APPLICATION TO RENT -  please print clearly

Apartment Applying for:______________________________Apt#______Move In:____/____/____

Applicant's Name:___________________________________SS# ___ ___ ___- __ __ - ___ ___ ___

Co-Applicant's Name:________________________________SS# ___ ___ ___- __ __ - ___ ___ ___

Phone # (___)__________________  DOB Applicant:_____/____/___ Co-Applicant ____/____/___

Dr. Lic Applicant________________ State______ Co-Applicant ___________________State_____

CurrentAddress__________________________ City _________________State______Zip_______

(If current address is less than 3 years)
PreviousAddress_________________________ City _________________State______Zip_______

CURRENT LANDLORD INFORMATION :

Property Name or Property Management Co._____________________________________________

Landlord or Contact Name ______________________________Phone # (___)_________________

Landlord Address __________________________City_________________St______Zip________

Monthly Rental Amount_______________ Lived at residence from __________To __________

EMPLOYMENT INFORMATION:

Employer/Company Name_________________________________________________________

Address __________________________City_______________________St_______Zip_______

Supervisor's Name __________________________________ Phone # (___) _________________

Position ______________________Salary $_________ Start Date/Length of Employment_______

Co-Applicant:
Employer/Company Name_________________________________________________________

Address__________________________City_______________________St_______Zip________

Supervisor's Name __________________________________ Phone # (___) _________________

Position______________________Salary $_________ Start Date/Length of Employment_________

BANK INFORMATION
Name of Bank___________________________________________________________________

Account number__________________________________________________________________

EMERGENCY CONTACT INFORMATION - In case of emergency please notify 

Name__________________________ Phone number __________________ Relation ___________

Have you ever filed for Bankruptcy ? _________     Have you ever been evicted ? _______________

I/We confirm that all the information supplied is true and correct. I/we understand that I/we can be turned down for the apartment if I/we have falsified any information on this application. I/we hereby authorize the verification of all above information by Able Screening Service including my credit, criminal background, rental history, check writing and employment history including salary.

Applicant's Signature ____________________Co-Applicant's Signature ___________________DATE_______

FOR OFFICE USE ONLY: CALL ABLE SCREENING SERVICE  1-415-353-0744  OR  FAX TO 1-415-449-3599 TO PROCESS THIS APPLICATION. THE COMPLETED APPLICATION SHOULD BE KEPT ON FILE FOR 2 YEARS REGARDLESS OF ACCEPTANCE OR DENIAL.