$20.00
851 Camino Pescadero, Goleta, California 93117 TEL: (805) 685-1850 FAX: (805) 685-7596
APPLICATION TO RENT
NAME: _____________________________________________________________
CURRENT ADDRESS*:________________________________________________
(Street) (City) (State & Zip)
PHONE: _________________________ BIRTHDATE: _______________________
SOC SEC #: _______________ STUDENT I.D. (if applicable) ________________
Driver's Lic #: ________________________________ STATE ISSUING:________
AUTO INFORMATION:
YEAR: _______ MAKE: _______________________ MODEL: ________________
COLOR: ______________ LICENSE #: _____________________ STATE: ______
REG. OWNER: _______________________________________________________
STUDENTS - SCHOOL NOW ATTENDING ________________________________
UNITS
COMPLETED:____________ MAJOR: ______________________________
SCHOOL
REFERENCE NAME (Coach, Teacher, etc.):
NAME: ______________________________________ PHONE: ________________
HONORS, GREEKS OR ANY EXTRA ACTIVITY CURRICULUM:
_____________________________________________________________________
(if applicable)
PARENT'S NAMES:____________________________________________________
HOME PHONE #: _____________________ WORK PHONE #: ________________
HOME ADDRESS*:____________________________________________________
(Street) (City) (State & Zip)
POSITION / JOB: _____________________________________________________
DATE YOU NEED TO MOVE IN: _________________________________________
PRESENT AND PAST RENTING
For the last 3 calendar years, fill in the following for each residence you rented.
Start with present rental:
1.
Address of Apt: _________________________________________________
Mgr's Phone: ___________ Name of Owner/Complex: ________________
Dates of residence (beginning-ending): ____________________________
Reason for leaving: _____________________________________________
2. Address of Apt: _________________________________________________
Mgr's Phone: _____________ Name of Owner/Complex: ______________
Dates of residence (beginning-ending): ____________________________
Reason for leaving: ______________________________________________
3. Address of Apt: __________________________________________________
Mgr's Phone: _____________ Name of Owner/Complex: _______________
Dates of residence (beginning-ending): _____________________________
Reason for leaving: ______________________________________________
Have you ever been served with a 3-Day Notice to Pay Rent or Vacate ________
sued for rent? __________________ sued for eviction? ______________________
If your answer to any of the above 3 questions is in the affirmative, please explain in
detail. (attach separate sheet).
INCOME / EMPLOYMENT
PRESENT EMPLOYER
NAME _______________________________________________________________
ADDRESS ___________________________________________________________
PHONE NUMBER ____________________ POSITION ______________________
IMMEDIATE SUPERIOR ________________ LENGTH OF EMPLOYMENT _____
(IF LESS THAN 1 YEAR, ALSO PROVIDE SAME INFORMATION FOR PREVIOUS EMPLOYER:
NAME _______________________________________________________________
ADDRESS ____________________________________________________________
PHONE NUMBER ____________________ POSITION _______________________
IMMEDIATE SUPERIOR ________________ LENGTH OF EMPLOYMENT ______
TOTAL MONTHLY INCOME = $_______________
IF YOUR INCOME COMES FROM SOURCES OTHER THAN EMPLOYMENT, PLEASE
BE SPECIFIC IN IDENTIFYING THE SOURCE AMOUNTS,
AND DATES WHEN MONEY IS USUALLY RECEIVED BY YOU (e.g. John & Mary Jones,
parents $150.00 a month, around 1st of month)
CREDIT REFERENCES
1) __________________ _________________ ________________ ________________
(Bank) (Branch & Location) (Type of Account) (Account #)
2) __________________ _________________ ________________ ________________
(Bank) (Branch & Location) (Type of Account) (Account #)
3) __________________ __________________ _______________ ________________
(Major Credit Card) (Account #) (Issuer) (Phone number)
PERSONAL REFERENCES
1) __________________ _________________ ________________ ________________
(Name) (Address) (Phone) (Relationship)
2) __________________ _________________ ________________ ________________
(Name) (Address) (Phone) (Relationship)
3) __________________ _________________ ________________ ________________
(Name) (Address) (Phone) (Relationship)
____________________________________________________________________________
I ____________________________________ HEREBY APPLY TO RENT _______________
AT _________________________________ IN ____________________________, CA
PAYING HEREWITH $20.00 NON-REFUNDABLE FEE AS A PROCESSING CHARGE. THIS
CHARGE IS TO OFFSET OWNER'S EXPENSES, INCLUDING SUCH THINGS AS MANAGER'S
TIME AND LONG DISTANCE CHARGES RELATING TO DOING THOSE THINGS THAT HAVE
TO BE DONE TO CHECK-OUT APPLICANT'S APPLICATION. YOU ARE AUTHORIZED TO DO
WHAT YOU DEEM APPROPRIATE TO VERIFY THE ABOVE INFORMATION AND TO OBTAIN
SUCH ADDITIONAL INFORMATION AS YOU DEEM APPROPRIATE TO ACT ON THIS
APPLICATION. ALL THOSE THAT YOU CONTACT ARE AUTHORIZED TO PROVIDE ALL
INFORMATION THAT YOU REQUEST.
