TWO WORLDS
PLEASANT HILL

TENANT'S PERSONAL AND CREDIT INFORMATION

(925) 943-1120
60MozdenLn@gmail.com
Use a separate application for each adult.
Name: Social Security Number:
Res. Phone (       ) Bus. Phone (       ) Driver License (DL) No.: Attach Copy of DL
Email:
Present Address: Previous Address:
City/State/Zip: City/State/Zip:
How long at present address? How long at previous address?
Landlord/Agent Phone(       ) Landlord/Agent Phone(       )
Email(       ) Email(       )

-
Occupants:                                                           :                                         :  Animals?
Occupants:                                                           :                                         :  Waterbed?
Car Make/Model Year Color Car License No.

OCCUPATION
 

PRESENT OCCUPATION

PRIOR OCCUPATION

Occupation

    

Employer

    

Business Address

    

Business Phone

    

Position Held

    

How Long?

    

Monthly Gross Income

    

VERIFICATION OF INCOME AND ABILITY TO MAKE MONTHLY PAYMENTS
 

ATTACHED (YES)

DECLINE (NO)

Attach Copy of W-2

    

Attach Copy of Paystub

    

Attach Copy of Bank Statements

    

REFERENCES

CREDIT REFERENCE

Address

Account No.

Highest Amount Owed

Account Open or Date Closed
         
         

PERSONAL REFERENCE

Address

Phone

Length of Acquaintance

Occupation
         
         

NEAREST RELATIVE

Address

Phone

City

Relationship
         
         

Have you ever filed a petition of bankruptcy?                                     
Have you ever been evicted from any tenancy or had an eviction notice served On you?                                     
Have you ever willfully and intentionally refused to pay any rent when due?                                      
 I DECLARE THAT THE FOREGOING IS TRUE AND CORRECT, AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT. I agree that the Landlord may terminate any agreement entered into in reliance on any misstatement made above.

APPLICANT: _________________________________________________________   DATED: ____________________________