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?
YesNo

Will You have Liquid-Filled Furniture?
YesNo

Have You Ever Filed For Bankruptcy?
YesNo

If So, When?

Have You Ever Been Evicted Or Asked To Move?
YesNo

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 WeekMonthYear

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: