Fillable Printable Rental Deposit Sample Form

Rental Deposit Sample Form

8030 La Mesa Boulevard , PMB #69, La Mesa, CA 91942

(619) 698-7520 Fax (619) 698-2098

APPLICATION TO RENT AND RENTAL DEPOSIT

Applications must be complete and photo ID verified before application can be processed.

All adult applicants (18 yrs or older) must complete a separate application and submit the $35 application fee.

This property is a designated Non-Smoking property. If checked, applicant is hereby informed and acknowledges that this property is

designated Non-Smoking. Residents, family members and guests are prohibited from smoking anywhere on the premises.

APPLICANT INFORMATION

Application to rent property at _______________________________________________________________________________________

Last Name _______________________________ First Name ______________________________ Middle Name __________________

Date of Birth_________________________ SSN _____________________________ Home Phone (___)_______________________

Work Phone (___)____________________ Cell Phone (___)_____________________ Alternate Phone (___)_______________________

Email Address __________________________________ Driver License #_________________________ State_____ Expires__________

Office Use Only: Verified photo ID: Yes/No (circle one

)

CURRENT ADDRESS

Street Address___________________________________________ City/State/Zip __________________________________________

Move-In Date: ______________________ Move-Out Date: _____________________ Monthly Rent $_________________

Landlord Name ____________________________________________ Landlord Phone (___)_______________________

Reason for leaving ________________________________________________________________________________________________

PREVIOUS ADDRESS

If present address is less than 5 years list prior addresses and indicate landlord/managers name and phone. Attach separate page if necessary.

Street Address_____________________________________________ City/State/Zip __________________________________________

Move-In Date: ______________________ Move-Out Date: _____________________ Monthly Rent $_________________

Landlord Name ____________________________________________ Landlord Phone (___)_______________________

Reason for leaving ________________________________________________________________________________________________

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Street Address_____________________________________________ City/State/Zip __________________________________________

Move-In Date: ______________________ Move-Out Date: _____________________ Monthly Rent $_________________

Landlord Name ____________________________________________ Landlord Phone (___)_______________________

Reason for leaving ________________________________________________________________________________________________

OTHER OCCUPANTS

List n a me(s) & birthdates of all other occupant(s) and relationship to Applicant. _____________________________________________

_______________________________________________________________________________________________________________

Name: _____________________________________________________ Relationship__________________________

Address_______________________________________City_________________State______Zip________Phone(___) ______________

EMERGENCY CONTACT

VEHICLE INFORMATION

Make, Model & Year _______________________________ License No. & State _____________Color of vehicle _____________

PETS

Pet(s) Must be 20 lbs or less

Pet #1 Name:______________________ Breed & Color: _________________________ Age: _________ Weight: ________________

Pet #2 Name: ______________________ Breed & Color __________________________ Age: _________ Weight: ________________

Is pet spayed or neutered? Yes/No

Present Employer__________________________________________________ Position or title._________________________________

Employer`s address_______________________________________________City_____________________Zip_____________________

Employer Phone _______________________ Supervisor Name _____________________ Supervisor Phone ______________________

Monthly Income (Gross) $_________________ Dates of Employment: _________________________

Other Income Source ________________________________________________________ Monthly Amount $_____________________

If employment is less than one year, list immediate prior employment information and reason for leaving._____________________________

_______________________________________________________________________________________________________________

Are you in the Military? ____ Branch? ____ Rank? __________ Commanding Officer’s Name & Phone #:___________________________

Have you ever been party to an unlawful detainer action, or left a rental owing money within the last 7 years? Yes/No If yes, please provide

Property Name, City, State and Landlord Name. _________________________________________________________________________

Have you ever filed for bankruptcy? Yes/No If yes, please explain: __________________________________________________________

Have you ever been convicted of a crime? Yes/No If yes, please provide Type of Offense, County and State. ________________________

_______________________________________________________________________________________________________________

Do you plan to use a waterbed or aquarium? Yes/No Type________________________________ (If yes-insurance must be provided)

How did you hear about this property? _________________________________________________________________________________

Bank Information:

Name_________________________________Branch______________________________Acct# _______________________Type_____

Applicant represents the above information to be true and correct and hereby authorizes verification of the information provided. A $35 fee

per person has been tendered with this application and is paid to Flying Dog Enterprises, Inc., for processing, transporting, verifying and

investigating of this application. Included in this process are the actual costs of phoning, credit reports, drawing of lease documents,

transportation costs and the time to perform these functions. The application fee is not a deposit and will not be applied to future rent or

refunded.

Proposed rent: $_ ___________________________ Proposed Security Deposit: $___ _________________________

Other costs or credits_______________________________________________________

I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if

I have made false or incomplete statement/s in this application and such lease or rental agreement will be null and void.

Applicant Signature____________________________________________________Date___________________

EMPLOYMENT & INCOME INFORMATION

BACKGROUND INFORMATION