TENANT APPLICATION
Property Address:____________________________________________________________Apt. No. _________________________
Name(s) of Applicant(s)_______________________________________________________________________________________
Other Name(s) used within last 3 years:___________________________________________________________________________
Names and Age of Other Occupants _____________________________________________________________________________
___________________________________________________________________________________________________________
Have you ever been Evicted?______________________________
Pets (Number & Type):_______________________________________________________________________________________
Present Address:___________________________________City-State____________________________Zip___________________
How long?__________________Reason for leaving:_________________________________________________________
Landlords Name and Phone Number:__________________________________________Rent/Mo.:___________________
Previous Address (Past 3 Years)__________________________________City-State _________________________Zip__________
How long?______________Reason for leaving:_____________________________________________________________
Landlords Name and Phone Number:__________________________________________Rent/Mo.:___________________
Previous Address (Past 3 Years)_________________________________________________________________________________
How long?______________Reason for leaving:_____________________________________________________________
Landlords Name and Phone Number:__________________________________________Rent/Mo.:___________________
Employment: (Applicant’s Name:______________________)
Social Security Number __________-______-____________ Drivers License Number_____________________________________
Birth Date (Mo.-Day-Yr.)________________________________________ (State and Expiration Date)_______________________
Present Employer:______________________________________________________How Long?_____________________
Address:______________________________________________________________Telephone:_____________________
Employed as:___________________________________________Salary: $__________________per_________________
Other Occupant: (Applicant’s Name:_____________________)
Social Security Number_________-_____-______________Drivers Lincense Number____________________________________
Birth Date (Mo.-Day-Yr.)________________________________________(State and Expiration Date)______________________
Present Employer_______________________________________________________How long?____________________
Address:______________________________________________________________Telephone:____________________
Employed as:___________________________________________Salary:$__________________per_________________
Other Income: $_____________________________Source:_________________________________________________________
Credit References (2):_______________________________________________________________________________________
Credit Cards: Issuer_________________Acct. No._______________________________________________________
Issuer_________________Acct. No._______________________________________________________
Bank Branch Address and Account Number
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Automobile License No._____________________________________State of Registry:____________________________________
Make & Model:_______________________________Year:_____________________Color:_________________________
In Case of Emergency:
Name of person to be informed:______________________________________________Relationship:_________________
Address:_________________________________________________________________Telephone:__________________
AUTHORIZATION TO VERIFY INFORMATION
I Authorize Landlord or his Authorized Agents to Verify the above information, including but not limited to obtaining a
Credit Report and if this application is accepted I agree to execute the residential lease or rental agreement as set forth on
the reverse side hereof.
Date______________________20__________ Applicant:________________________________________________
Telephone No.__________________________ Applicant:________________________________________________
A $10.00 per adult processing fee and $15.00 per married couple is charged upon receipt of an application!
California West, Inc., 145 So. Halcyon #D, Arroyo Grande (805) 489-9401 fax (805) 489-9439
