Embarcadero Company, Property Management and Sales
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Rental Application

Now Renting for 2021 - 2022

Please fill out and submit the online application below, or download and print the Rental Application (pdf) and mail or Fax to:

Embarcadero Company
6504 Pardall Road, Suite #9
Isla Vista, CA 93117

Fax # 805-685-6999

Questions? Please call us at 805-968-3508

Individual applications required from each occupant 18 years of age or older.
Maximum occupancy is limited to 2 (two) tenants per bedroom.

(all sections must be completed)

Applying to Rent:

 

Contact person for your group:

 

Applicant's Information:

Last Name:
First Name:
Middle Name:

Social Security No.:
Date of Birth:
Driver's License No.:

Email Address:
Cell Phone No.:


Current Address:

Address Line 1:
Address Line 2:

City:
State:
ZIP:

Date In:
Date Out:
Owner/Mgr/R.A. Name:
Owner/Mgr/R.A. Phone No.:

Reason for Moving:

 

Previous Address:

Address Line 1:
Address Line 2:

City:
State:
ZIP:

Date In:
Date Out:
Owner/Mgr/R.A. Name:
Owner/Mgr/R.A. Phone No.:

Reason for Moving:

 

Next Previous Address:

Address Line 1:
Address Line 2:

City:
State:
ZIP:

Date In:
Date Out:
Owner/Mgr/R.A. Name:
Owner/Mgr/R.A. Phone No.:

Reason for Moving:

 

Have You Ever Rented from Embarcadero Company?

Yes No
If so, when and where?

 

Other Proposed Occupants (List all):

Names:
Names:

 

Do You have Pets?

Yes No
If so, please describe:

 

Do You have Liquid-Filled Furniture?

Yes No
If so, please describe:

 

Education

What University/College are you attending?

What is your Major?

What Year are you? (Freshman, Sophomore, Junior, Senior, etc.)

 

Employment

Present Occupation (if employed)
Employer Name:

How long with this employer?
Employer Phone:
Employer Address:

Name of your Supervisor:

Father's Occupation/Job Title:
Employer Name:
Employer Phone:

Mother's Occupation/Job Title:
Employer Name:
Employer Phone:

 

Parent's Contact Information

Father's Full Name:
Home Phone No.:
Work Phone No.:

Address Line 1:
Address Line 2:

City:
State:
ZIP:


Mother's Full Name:
Home Phone No.:
Work Phone No.:

Address Line 1:
Address Line 2:

City:
State:
ZIP:

 

Emergency Contact Information

1) Emergency Contact Name:
Phone:
Relationship:

Address:
City:


2) Emergency Contact Name:
Phone:
Relationship:

Address:
City:

Prior Roommate Reference

Prior Roommate's Name:
Phone:
Length of Aquaintance:

Address:
City:

 

Applicant's Automobile Information

Automobile Make/Model:
Color:
Year:
License Plate No.:

 

Have You Ever Been Evicted or Asked to Move?

Yes No
If yes, please explain:

 

  1. Applicant represents that all of the above information is true and accurate.
  2. Applicant hereby authorizes verification of the above items including, but not limited to, the obtaining of a credit report.
  3. Applicant agrees to furnish additional references upon request.
  4. Applicant consents to allow owner/agent to disclose tenancy information to previous or subsequent owners/agents.

(INCOMPLETE APPLICATIONS ARE SUBJECT TO DENIAL)

 

(Required - Please check box):
I declare that the statements above are correct. I authorize verification of any information:


(Required - Please type your name below as your electronic signature):
Applicant Name:

(Required):
Application Date:


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