Rental application R 19 (PDF)

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Title: Rental application R 17.xls
Author: Mike

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Granada Properties Tel/Txt 818-276-6175 email

Your Name
Cel Tel
Home Tel
Other Tel
Drivers Lic#
Social Security#
Birth Date

Present Address Below
Street & Apt#
Rent per month
How long
Landlord Name
Landlord Tel
Why are you leaving

Current Employer
Income per week
Can you provide 2 months paycheck stubs

Employer Tel
How long on job

Public Assistance (Sec 8, SSI, SSDI, CalWorks, Etc) list below, we will need copies of all aid later.
Agency & Amount
For who and how are they related to you?

List all Proposed Occupants, Ages, & Relation to you If any of the proposed occupants is
receiving public assistance we will need copies of that aid before you move in.
Name & age list below
Relation to head of household

Have you ever been evicted?
Do you have a felony record?

Have you ever declared bankruptcy?
Do you own an animal?

List any large debts & collections such as car payments, large debts, large collections, tax liens, etc
What for & how much per month list below
What for & how much per month list below

Applicant Signature & Date

We will need a separate application for any occupant over 18 yrs old
Applicant represents that statements made are true and correct and here by authorizes verification of references to include but not limited to credit checks,
unlawful detainer checks and agrees to furnish additional credit references on request. I authorize verification of the information contained herein for the
purpose of establishing my qualifications as a tenant and in the event of rents owed or damages owed upon termination of the tenancy permission is hereby
authorized for additional credit checks as necessary. I release anyone verifying such information or providing information, from liability. I understand that
incomplete or incorrect information provided in the application, may cause a delay in processing and can result in denial of tenancy.

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