615B Placerville Drive, Placerville, CA 95667
Office: (530) 6AC-TION / 622-8466 Fax: (530) 622-8886


RENTAL APPLICATION for (address) _______________________________________________

NAME ___________________________  ______  ___________________________
     First                        M.I.    Last

Social Security # __________ Date of Birth ________ Drivers License # __________
Home Phone _______________   Work Phone _______________

Cell Phone ________________   E-mail Address _______________________
NAME ___________________________  ______  ___________________________
     First                        M.I.    Last

Social Security # __________ Date of Birth ________ Drivers License # __________
Home Phone _______________   Work Phone _______________

Cell Phone ________________   E-mail Address _______________________
PRESENT ADDRESS ________________________________________________________________
                Street                   City                  State    Zip Code
How long at this address? __________________   Rent $ _________

Reason for moving _____________________________________________

Owner/Manager Name____________________ Owner/Manager Phone ________________
PREVIOUS ADDRESS _______________________________________________________________
                 Street                   City                 State    Zip Code
How long at this address? __________________   Rent $ _________

Reason for moving _____________________________________________

Owner/Manager Name____________________ Owner/Manager Phone ________________
Name and relationship of any other persons to live with you (including 
birthdates of children): _______________________________________________________

________________________________________________________________________________

________________________________________________________________________________


FINANCIAL INFORMATION:
Checking Acct: Bank __________________________ Branch _________________________

                    Acct. # __________________ Balance in Account _____________

Savings Acct:  Bank __________________________ Branch _________________________

                    Acct. # __________________ Balance in Account _____________


REFERENCES:
Personal Reference: __________________________ Address: ________________________
Work Phone: _______________ Home Phone: _______________
Contact in Emergency: ________________________ Address: ________________________
Work Phone: _______________ Home Phone: _______________
EMPLOYMENT:
Present Occupation ______________________ How long with this employer? _________
Employer ____________________________ Address ______________________________

Supervisor __________________________ Phone # ______________________________

Current Gross Income Per Month (before deductions) __________________
Previous Occupation ______________________ How long with this employer? ________
Employer ____________________________ Address ______________________________

Supervisor __________________________ Phone # ______________________________

Previous Gross Income Per Month (before deductions) __________________
Spouse's Present Occupation ________________ How long with this employer? ______
Employer ____________________________ Address ______________________________

Supervisor __________________________ Phone # ______________________________

Current Gross Income Per Month (before deductions) __________________
Previous Occupation ______________________ How long with this employer? ________
Employer ____________________________ Address ______________________________

Supervisor __________________________ Phone # ______________________________

Previous Gross Income Per Month (before deductions) __________________
List other sources of income and amount ________________________________________

________________________________________________________________________________


OTHER GENERAL INFORMATION:
Number of Vehicles ____________

Make and Model ____________________ Year ________ License # _______________

Make and Model ____________________ Year ________ License # _______________

RV and/or Boat ____________________________________________________________

If your application is approved, when would you like to move in? ______________

Length of time that you are planning to live at this address __________________

Do you or anyone living with you, smoke inside your home? _____________________

Are you looking for a month to month agreement or lease on the property? _______

Check the utilities that you will be responsible for: 
____Water   ____Sewer   ____Garbage   ____Gas   ____Electric

Any pets? _________   Describe the pet(s) including breed, weight, and 
whether they are indoor or outdoor:_____________________________________________

________________________________________________________________________________

IF A PET IS ALLOWED, THE OWNER WILL REQUIRE A MINIMUM DEPOSIT OF $200 PER PET.

