Applicant Authorization Forms

Application to Rent

This section to be completed by applicant. A separate application to rent is required for each occupant 18 years of age or over, or an emancipated minor.

What Property are you applying to rent? Please include unit number if applicable and agent's name.

* First Name:	* Last Name:	Middle:
* Social Security # :
* Day phone:	Evening phone:	E-mail

* If you have a former or maiden name, you are required to provide it.

CURRENT EMPLOYER:


*Employer		*Phone number:
Address:
City/State:		Zip code:
*Position		Gross income ( before taxes):
Superviser		Hire Date (mm/yyyy)
Human Resources Phone Number:
Driver's License Number:		State:

CURRENT ADDRESS


* Street Number		* Street Name:
City/State:		* Zip code:
Move In Date:		Reason for moving:
* Landlord's Name and Address:		* Phone Number:
Landlord E-mail:

Have you ever been evicted, filed for Bankruptcy, been a party to an unlawful detainer or served an eviction notice? If yes, please explain.

Have you ever been convicted of a felony? If yes, please explain.

Answering yes to the above will not automatically exclude you from being considered for housing.

Bank Name:		Type of Account, Account #, and Balance:
Branch Location:		City/State:
Ever applied for credit under a different name (i.e. a maiden name)?
Additional monthly income $		From what source?

Additional income does not need to be disclosed unless it is to be included for qualification for rental.

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References: (Must provide TWO references)
(Nearest relative not living with you or emergency contact)
* First Name:	* Last Name:	* Phone:
Address:

* First Name:	* Last Name:	* Phone:
Address:

How many pets do you have and what kind? (include fish tanks):

Name(s) of all proposed occupants and relationship to applicant who will live at the property.
Names:

How many bedrooms in the apartment are you applying for?

How long do you plan to live here? Start/End:

How many vehicles will be parked on property?

Vehicle(s) Make, Model, License Plate number, Year and Color for all vehicles:

In Case of Emergency

Notify:		Phone:
Address:		Relationship:

I certify that all statements I have made on this document are true, correct and complete. I authorize a verification of all statements made by me, including but may not be limited to credit history, criminal background and prior landlords. I release from all liability or responsibility all persons, companies and corporations conducting such verifications, or supplying information for such verifications.

Applicant understands and agrees:

(i) this is an application to rent only and does not guarantee that applicant will be offered the Premises; and
(ii) Landlord or Manager or Agent may accept more than one application for the Premises and, using their sole discretion, will select the best qualified applicant.

Applicant represent the above information to be true and complete, and hereby authorizes Landlord or Manager or Agent to

(i) verify the information provided; and
(ii) obtain credit report on applicant.

I understand that typing my name in the Type Name section below, and my User ID or Social Security Number in the Type User ID section below, and clicking on the Submit link below, constitutes my electronic signature, dated as of when I click on the "Sign Acknowledgment" button, and that by doing so:

I am authorizing Golden Bear Property Management to conduct the background check(s) described above, and I am consenting to use electronic means to sign this form and have read and understand the following disclosure.

* Type Name:

* Type User ID/SSN:

XXX

Co-Applicant Spouse is for married couples only. All other Co-Applicants please submit separate applications.

Signature:

Date:

Phone: Day

Evening:

Cell:

Application to Rent

References: (Must provide TWO references)

Notify: