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RESIDENTIAL RENTAL APPLICATION

213 N. Orange St.
Suite A
Glendale, CA 91203
Tel: (818) 546-1212
Fax: (818) 507-0118
* Required Field

ADDRESS APPLYING FOR (include unit #)*:



Please complete in full. This form does not obligate either party to the performance of a contract for leasehold property. It is purely to gather information and does not constitute an offer to lease property, or any negotiation for such purpose.

PERSONAL INFORMATION

Applicant
Name*:
Home Address*:
City*:
State*: Zip*:
How long at present address?:
E-mail address*:
Home Telephone:
Cellular Number:
Business Telephone:
Social Security Number*:
Driver's License No.:
Birth Date*:
Have You Ever Filed For Bankruptcy?:
Are You a U.S. Citizen?:
Co-Applicant / Spouse
Name:
Home Address:
City:
State: Zip:
How long at present address?:
E-mail address:
Home Telephone:
Cellular Number:
Business Telephone:
Social Security Number:
Driver's License No.:
Birth Date:
Have You Ever Filed For Bankruptcy?:
Are You a U.S. Citizen?:


EMPLOYMENT / BUSINESS DATA

Applicant
Current Employer:
Address:
City/State/Zip:
Position:
Present Salary
(gross monthly):
Co-Applicant / Spouse
Current Employer:
Address:
City/State/Zip:
Position:
Present Salary
(gross monthly):


Personal References Relationship Phone number Time Known


Vehicle Make/Model Year Color License # State


Please list all proposed occupants:


Do you have any credit problems? Do you have any pets?
Have you ever been evicted or had an unlawful detainer filed against you?
Have you ever been convicted of selling, possessing, distributing, or manufacturing illegal drugs?
Reason why you are moving (required):

It is understood that the purpose of this application is to gather general information for the purpose of procuring the establishing credit from time to time with you and to induce you to permit the undersigned to become indebted to you and is in no way binding upon either Specialized Realty, Inc. or its agents or representatives of the applicant. It is, however, understood that the applicant supplies the information contained herein to the best of his or her knowledge and ability.

By submitting this application electronically, I/We hereby authorize Specialized Realty, Inc. or whomever they may appoint, or any Landlord, credit bureau, other investigation agency, or other financial institution, to investigate criminal background, credit history, financial responsibility, ability to pay rent, residential history, and the references and statements submitted to obtain information regarding my/our employment and background, as needed to process our application. It is understood that a non-refundable $35 application processing fee is required per applicant. This application shall become a part of any lease for this unit.

The undersigned certifies that the above statements (or in lieu thereof, the attached statement, as the case may be) and supporting schedules, both prints and written, give a full, true and correct statement of the financial condition of the undersigned as of the date indicated.

Applicant Name: Date:
Co-Applicant Name: Date

By clicking the button below,
you agree to submit this application