Rental Application

 

Equal Housing Opportunity
http://www.detroitLA.com
(323)230-0087

Also available in PDF or HTML

Send complete application and credit report (free at www.annualcreditreport.com) for each applicant to:

The undersigned hereby makes an application to rent 162 or 164 North Detroit St, Los Angeles, CA 90036

PLEASE TELL US ABOUT YOURSELF
Full Name______________________________________ Mobile Phone (        ) ________________
Date of Birth__________________________  Social Security #_________________________
Email Address:_________________________________________   Other Phone (       ) ______________
Names of Dependents____________________________ Dependents DOB ______________________
List All Pets___________________________________________________________________

PLEASE PROVIDE RESIDENTIAL HISTORY (LAST 3 YEARS)
Current Address__________________________ Apt#_____ City_______________ State___ Zip______
Month/Year Moved In___________ Reasons for Leaving ___________________Rent $______
Owner/Agent __________________________________________Phone (       ) ______________
Previous Address (last 3 years) ___________________________________Rent $__________
Owner/Agent________________________________________ Phone (       ) ______________

PLEASE DESCRIBE YOUR CREDIT HISTORY
Have you declared bankruptcy in the past seven (7) years? Yes___________ No____________
Have you ever been evicted from a rental residence? Yes___________ No____________
Have you had two or more late rental payments in the past year? Yes___________ No____________
Have you ever willfully or intentionally refused to pay rent when due? Yes___________ No____________

PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your Status:  _____Full Time _____Part Time _____Student _____Unemployed
Employer_______________________________________________________
Dates employed________________________ Employed as________________________
Supervisor Name__________________________________ Phone (        )_____________________
Salary $_______________per__________.  (If employed by above less than 12 months, give name & phone of previous employer or school: _____________________________________________.)
If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse’s annual income unless you want us to consider it in this application.
Amount $___________________ Source/Contact Name___________________________

PLEASE LIST YOUR REFERENCES
Banking  Accounts:
Name_________________ Type of Account_________________ Account Number_________________
Name_________________ Type of Account_________________ Account Number_________________
Personal Reference or Emergency Contact:
Name _______________________ Address __________________________________________
Phone _______________________ Relationship_______________________
Driver’s License:
Your Driver’s License Number______________________ State___________
Vehicle Information:
Make / Model _________________Year ______ License Plate ______________ State_____

ADDITIONAL INFORMATION
Please give any additional information that might help owner/management evaluate this application?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Where may we reach you to discuss this application?
Day Phone # (         ) ______________________ Night Phone # (          )_______________________
Email: _______________________________________

I recognize that as a part of your procedure for processing my application, and investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.
The above information, to the best of my knowledge, is true and correct.

Please sign:  X__________________________________     __________________________________
Name of Applicant                                                   Date

AUTHORIZATION
Release of Information

I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting an apartment with this owner/manager.
_____________________________________________
Name (please print)
X_______________________________________       __________________________
Signature                                                                                 Date