APPLICATIONTORENTORLEASE

APPLICANTEachApplicantovertheageof18mustcompletetheirownapplicationform

PLEASEPRINT

First,Middle,LastName

DateofBirth

SocialSecurity#

DriversLicense#

OtherNamesUsedIntheLast10Years

HomePhone

WorkPhone

CellPhone

ADDITIONALOCCUPANTSListeveryone,whowilllivewithyou:
First,Middle,LastName

RelationshipToApplicant

EMPLOYMENT
CurrentEmployment

PriorEmployment

Employer
Address
EmployerPhone
JobTitle
NameofSupervisor
DatesofEmployment

From:To:

From:To:

IncomePerMonth

RESIDENCE
CurrentResidence

PreviousResidence

PreviousResidence

StreetAddress
City
State&Zip
DatesofStay
Owner/Manager
And

Phonenumber
ReasonForLeaving
LastRentPaid

VEHICLES
Automobiles

Make

Model

Color

Year

LicenseNo.

Motorcycles

PERSONALREFERENCES
InCaseOfEmergency,Notify

Address/City

Phone

Relationship

CloseFriend

NearestRelativeLivingElsewhere

AOAFormNo.100A(Rev.04/06)Copyright2006ApartmentOwnersAssociationofCaliforniawww.aoausa.com
SanFernandoValley(818)9889200 LosAngeles(323)9378811 LongBeach(562)5972422 GardenGrove(714)5396000 SanDiego(619)2807007 NorthernCalifornia(510)7697521

CREDITINFORMATION

Pleaselistallyourfinancialobligations
NameofBankorSavings&Loan
BranchorAddress

CreditAccounts

AccountNo.

Address/City

AccountNo.

Balance

Checking

Savings

Phone

GENERALINFORMATION Circleanswerthatapplies
Doyousmoke?
Doyouhaveanypets?
Haveyoueverfiledforbankruptcy?
Doyouhaveanymusicalinstruments?
Doyouhaveanywaterfilledfurnitureordoyouintendtouse
waterfilledfurnitureintheapartment?
Haveyoueverbeenconvictedforselling,possessing,
distributingormanufacturingillegaldrugsorconvictedofany
othercrime?
Haveyoueverbeenevictedfornonpaymentofrentorany
otherreason?

Balance

YES
YES
YES
YES
YES

NO
NO
NO
NO
NO

YES

NO

YES

NO

DueMonthly

Pleaseexplainanyyesanswerstotheabovequestions:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Whyareyouleavingyourcurrentresidence?____________________________________________________
________________________________________________________________________________________
Theapplicantherebyappliestorent/leaseApartment#_________at___________________________
________________________________for$__________permonth,anduponownersapprovalagreesto
enterintoaRentalAgreementand/orLeaseandpayallrentandsecuritydepositsrequiredbefore
occupancy.
Anapplicationfeeof$__________isherebysubmittedforthecostofprocessingthisapplication,toobtain
credithistoryandotherbackgroundinformation.
Applicant represents that all information given on this application is true and correct. Applicant hereby
authorizes verification of all references and facts, including but not limited to current and previous landlords
andemployers,andpersonalreferences.Applicantherebyauthorizesowner/agenttoobtainUnlawfulDetainer,
Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit
and/or personal references upon request. Applicant understands that incomplete or incorrect information
provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant
hereby waives any claim and releases from liability any person providing or obtaining said verification or
additionalinformation.

Applicant:________________________________________Date:____________________________
(Signaturerequired)

AOAFormNo.100A(Rev.04/06)Copyright2006ApartmentOwnersAssociationofCaliforniawww.aoausa.com
SanFernandoValley(818)9889200 LosAngeles(323)9378811 LongBeach(562)5972422 GardenGrove(714)5396000 SanDiego(619)2807007 NorthernCalifornia(510)7697521