zip      

City/State/Zip      

From       to      

From       to      

Name of Landlord/Manager      

Name of Landlord/Manager      

Landlord/Manager’s phone      

Landlord/Manager’s phone      

Do you own this property? No Yes

Do you own this property? No Yes

Reason for leaving current address      

Reason for leaving current address      


EMPLOYMENT AND INCOME HISTORY

Current Employer      

Supervisor      

From      

To      

Employer’s address      

Supervisor’s phone      

Position or title      

Phone number to verify employment      

Employment gross income      

Per

Other      

Per

Source      


The copyright laws of the United States (Title 17 U.S. Code) forbid the

unauthorized reproduction of this form, or any portion thereof, by photocopy machine or any other means, including facsimile or computerized formats. Copyright © 1991-2003, CALIFORNIA ASSOCIATION OF REALTORS®, INC.

ALL RIGHTS RESERVED.

LRA REVISED 4/03 (PAGE 1 OF 2)

Agent: Marcia Giusti Phone: (415) 823 - 8585 Fax: (925) 388 - 0099 Prepared using WINForms® software



Broker: Friendly Real Estate Services 116 Frankfort St Daly City, CA 94014
Previous Employer      

Supervisor      

From      

To      

Employer’s address      

Supervisor’s phone      

Position or title      

Employment gross income      

Per

Property Address:       Date:      


CREDIT INFORMATION

Name of creditor

Account Number

Monthly Payment

Balance Due

     

     

     

     

     

     

     

     




Name of bank/branch

Account Number

Type of account

Account Balance

     

     

     

     

     

     

     

     


PERSONAL REFERENCES

Name      

Address      

Phone      

Length of acquaintance      

Occupation      

Name      

Address      

Phone      

Length of acquaintance      

Occupation      


NEAREST RELATIVE(S)

Name      

Address      

Phone      

Relationship      

Name      

Address      

Phone      

Relationship      

Applicant understands and agrees: (i) this is an application to rent only and does not guarantee that applicant will be offered the Premises; and (ii) Landlord or Manager or Agent may accept more than one application for the Premises and, using their sole discretion, will select the best qualified applicant.


Applicant represents the above information to be true and complete, and hereby authorizes Landlord or Manager or Agent to: (i) verify the information provided; and (ii) obtain credit report on applicant.
If application is not fully completed, or received without the screening fee: (i) the application will not be processed, and (ii) the application and any screening fee will be returned.
Applicant Date Time
Return your completed application and any applicable fee not already paid to:

Address: City State Zip




  1. SCREENING FEE


THIS SECTION TO BE COMPLETED BY LANDLORD, MANAGER OR AGENT.

Applicant has paid a nonrefundable screening fee of $ , applied as follows: The screeninf fee may not exceed $30.00 (adjusted annually from 1-1-98 commensurate with the increase in the Consumer Price Index.)

$ for credit reports prepared by ;

$ for (other out-of-pocket expenses); and

$ for processing.

The undersigned has read the foregoing and acknowledges receipt of a copy.


Applicant Signature Date

The undersigned has received the screening fee indicated above.

Landlord or Manager or Agent Signature Date



LRA REVISED 4/03 (PAGE 2 OF 2) APPLICATION TO RENT/SCREENING FEE (LRA PAGE 2 OF 2)

THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATION OF REALTORS® (CAR.). NO REPRESENTATION IS MADE AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION IN ANY SPECIFIC TRANSACTION. A REAL ESTATE BROKER IS THE PERSON QUALIFIED TO ADVISE ON REAL ESTATE TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE, CONSULT AN APPROPRIATE PROFESSIONAL.

This form is available for use by the entire real estate industry. It is not intended to identify the user as a REALTOR®. REALTOR® is a registered collective membership mark which may be used only by members of the NATIONAL ASSOCIATION OF REALTORS® who subscribe to its Code of Ethics.


Published by the California Association of REALTORS®



Reviewed by __________ Date________



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