APPLICATION TO RENT                                           
                                            www.apts4rent.org
                          Fax To: 408-295-0128  or 408-238-4460                       

PERSONAL INFORMATION                                                        
                                     
FIRST NAME               _________________                 DRIVERS LICENSE# & SOCIAL SECURITY#          
_________________        
MIDDLE NAME           _________________                 DATE OF BIRTH                _________________        
LAST NAME                _________________                                        
                                     
HOME PHONE NUMBER _________________                                        
WORK PHONE NUMBER_________________                                        
                                     
                                     
RENTAL INFORMATION                                                
                                     
WHEN ARE YOU PLANNING TO MOVE?   ________                        
WHAT TYPE OF APARTMENT (ex.1 BDR) / WHICH PROPERTY (address)?
_____________________________________________________________________________________________________  
WILL YOU HAVE PETS?________                                        
WILL YOU HAVE LIQUID FILLED FURNITURE?________                        
LIST ALL PROPOSED OCCUPANTS                                                        
_______________________________                                _______________________________                        
_______________________________                                _______________________________                        
_______________________________                                _______________________________                        
                                     
                                     
TENANCY HISTORY                                                        
            
PRESENT ADDRESS ______________________________________________________                                        
DATE IN    _________________                                        
DATE OUT _________________                                        
REASON FOR MOVING  ______________________________________________________                                        
MANAGER'S / OWNER'S                                                        
PHONE NUMBER                _________________                                        
                                     
PREVIOUS ADDRESS                                                        
DATE IN        _________________                                        
DATE OUT     _________________                                        
REASON FOR MOVING     ______________________________________________________                                        
MANAGER'S / OWNER'S                                                        
NAME / PHONE NUMBER  ________________ / _________________                        
                                     
HAVE YOU EVER BEEN EVICTED / ASKED TO MOVE? ________                
                                     
                                
EMPLOYMENT HISTORY / FINANCIAL INFORMATION                                                        
                                     
PRESENT OCCUPATION        ______________________________________________________                                        
EMPLOYER NAME                  ______________________________________________________                                        
EMPLOYER PHONE NUMBER ______________________________________________________                                        
EMPLOYER ADDRESS            ______________________________________________________                                        
HOW LONG WITH THIS EMPLOYER? _____________________________________________                                
CURRENT INCOME: _____________ per:                week___        month___        year___        
                                     
PREVIOUS OCCUPATION      ______________________________________________________                                        
EMPLOYER NAME                 ______________________________________________________                                        
EMPLOYER PHONE NUMBER ______________________________________________________                                        
EMPLOYER ADDRESS           ______________________________________________________                                        
HOW LONG WITH THIS EMPLOYER? _____________________________________________                                
                                     
LIST ALL YOUR MONTHLY PAYMENTS                                                        
NAME OF CREDITOR                FINANCIAL INSTITUTION PHONE #                                          MONTHLY PAYMENT       

________________________                ___________________________________                                _______________        
________________________                ___________________________________                                _______________        
________________________                ___________________________________                                _______________        
________________________                ___________________________________                                _______________        
________________________                ___________________________________                                _______________        
________________________                ___________________________________                                _______________        
                                     
HAVE YOU EVER FILED FOR BANCRUPTCY?________                        
                                     
                                     
I certify that all above statements are true and correct and hereby authorize verification of the above                                        
    
items including, but not limited to, the obtaining credit report and agree to furnish additional credit                                            

references upon request. I consent to allow owner/manager to disclosure tenancy information to                                              

previous or subsequent owners/managers.                                                        
                                     
TODAY'S DATE                                 SIGNATURE                        
                                     
______________                        ___________________________