Rental Application

PLEASE READ THIS FIRST
Bring or mail completed application along with $30.00 cashier's check or money order to our leasing office or submit online. Please call our leasing office if you have any questions (661) 948-8807.

* Required

FIRST NAME *
MIDDLE NAME
LAST NAME *
BIRTH DATE *
SS# *
     
EMAIL ADDRESS *
PHONE 1 *
PHONE 2 *
   
DRIVERS LICENSE # *
STATE *
OTHER NAMES EVER USED INCL. MAIDEN NAME

 

LIST ALL ADDITIONAL ADULTS AND CHILDREN AGE RELATIONSHIP TO APPLICANT

 

CURRENT ADDRESS
STREET *
UNIT #
CITY *
ST *
ZIP *
HOW LONG (MO/DA/YR) * 
FROM:    TO:
LAST RENT PAID: *
MONTH AMT
OWNER/MANAGER *
OWNER/MANAGER PHONE *
REASON FOR LEAVING *
PRIOR ADDRESS
STREET
UNIT #
CITY
ST
ZIP
HOW LONG (MO/DA/YR) 
FROM:    TO:
LAST RENT PAID:
MONTH AMT
OWNER/MANAGER
OWNER/MANAGER PHONE 
REASON FOR LEAVING


 

EMPLOYMENT

  CURRENT EMPLOYMENT *
EMPLOYER *
ADDRESS *
EMPLOYER PHONE *
OCCUPATION/POSITION *
TYPE OF BUSINESS *
NAME OF SUPERVISOR *
DATES EMPLOYED * FROM: TO:
MONTHLY SALARY *
OTHER INCOME *
  PREVIOUS EMPLOYMENT
 
 
 
 
 
 
  FROM: TO:
 
 

 

REFERENCES      
NAME OF BANK/CREDIT UNION BRANCH OR ADDRESS

        ACCOUNT #

BALANCE
CHECKING
SAVINGS   
CHECKING
SAVINGS   
         
CREDIT CARD/CAR PAYMENTS ADDRESS ACCOUNT # MO PMNT BALANCE

 

PERSONAL REFERENCES ADDRESS/CITY RELATIONSHIP TELEPHONE
       
EMERGENCY CONTACT * ADDRESS/CITY * RELATIONSHIP * TELEPHONE *

 

ADDITIONAL INFORMATION

YES /NO

1. HAVE YOU EVER HAD ANY CREDIT PROBLEMS? *
2. HAVE YOU EVER HAD AN UNLAWFUL DETAINER (EVICTION) FILED AGAINST YOU? *
3. HAVE YOU EVER BEEN EVICTED FOR NON-PAYMENT OF RENT OR ANY OTHER REASON? *
4. HAVE YOU EVER FILED BANKRUPTCY? *
5. HAVE YOU EVER BEEN CONVICTED FOR SELLING, POSSESSING OR MANUFACTURING
    ILLEGAL DRUGS? *
6. HAVE YOU EVER BEEN CONVICTED OF A FELONY? *

7. WILL YOU HAVE PETS? *      YES      NO  HOW MANY?    DESCRIBE
8. WILL YOU HAVE WATER-FILLED FURNITURE IN YOUR RESIDENCE? * DESCRIBE
9. PLEASE EXPLAIN ANY "YES" ANSWERS
11. HOW DID YOU HEAR ABOUT US? *
10. WHEN DO YOU PLAN TO MOVE IN? (DATE) *

 

AUTOMOBILES      
AUTO #1      
YEAR COLOR
MAKE LICENSE #
MODEL STATE
       
AUTO #2      
YEAR COLOR
MAKE LICENSE #
MODEL STATE

 

Applicant warrants that all information contained in this application is true and accurate. I authorize verification of the information contained herein for the purpose of establishing my qualifications as a tenant. I release anyone verifying such information or providing information from liability. I understand that incomplete or incorrect information provided in the application may cause a delay in processing and can result in denial of tenancy. I further authorize Gold Coast Residential to obtain a credit report and check criminal records.

I further understand that any false information or misrepresentation can be a basis for terminating any tenancy that may result if this application is approved. This application will be incorporated into any lease agreement entered into pursuant to this application.

I understand that Gold Coast Residential does not tolerate or condone illegal activity in or around the premises, including, but not limited, activity related to narcotics use, possession, sales, manufacturing or distribution.

I hereby apply to rent house/apartment and upon approval of application, agree to pay the first month's rent and a security deposit.

Gold Coast Residential charges $30.00 per person for the credit report and verification of information contained in the credit report and application. This $30.00 fee is non-refundable and must be in the form of a cashier's check or money order made payable to Gold Coast Residential.

We do not discriminate based on race, ethnic background, national origin, religion, sex, marital status, age, familial status, disability, sexual orientation, receipt of public assistance, or personal characteristics or traits.
 
I HEREBY APPLY TO RENT A HOUSE/APARTMENT # AT
FOR $ PER MONTH AND UPON APPROVAL OF MY APPLICATION AGREE TO PAY THE FIRST
MONTH'S RENT OF $   AND A SECURITY DEPOSIT IN THE AMOUNT OF $ .
I WOULD LIKE A  GARAGE   REFRIGERATOR
 
If approved, applicant shall pay holding deposit and balance of first month rent and security deposit in the form of cashier's check or money order.

I authorize Gold Coast Residential to check my application using all the information I provided. *
Please type your name: *
 

 

 

 

Specials

***NO CURRENT SPECIALS***

Learn More

Newsletter

To join our mailing list, please complete the form below.


To join our mailing list, please complete the form below.