Please return application to:  

            Appleby Real Estate and Property Management

119 Linden Ave

Long Beach, CA  90802

             Telephone: 562.432.3322

             Fax: 562.590.9510

APPLICATION TO RENT

Rental application for: _________________________, Long Beach, CA, Unit number:__________

(1) = First Applicant                    (2) = Second Applicant

ADULTS:

1) Name: __________________________ Home Phone: ______________ Work Phone: _______________

Other name(s) used within last five years: _______________________________

Birth                            Social                                                Driver’s

Date: ____________ Security No.:__________________ License No.: ___________ State: ______

2) Name: __________________________ Home Phone: ______________ Work Phone: _______________

Other name(s) used within last five years: _______________________________

Birth                            Social                                                 Driver’s

Date: ____________ Security No.: __________________ License No.: ___________ State: ______

OCCUPANTS: (Besides applicant mentioned above)

Name: ___________________ Relationship: ______________ Age: _______

Name: ___________________ Relationship: ______________ Age: _______

Name: ___________________ Relationship: ______________ Age: _______

Name: ___________________ Relationship: ______________ Age: _______

CURRENT ADDRESS: (Note addresses below used within last three years)

1) Address: _________________________ City: ____________ State: _____ Zip: __________

How long at                      Monthly               Reason for

this address: ___________ Rent: $_________ Moving: ____________________________

                         Phone

Owner/Manager: ____________________ Address: ____________________ Number: _________________

2) Address: _________________________ City: ____________ State: _____ Zip: __________

How long at                      Monthly               Reason for

this address: ___________ Rent: $_________ Moving: ____________________________

                         Phone

Owner/Manager: ____________________ Address: ____________________ Number: _________________

Automobiles:

Make: _______________ Model: ___________ Color: ________ Year: ________ License#: _______

Make: _______________ Model: ___________ Color: ________ Year: ________ License#: _______

Are car(s) finance: __________ Monthly Payments: $__________

EMPLOYMENT:

1) Employer                               Supervisor                                  Phone

Name: ______________________ Name: ______________________ No.: __________________

How long with                          Type of                            Position

this employer: ______________ Business: ______________ Held: ______________

Monthly

Income: $_____________

2) Employer                               Supervisor                                 Phone

Name: ______________________ Name: ______________________ No.: __________________

How long with                          Type of                            Position

this employer: ______________ Business: ______________ Held: ______________

Monthly

Income: $_____________

If employed or self employed less than 2 years, give some information on prior occupation:

1) ___________________________________________________________________

2) ___________________________________________________________________

                                                                          How Much

Amount of alimony or child support you pay $_______or receive $________ Longer? : ___________

CREDIT INFORMATION:

1) Checking/Savings                                 Branch &

Account No.: _________________________ Bank: ______________________________

Bank

Address: _____________________________

2) Checking/Savings                                 Branch &

Account No.: _________________________ Bank: ______________________________

Bank

Address: _____________________________

PERSONAL INFORMATION:

                  If yes, please

Have you been evicted? : ________ Explain: _________________________________

                    If yes, please

Have you ever left your rental before giving 30-day notice?______ explain: _____________________

                If yes, please

Have you ever been convicted of a felony? :______ Explain: _________________________

What type of an artist are you? And do you currently have Business License as Artist in City of Long Beach?

_______________________________________________________________________________________

AUTHORIZATION TO VERIFY INFORMATION:

Applicant represents that all information given on this application is true and correct and hereby authorizes verification of all references and facts, including but not limited to obtaining unlawful detainer and credit reports.  Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.

            Applicant’s

1)      Date: _____________ Signature: _________________________

            Applicant’s

2)      Date: _____________ Signature: _________________________

MAKE A PHOTOCOPY OF A VALID CALIFORNIA OR OUT-OF-STATE I.D. CARD OR DRIVERS LICENSE and return it with completed application. Please attach $20.00 (non-refundable) per person for the credit checks fees (Only one fee required for married couples). Application will not be processed unless a check is attached. Applicant will be notified within two days after the application is received.