Please fill in application online, PRINT form, sign, then fax or deliver to address listed below.
Tenant #1
Last Name:
First Name:
Middle Initial:
Date of Birth:
SSN:
-
-
Home Phone:
-
-
Work Phone:
-
-
Email Address:
Do you have pets?
Yes
No
Do you smoke?
Yes
No
Current Address:
City:
State:
Zip:
How long?
Landlord Name:
Landlord Phone:
-
-
Reason for moving:
Previous Address, Zip:
Previous Landlord Name:
Previous Landlord Phone:
-
-
# yrs at address?
Tenant #2
Last Name:
First Name:
Middle Initial:
Date of Birth:
SSN:
-
-
Home Phone:
-
-
Work Phone:
-
-
Email Address:
Do you have pets?
Yes
No
Do you smoke?
Yes
No
Current Address:
City:
State:
Zip:
How long?
Landlord Name:
Landlord Phone:
-
-
Reason for moving:
Previous Address, Zip:
Previous Landlord Name:
Previous Landlord Phone:
-
-
# yrs at address?
Employment History
Tenant #1
Tenant #2
Occupation:
Employer Name:
Address:
Supervisor's Name and Tel#:
Length of Employment:
Monthly Gross Income:
If less than 2 years, previous employer:
(Continue on separate piece of paper if necessary)
Financial Information
Tenant #1
Tenant #2
Car loan? Balance and Payment:
Credit Cards? Balance:
Other loans?
Bank Name and Address - Checking:
Average Monthly Balance:
Bank Name and Address - Savings:
Average Monthly Balance:
Other Required Information
Tenant #1
Tenant #2
Closest Relative (not living with you):
Name:
Name:
Phone:
-
-
Phone:
-
-
In case of emergency, contact:
Name:
Name:
Phone:
-
-
Phone:
-
-
Answer "Yes" or "No" to the following questions
Have you ever filed a petition of bankruptcy?
Yes
No
Yes
No
Have you ever been evicted or had an eviction
notice served on you?
Yes
No
Yes
No
Have you ever willfully refused to pay any rent
when due?
Yes
No
Yes
No
I/We declare the foregoing is true and correct and authorize its verification and the obtaining of a credit report. I/We agree that the landlord may terminate any agreement entered into in reliance on any misstatement made above. I/We hereby apply to lease the premises known as:
Property Address:
for No. of People:
As of (Move In Date):
I/We acknowledge receipt of "Statement of Rental Policy" and Receipt for Application fee.
Please include a check for the application fee in the amount of $30.00 for each applicant. This fee covers the cost of running a credit report and the processing and verification of contacts. An application is required for each occupant 18 years of age or over. Make check payable to Citywide Property Management. Citywide requires credit information on all applicants. See "Statement of Rental Policy" for further information.
PRINT this completed form, sign, and fax or deliver to:
Citywide Property Management
518 Waller Street
San Francisco, CA 94117
Tel: 415.552.7300 Fax 415.552.7373