FORMER FEDERAL ORDNANCE LOCATION - Notice is hereby given that the apartment for
which you are applying is located within one (1) mile of the former Marine Airbase at Goleta.
That is a "Former Federal Ordinance Location".
I UNDERSTAND THAT THE RENTAL AGREEMENT THAT I SIGN, IF MY APPLICATION IS
ACCEPTED WILL CONTAIN THE FOLLOWING PROVISIONS IN RESPECT OF BEHAVIOR
REQUIREMENTS, IN ADDITION TO OTHER PROVISIONS CONCERNING MY RIGHTS AND
OBLIGATIONS.
"NOISE, ILLEGAL DRUGS, AND OTHER NUISANCE: Each of the following nuisances shall
constitute a violation of this Rental Agreement, and each RESIDENT shall assure that each
RESIDENT, member of RESIDENT'S household, guest, as well as persons under RESIDENT'S
control refrains from:
a. Use or possession of illegal drugs in, upon, or about the apartment or the complex
of which it is a part;
b. Creating or allowing the creation of live music involving electronic amplification
from or about the apartment or the complex of which it is a part;
c. The operation of TV, CD player, VCR, and/or other sound emitting device in a
manner that results in sound being projected beyond the walls of the apartment;
d. Loud, unruly, or disturbing partying or other activity;
e. Failure to control children so that they do not cause damage and do not
unreasonably disturbs other residents of the complex.
f. Use of the apartment for any business, commercial, or other non-residential
purpose.
g. Violation of any law, statute, or ordinance pertaining to the use of the premises.
h. Keeping or storing hazardous, toxic, or combustible materials (other than
normal household items) in or about the apartment or otherwise on the property in
which the apartment is located."
I SUBMIT THIS APPLICATION WITH FULL UNDERSTANDING THAT THE POLICY
OF Eckert Investments and Eckert Family LLC IS TO STRICTLY ENFORCE THE
PROVISIONS OF THE RENTAL AGREEMENTS.
__________________________ ___________________________________
(Date) (Applicant Signature)
Name of Complex Applied For: ______________________________________________
In Case Of Emergency Notify: _______________________________________________
(Name) (City) (Phone) (Relationship)
*
Please provide the
Street Address and / or the Room Number. No P.O. Box Numbers.
If you do not intend to reside alone, please
provide name and age of each person who is to reside with you.
GUARANTEE
(From Resident Guarantor)
Signature: ____________________________________________________________
Phone: (Home) ________________ (Work) _______________ Fax:______________
Print Name: ___________________________________________________________
Home Address:
________________________________________________________
(No PO Boxes)
Street
City
State ZIP
Do you own the home listed above? _______________________________________
How long have you resided here?: ________________________________________
Employer: ______________________________________ Phone: _______________
Supervisor: ____________________ Ext: _________ Length of Employment: _____
Rentalapplication012506-RH