Applying to Rent:

1st Choice 876 Embarcadero Del Mar 6590 Cordoba 6596 El Greco 6509 Madrid 6504 Madrid 6518 Madrid 6504 Pardall 6604 Sabado Tarde 6724 Pasado 6621 Sueno 429 Pacific Oaks 6669 Trigo

2nd Choice 876 Embarcadero Del Mar 6590 Cordoba 6596 El Greco 6509 Madrid 6504 Madrid 6518 Madrid 6504 Pardall 6604 Sabado Tarde 6724 Pasado 6621 Sueno 429 Pacific Oaks 6669 Trigo

3rd Choice 876 Embarcadero Del Mar 6590 Cordoba 6596 El Greco 6509 Madrid 6504 Madrid 6518 Madrid 6504 Pardall 6604 Sabado Tarde 6724 Pasado 6621 Sueno 429 Pacific Oaks 6669 Trigo

 

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)

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