Do you have a waterbed? _________   Do you have a trampoline? ________

Have you willfully and intentionally refused to pay any rent when due? _________

Have you ever filed bankruptcy? _________ Date of Bankruptcy ___________

Have you ever been evicted? ________________

If you feel there may be a problem with your credit information, please 
provide us with a short explanation. __________________________________________

_______________________________________________________________________________


If you have any additional questions or concerns, please discuss them with Action
Properties. I declare that the foregoing is true and correct, authorize its
verification and the obtaining of a credit report and public records of any 
unlawful activities. I authorize you or any current landlord or any previous 
landlord to get information and answer questions regarding my resident history 
and credit experience with me or any previous landlord. There are not 
restrictions or limitations (including written information in the tenant file) 
as to what information current, previous, or prospective landlords may give out. 
The applicant tenant holds the party giving the information free from any 
liability for any verbal or written information that has been provided. I agree 
that the application and all reports may be shared with the property owner. I 
agree that the landlord may terminate any agreement entered into in reliance on 
any misstatement made.


_____________________________    ___________________
Applicant                        Date


_____________________________    ___________________
Applicant                        Date

PCheck-Point

                         Trusted Team | Reliable Results

 

By signing below, I authorize the preparation of an investigative report for determination of eligibility to rent.

 I authorize and understand that investigative background inquiries are to be made on myself including consumer credit, eviction, criminal, sex offense and other reports.  Further, I understand that management will be requesting information from various Federal, State and other agencies, which maintain records concerning my past activities relating to my driving, credit, criminal, civil, tenancy and other experiences.  I release all of the above, including Check Point and it’s agents to the full extent permitted by law from any claims, damages, losses, liabilities and expenses arising from the retrieval and reporting of information.

 All reports will be kept confidential in accordance with Federal, State and local laws.

 According to the Federal Fair Credit Reporting Act, I am entitled to know if I was denied based on the information obtained and to receive, upon written request to the company requesting my information, a disclosure of the public record information and of the nature and scope of the investigative report.

 I, the undersigned applicant, do hereby certify that the information provided by me is true and complete to the best of my knowledge.  Any copy of this document is as valid as the original.  Falsifying information could result in denial of rental tenancy. 

 Print Full Name: ______________________________________________________________________

 Soc. Sec. #:____________________________________  *Date of Birth:________________________

 Current Address: _____________________________________________________________________

 City/State/Zip:________________________________________________________________________

 Driver’s License#_________________________________ State:_______________________________

 Have you ever been convicted of a crime?        No  /   Yes

 Applicant’s Signature: ___________________________________________ Date:_______________

 

 *Date of birth is being requested in order to obtain accurate retrieval of records.

3539 Bradshaw Rd #B307 Sacramento, CA  95827 | P 888-534-1233  916-855-5472 | f 888-332-4128  916-363-0977

 

 

PCheck-Point

                         Trusted Team | Reliable Results

 

By signing below, I authorize the preparation of an investigative report for determination of eligibility to rent.

 I authorize and understand that investigative background inquiries are to be made on myself including consumer credit, eviction, criminal, sex offense and other reports.  Further, I understand that management will be requesting information from various Federal, State and other agencies, which maintain records concerning my past activities relating to my driving, credit, criminal, civil, tenancy and other experiences.  I release all of the above, including Check Point and it’s agents to the full extent permitted by law from any claims, damages, losses, liabilities and expenses arising from the retrieval and reporting of information.

 All reports will be kept confidential in accordance with Federal, State and local laws.

 According to the Federal Fair Credit Reporting Act, I am entitled to know if I was denied based on the information obtained and to receive, upon written request to the company requesting my information, a disclosure of the public record information and of the nature and scope of the investigative report.

 I, the undersigned applicant, do hereby certify that the information provided by me is true and complete to the best of my knowledge.  Any copy of this document is as valid as the original.  Falsifying information could result in denial of rental tenancy. 

 Print Full Name: ______________________________________________________________________

 Soc. Sec. #:____________________________________  *Date of Birth:________________________

 Current Address: _____________________________________________________________________

 City/State/Zip:________________________________________________________________________

 Driver’s License#_________________________________ State:_______________________________

 Have you ever been convicted of a crime?        No  /   Yes

 Applicant’s Signature: ___________________________________________ Date:_______________

 

 *Date of birth is being requested in order to obtain accurate retrieval of records.

3539 Bradshaw Rd #B307 Sacramento, CA  95827 | P 888-534-1233  916-855-5472 | f 888-332-4128  916-363-0977