Rental Application
191 Sand Creek Road Suite 100 Brentwood, CA. 94513
Cell (925) 858-9760 - Office (925) 516-1647 - Fax (925)634-5653
Rental Property Address:
Applicant Information
Name:
Phone:
Date of birth:
SSN:
Drivers License:
Current address:
Landlord name/number:
City:
State:
ZIP Code:
Own         Rent        (Please circle)
Monthly payment or rent:
How long?
Previous address:
City:
State:                 
ZIP Code:
Owned     Rented    (Please circle)
Monthly payment or rent:
How long?
Name of Bank:
Account No.:
Have you ever filed for Bankruptcy?
 
If yes, when?
Have you ever been evicted?
 
If yes, when?
Have you ever refused to pay rent?
 
If yes, when?
Applicant Employment Information
Current employer:
Supervisor:
Employer address:
How long?
Phone:
E-mail:
Fax:
City:
State:
ZIP Code:
Position:
Hourly      Salary      (Please circle)
Annual income:
Co-applicant Information
Name:
Phone:
Date of birth:
SSN:
Drivers License:
Current address:
Landlord name/number:
City:
State:
ZIP Code:
Own         Rent        (Please circle)
Monthly payment or rent:
How long?
Previous address:
City:
State:
ZIP Code:
Owned     Rented    (Please circle)
Monthly payment or rent:
How long?
Name of Bank:
Account No.:
Have you ever filed for Bankruptcy?
 
If yes, when?
Have you ever been evicted?
 
If yes, when?
Have you ever refused to pay rent?
 
If yes, when?
Co-applicant Employment Information
Current employer:
Supervisor:
Employer address:
How long?
Phone:
E-mail:
Fax:
City:
State:
ZIP Code:
Position:
Hourly      Salary      (Please circle)
Annual income:
Questions
Do you plan to keep Pets at this Property?   (Y/N)             
If yes, what breed?
Is copy of: current ID attached? (Y/N)        Proof of income attached? (Y/N)        Application Fee attached? (Y/N)  
Number of dependants under the age 18 residing at current address:
Reason for leaving your current residence:
 
How did you find out about this property?
Are you working with a Realtor?  (Y/N)               If so, whom?
Additional income? (Y/N)              
Amounts:                                                
Source:
 
 
 
References
Name:
Address:
Phone:
 
 
 
 
 
 
 
 
 
 
 
 
Nearest Relative Not Living with You
Name:
Address:
Phone:
 
 
 
 
 
 
 
 
 
Applicant understands that any false statements made on this application may void any lease entered into based on the above information. I hereby authorize the release of the above information. I also authorize Robin Chatham Division of Keller Williams Realty, to run a credit check and review my application in addition to my credit history before the rental application approval. Keller Williams and the involved parties may run my credit in the future at their own expense in efforts to collect any monies owed by me to them. All rental application fees are non-refundable.
Signature of applicant:
Date:
Signature of co-applicant:
Date:
Please Include Proof of Income, Photo ID and Fee with this Application