Rental Application

AVR Realty, Inc.
RENTAL APPLICATION

A NON-REFUNDABLE PROCESSING FEE OF $30.00 MUST BE SUBMITTED WITH EACH APPLICATION.
ONE APPLICATION PER PERSON.

Desired Location/Rent Amount:

Name:

Other Names You Go By:

Date of Birth

Social Security:
--

Drivers License Number:

Approx. Move in Date:

Why Are You Moving?

Expected Length of Occupancy:

Any other Roomates?
Yes No

If Yes, Their Names:

Do You Have a Pet?
Yes No

If Yes, What Type?

Do You Have a Car?
Yes No

If Yes, Year/Make/Model

Do You Plan to Practice Musical Instruments in the Unit?
Yes No

If Yes, What Kind?

Home Phone Number:
() -

Work Phone Number:
() -

Cell Phone Number:
() -

Other:
() -

RENTAL & HOUSING HISTORY

	Present Address	Previous Address
Street Address
City, State, Zip
Rent Amount	$	$
Date Moved In/Out	in: out:	in: out:
Owner/Manager Name
Owner/Manager Tel No	() -	() -
Name(s) on Lease
Other Roomate(s)

EMPLOYMENT HISTORY

	Present Employer	Previous Employer
Occupation
Name of Business
Business Street Address
City, State, Zip
Gross Monthly Income	$	$
Start/End Date	start: end:	start: end:
Supervisor Name
Supervisor Tel No	() -	() -

Have You Ever Filed Bankruptcy?
Yes No

Have You Ever Been Evicted?
Yes No

Have You Ever Withheld Rent?
Yes No

If Yes, Explain:

Person to Contact in Case of Emergency

Relationship to You

Tel No.
() -

Address

As mandated by California State Law AVR Realty, Inc. must disclose the components of credit check costs.

Credit Check, Eviction Check, Landlord Verification, and Employment Verification..... $18.95

Reference Check and Document Preperation............................................. $11.05

................................................................................Total $30.00

I DECLARE THE FOREGOING TO BE TRUE AND CORRECT UNDER PENALTY OF PERJURY.
I agree the lessor may terminate any agreement entered into in reliance of any misstatemnet made above. I hereby authorize verification of all references and information given including a credit check.