Property Rental Application - Sequoia Pacific Realty

Primary Applicant Name *

Social Security #

Phone Number *

Email *

Secondary Applicant Name

Social Security #

Present Address *

City *

State *

Zip Code *

Do any proposed tenants smoke? *

Do you have pets? *

Present Landlord *

Landlord Address

City

State

Zip Code

Name of Individual Who Will Be Occupying Premises

Birthdate

Name of Individual Who Will Be Occupying Premises

Birthdate

Name of Individual Who Will Be Occupying Premises

Birthdate

Present Employer *

Employer Phone *

Occupation *

Position

Length of Employment *

Monthly Income *

Automobile Make/Model *

Drivers License # *

In Case of an Emergency, Notify: *

Relationship *

Phone Number *

Address

Authorization *

I certify that the above information is true and complete. I authorize the verification of this information by contacting any or all individuals and financial institution. I understand that this is not a lease or and offer to rent. No binding obligation of any kind exists between the owner and me. NO PERSON SHALL BE DENIED THE RIGHT TO RENT OUR PROPERTY BECAUSE OF THEIR RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN OR ANCESTRY.