Residential Application - Apartments in Burbank

Last*

First*

Middle

Home Phone*

Work Phone*

Cell Phone*

Date of Birthday*

Driver's License*

State of Driver License*

Primary Email Address*

SSN*

Residency

Present Address*

Street Address Suite/Bldg/Room City State ZIP Code

Date Moved In*

Date Moved Out*

Owner's Name*

Owner's Phone Number*

Reason for Moving*

Previous Residency

Previous Address

Street Address Suite/Bldg/Room City State ZIP Code

Date Moved In

Date Moved Out

Owner's Name

Owner's Phone Number

Reason for Moving

Occupants

Proposed Occupants

First	Last	Age
			Edit Delete
There are no Occupants.

Maximum number of occupants reached.

Occupation

Present Occupation*

Employer Name*

How long with this employer?*

Name of your supervisor*

Employer Phone*

Employer Address*

Street Address Suite/Bldg/Room City State ZIP Code

Previous Occupation

Prior Occupation	Employer Name
		Edit Delete
There are no Occupation.

Maximum number of occupation reached.

Income Information

Current Gross Income*

Per*

Name of your banking branch*

Account Number*

Type of Account*

Balance*

Other Banking Accounts

Name of your banking branch	Type of account	Balance
			Edit Delete
There are no Banks.

Maximum number of banks reached.

Creditor/Lenders/Credit Cards

Creditor/Lenders/Credit Cards*

Account Number*

Monthly Payment*

Balance Owed

Other Creditor/Lenders/Credit Cards

Creditor/Lenders/Credit Cards	Balance Owed
		Edit Delete
There are no Entries.

Maximum number of entries reached.

Emergency Contact Information

In the case of an emergency, notify*

Phone*

Relationship*

Automobile

Year*

Make*

Model*

Color*

License Plate #*

Other automobiles

Year	Make	Model	Color
				Edit Delete
There are no Entries.

Maximum number of entries reached.

Motorcycle/Boat/ATV/Other

Types

Type	Year	Make	Model
				Edit Delete
There are no Entries.

Maximum number of entries reached.

Other Information

Do you have pets?*

If yes, please describe

Do you have liquid filled furniture?*

Yes
No

Has applicant ever been sued for bills?*

Yes
No

Has applicant ever broken a lease?*

Yes
No

Has applicant ever been bankrupt?*

Yes
No

Has applicant ever been evicted?*

Yes
No

Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including but not limited to the obtaining of a credit report, verification of income and bank accounts, and agrees to furnish additional credit references on request.

The undersigned makes applications to rent housing accommodations designated as:

Building Address*

Apartment Number*

The rental for which is Rental Amount below and upon approval of this application agrees to sign a rental or lease agreement and to pay all sums due, including required deposits, before occupancy.

Rental Amount*

Date*

File Uploads

Drop files here or

Accepted file types: jpeg, jpg, pdf, Max. file size: 50 MB.

Upload Bank Statements, Copy of Driver's licenses, Pay Stubs

Signature*

Since a credit check and other tenant information will be reviewed by property management, it is essential that all your prior history be listed here regarding Unlawful Detainer actions (evictions), all delinquencies (either in rent or other credit); judgements; liens, bankruptcies; and any other matters which affect your credit or personal finances

There is a $35, non-refundable application fee. Do you wish to continue?

Yes

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Application Fee

Name

This field is for validation purposes and should be left unchanged.