Mayfield Management Company

APPLICATION TO RENT
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For more information, please contact:

Brandon Silversprings
(650) 494-8600 ex. 110
brandons@mayfieldcompanies.com



All sections must be completed. Individual applications are required from each occupant 18 years of age or older.

Building:

PERSONAL INFORMATION:

Last Name:

First Name:

Middle Name:

Social Security #:


Date of Birth:

Driver's License #:

State:

Expiration Date:

Work Phone Number:

Home Phone Number:

Email:

ADDRESSES:

(1) Present Street Address:

City:

State:

Zip Code:

Reason for Moving:

Previous Landlord Name:

Previous Landlord Phone Number:


(2) Previous Street Address:

City:

State:

Zip Code:

Reason for Moving:

Previous Landlord Name:

Previous Landlord Phone Number:


(3) Next Previous Street Address:

City:

State:

Zip Code:

Reason for Moving:

Previous Landlord Name:

Previous Landlord Phone Number:


Will You Have Pets?
 Yes No

Will You have Liquid-Filled Furniture?
 Yes No

Have You Ever Filed For Bankruptcy?
 Yes No

If So, When?

Have You Ever Been Evicted Or Asked To Move?
 Yes No

If So, Please Explain Reason:

Mother's Maiden Name:

AUTOMOBILES:

(1) Make:

Model:

Year:

License Plate Number:


(2) Make:

Model:

Year:

License Plate Number:

PROPOSED OCCUPANTS:

You:

List All In Addition To Yourself:

EMPLOYMENT:

(1) Present Occupation:

Employer Name:

How Long With Current Employer?

Name Of Your Supervisor:

Phone Number:

Street Address:


(2) Previous Occupation:

Employer Name:

How Long With Previous Employer?

Name Of Your Supervisor:

Phone Number:

Street Address:

Current Gross Income: $
Per  Week Month Year

FINANCIAL OBLIGATIONS: (Please List All)

Name Of Your Bank:

Branch Address:

Account #:

Checking:

Savings:

(1) NAME OF YOUR CREDITOR:

ADDRESS:

PHONE #:

MONTHLY PAYMENT AMOUNT:


(2) NAME OF YOUR CREDITOR:

ADDRESS:

PHONE #:

MONTHLY PAYMENT AMOUNT:


(3) NAME OF YOUR CREDITOR:

ADDRESS:

PHONE #:

MONTHLY PAYMENT AMOUNT:


(4) NAME OF YOUR CREDITOR:

ADDRESS:

PHONE #:

MONTHLY PAYMENT AMOUNT:

IN CASE OF EMERGENCY, NOTIFY:

(1) Name:

Street Address:

City:

Phone #:

Relationship:


(2) Name:

Street Address:

City:

Phone #:

Relationship:

PERSONAL REFERENCES:

(1) Name:

Street Address:

City:

Phone #:

Relationship:


(2) Name:

Street Address:

City:

Phone #:

Relationship:

Applicant represents that all the above statements are true an correct and hereby authorizes verification of the above items including, but not limited to, the obtaining of a credit report and agrees to furnish additional credit references upon request.

Owner received a payment of $, which is to be used to screen Applicant with regards to credit history and other background information.

DEPOSIT: $.

The undersigned makes application to rent housing accommodations designated as:

Apt # Located at:.

The rental for which is $ per Month and upon approval of this application, agrees to sign a rental or lease agreement and to pay all sums due, including required deposits, before occupancy.

Signature of Applicant:

Date: