Caa Application Rent – Fill Out and Use

(All sections must be completed)

Individual applications required from each occupant 18 years of age or older.

Last Name

First Name

Middle Name

Social Security Number or ITIN

Other names used in the last 10 years

Work phone number

Home phone number

(

)

(

)

Date of birth

E-mail address

Mobile/Cell phone number

(

)

Photo ID/Type

Number

Issuing government

Exp. date

Other ID

1.

Present address

City

State

Zip

Date in

Date out

Owner/Agent Name

Owner/Agent Phone number

Reason for moving out

Current rent

$

/Month

2.

Previous address

City

State

Zip

Date in

Date out

Owner/Agent Name

Owner/Agent Phone number

Reason for moving out

3.

Next previous address

City

State

Zip

Date in

Date out

Owner/Agent Name

Owner/Agent Phone number

Reason for moving out

Proposed

Name

Name

Occupants:

List all

Name

Name

in addition

to yourself

Name

Name

Do you have

Describe

Do you have a

Describe

pets?

waterbed?

How did you hear about this rental?

A.

Current Employer Name

Job Title or Position

Dates of Employment

Employer address

Employer/Human Resources phone number

(

)

City, State, Zip

Name of

your supervisor/human resources manager

Current gross income

Check one

$

Per

 Week  Month

 Year

B.

Prior Employer Name

Job Title or Position

Dates of Employment

Employer address

Employer/Human Resources phone number

(

)

City, State, Zip

Name of

your supervisor/human resources manager

Other income source

Amount $

Frequency

Other income source

Amount $

Frequency

California Apartment Association Approved Form

www.caanet.org

Form 3.0-R – Revised 1/12 - ©2012 – All Rights Reserved

Page 1 of 3

Please list ALL of your financial obligations below.

Name of Creditor	Address		Phone Number		Monthly Pymt. Amt.
		(	)
		(	)
		(	)
		(	)
		(	)
		(	)
In case of emergency, notify:	Address: Street, City, State, Zip			Relationship		Phone

1.

2.

		Length of
Personal References:	Address: Street, City, State, Zip	Acquaintance	Occupation	Phone

1.

2.

Automobile: Make:				Model:			Year:		License #:
Automobile: Make:				Model:			Year:		License #:
Other motor vehicles:
Have you ever filed for bankruptcy?						Have you ever been evicted or asked to move?

Have you ever been convicted of selling, distributing or manufacturing illegal drugs?

Applicant represents that all the above statements are true and correct, authorizes verification of the above items and agrees to furnish additional credit references upon request. Applicant authorizes the Owner/Agent to obtain reports that may include credit reports, unlawful detainer (eviction) reports, bad check searches, social security number verification, fraud warnings, previous tenant history and employment history. Applicant consents to allow Owner/ Agent to disclose tenancy information to previous or subsequent Owners/Agents.

Owner/Agent will require a payment of $

, which is to be used to screen Applicant.

The amount charged is itemized as follows:

1.Actual cost of credit report, unlawful detainer (eviction) search, and/or other screening reports $

2.Cost to obtain, process and verify screening information (may include staff time and other soft costs) $

3.Total fee charged $

The undersigned is applying to rent the premises designated as:

Apt. No.

Located at

The rent for which is $

per

. Upon approval of this application, and execution of a rental/lease agreement, the

applicant shall pay all sums due, including required security deposit of $

, before occupancy.

Date

Applicant (signature required)

California Apartment Association Approved Form

www.caanet.org

Form 3.0-R – Revised 1/12 - ©2012 – All Rights Reserved

Page 2 of 3

CALIFORNIA APARTMENT ASSOCIATION CODE FOR EQUAL HOUSING OPPORTUNITY

The California Apartment Association supports the spirit and intent of all local, state and federal fair housing laws for all residents without regard to color, race, religion, sex, marital status, mental or physical disability, age, familial status, sexual orientation, or national origin.

The California Apartment Association reaffirms its belief that equal opportunity can best be accomplished through effective leadership, education, and the mutual cooperation of owners, managers, and the public.

Therefore, as members of the California Apartment Association, we agree to abide by the following provisions of this Code for Equal Housing Opportunity:

•We agree that in the rental, lease, sale, purchase, or exchange of real property, owners and their

employees have the responsibility to offer housing accommodations to all persons on an equal basis.

•We agree to set and implement fair and reasonable rental housing rules and guidelines and will provide equal and consistent services throughout our residents’ tenancy.

•We agree that we have no right or responsibility to volunteer information regarding the racial, creed, or ethnic composition of any neighborhood, and we do not engage in any behavior or action that would result in “steering.”

•We agree not to print, display, or circulate any statement or advertisement that indicates any preference, limitations, or discrimination in the rental or sale of housing.

RECEIPT FOR TENANT SCREENING AND/OR CREDIT CHECKING FEES

On		, Owner/Agent received $			from the undersigned, hereinafter called “Applicant,”
	(Date)
who offers to rent from Owner/Agent the premises located at:
								, Unit # (if applicable)
(Street Address)
				, CA			.
(City)						(Zip)

Applicant represents that all the above statements are true and correct and authorizes verification of the above items and agrees to furnish additional credit references upon request. Applicant authorizes the Owner/Agent to obtain reports that may include credit reports, unlawful detainer (eviction) reports, bad check searches, social security number verification, fraud warnings, previous tenant history and employment history.

Payment is to be used to screen “Applicant”. The amount charged is itemized as follows:
1.	Actual cost of credit report, unlawful detainer (eviction) search, and/or other screening reports	$
2.	Cost to obtain, process and verify screening information (may include staff time and other soft costs)	$
3.	Total fee charged (cannot exceed the amount fixed by law)	$