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Student Application
Property Information
Please be sure to input information according to the hints (in small letters).
*Rental Property AddressStreet Name Property(s)
Rental AmountAmount of Rent
*Requested Move In Date:xx/xx/xxxx
Personal Information (one application per person over 18)
*First Name:
Middle Initial:
*Last Name:
Social Security #xxx-xx-xxxx
*Date of Birth:xx/xx/xxxx
If your SS# is not provided, we will call you for the number.
*E-Mail:
*Current Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
Address Date From/To:
*Cell Phone:
*Parents Phone:
Work Phone:
*Drivers License Number or Valid ID & StateR-XXXXXX - CA
*Exp Datexx/xx/xxxx
Facebook Page
Linked IN Page
Co-Tenant or Group Name:Full Name
Co-Tenant or Group Name:Full Name
Co-Tenant or Group Name:Full Name
Co-Tenant or Group Name:Full Name
Co-Tenant or Group Name:Full Name
Vehicles
*Car Make & Model:
*Production Year:
*Color:
*License Plate Number:
Residence History
Previous Address-Date From/To
*to
*Previous Address:
*City:
*Zip Code:
*Prop Mgr/Owner Name:
*Prop Mgr/Owner Phone:
*Previous Rent:Numerals only please
Utilities Included?
Water Electric Other 
Reason for leaving:
to
Previous Address-Date From/To
*Previous Address:
*City:
*Zip Code:
*Prop.Mgr/Owner Name:i.e. Ray Brown-Owner
*Prop Mgr/Owner Phone:
*Previous Rent:Numerals only please
Utilities Included?
Water Electric Other 
Reason for leaving:
Income Source
*Current Occupation:
*Employer or Income SourceThis can be cosigner
*Salary or Amount of Financial Award per SemesterMonthly award
*Total Monthly Income:Numerals only please
*Who is your Co-signerThis can be cosigner
*Start Date:xx/xxxx
Savings
*Bank-Checking/Savings Bank Name:i.e. BofA - Checking
Account Number:last 4 digits
*Balance:Numerals only please
Bank-Checking/Savings Name:BofA - Checking
Account Number:last 4 digits
Balance:Numerals only please
Credit Reference
*Credit Account Name:Name on Credit Card or Account
Account Number:
*Balance:Numerals only please
Credit Account Name:
Account Number:
Balance:Numerals only please
Question & Answer
*Rate Your Neatness:
Compulsively Neat
Very Neat
Moderately Neat
Not Very Neat
Slob
*Smoker?
Yes
No
*Ever Filed for Bankruptcy?
Yes
No
*Ever been evicted?
Yes
No
*Ever refused to pay rent?
Yes
No
I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT.
Applicant understands and agrees: (1) this is an application to rent only and does not guarantee that applicant will be offered the Premises; and (2) Landlord/Manager 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/Manager to verify the information provided and obtain credit report on applicant. If application is not fully completed or received without the screening fee: the application will not be processed fully and may result in being disqualified from being selected for the home.
I agree that the Landlord may terminate any agreement entered into in reliance on any misstatements made above.
*Dated:xx/xx/xxxx
By entering my first & last below, I agree to the terms and conditions stipulated on this application.
*Signature:
Home Viewing Application
  Hold my application until I select a home
Processing Application Fee
  Fee per adult over 18 -
Grand Total:
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