Fillable Printable Rental Deposit Sample

Rental Deposit Sample

APPLICATION TO RENT AND RENTAL DEPOSIT

CALIFORNIA ASSOCIATION OF REALTORS® (CAR) STANDARD FORM

Application to rent property at _______________________________________________________________________________________

Full name of applicant __________________________________ Co-applicant/spouse _______________________________________

Phone (_________)____________Date of birth ________________ Phone(_____)_______________Date of birth ___________________

Present Address __________________________________________ Present Address __________________________________________

City/State/Zip ___________________________________________ City/State/Zip ____________________________________________

Name of current landlord/manager ____________________________ Name of current landlord/manager ___________________________

How long at present address _________________________________ How long at present address ________________________________

Reason for leaving ________________________________________ Reason for leaving ________________________________________

If present address is less than one (1) year, list prior address and indicate landlord/manager’s name and phone number: __________________

_________________________________________________________________________________________________________________

Name of all other occupant(s) and relationship to the applicant: ______________________________________________________________

_________________________________________________________________________________________________________________

An application to rent is required for any occupant 18 years or over.

Pet(s) (number and type)

___________________________________________________________________________________________________________

Applicant: Soc. Sec. No. _______________________Driver’s license no. ______________________________State ________ Expires

__________________

Present Employer _____________________________________________How long with this employer _____________________________

Employer’s address ___________________________City ________________ Zip ________ Phone No . ____________________________

Position or title ________________________________________________ Gross Income $ ________________________ per ___________

Other Income $ ______________________________ per _________ Source ___________________________________________________

Auto make _________________________ Model ____________ License No. ____________________ State _______Color _____________

If present employer is less than one (1) year, list immediate prior employment information: _______________________________________

_________________________________________________________________________________________________________________

______________

Co-applicant: Soc. Sec. No. _______________________Driver’s license no. _____________State ________ Expires __________________

Present Employer ______________________________________________How long with this employer ____________________________

Employer’s address ___________________________City ______________________ Zip ________ Phone No . ______________________

Position or title _______________________________________________ Gross Income $ ________________________ per ___________

Other Income $ ______________________________ per _________ Source ___________________________________________________

Auto make _________________________ Model ____________ License No. ____________________ State _______Color _____________

If present employer is less than one (1) year, list immediate prior employment information: _______________________________________

_________________________________________________________________________________________________________________

Do you plan to have liquid filled furniture ?  No  Yes Type _________________________________________________________

Has either applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years?  No  Yes

If yes, explain _____________________________________________________________________________________________________

In case of emergency, person to notify ___________________________________ Relationship ___________________________________

Address ______________________________________________ City ____________Zip ______ Phone no. _________________________

Applicant(s) represent(s) the above information to be true, correct and complete and hereby authorize(s) verification of the

information provided including obtaining credit report(s) at the actual cost of $ _____________ to be paid by applicant(s). The cost

of the credit report is not a deposit or rent and will not be applied to future rent or refunded, even if the applicant is declined.

Applicant(s) understand(s) that the landlord may terminate any rental agreement entered into for any misrepresentation made

above.

Date __________________________ Time ___________________ Date ____________________________ Time ___________________

Applicant ______________________Day Phone_________________ Co-applicant ______________________Day Phone ______________

Eve Phone __________________________ Eve Phone _______________

Applicant(s) has/have deposited the Sum of _________________________________________________Dollars $ ___________________

Evidenced by:  Cash  Cashier’s Check  Personal Check  or _________________________________ _____payable

to _________________________________________________, to be held uncashed until approval of the application to rent, as deposit

on the property located at ____________________________________________________________ at a monthly rent $ _____________

The property to be occupied only by person(s) named in the application. In the event the application to rent is not approved within

_______________days,

This deposit shall be returned to applicant(s). If approved, the  month to month rental  lease, or  other

__________________