A/B Developments
 

Application

 

RESIDENTIAL RENTAL APPLICATION

Adams/Berardo, P.O. Box 12253, Palm Desert, CA 92255  (760) 285-0826 
                                               email to philandtaffy@msn.com
Property/Unit:  78901 Avenue 42 (#A, #B, #C) Bermuda Dunes, CA 92203
                78861 Avenue 42 (#A, #B, #C) Bermuda Dunes, CA 92203
                78484 Avenue 42 (#A, #B) Bermuda Dunes, CA 92203 
                79801 Avenue 42 (#A, #B, #C) Bermuda Dunes, CA 92203
                74455 Driftwood (#A, #B, #C) Palm Desert, CA 92260          
Please print clearly 
 
1. Name of Applicant _________________________________________ Phone ___________________

Present Addres _____________________________________________________ How Long? _________
 
S.S. Number ___________-______-__________ DL #_____________________ DOB ________________

Spouse ___________-_______-__________ DL #_____________________ DOB ____________________ 


2. Present Landlord __________________________________________ Phone ___________________

Address ________________________________________________________________________________

Monthly Rent ________________________ Reason for Leaving _______________________________
 

3. Previous Landlord __________________________________________ Phone __________________

Address ________________________________________________________________________________

Monthly Rent __________ How Long There? ________
Reason for Leaving ____________________



4. Full names and drivers license numbers of all individuals (and ages of all children)

who will
be occupying premises _______________________________________________________________________


______________________________________________________________________________________________________________



5. Pets (specify) ______________________________________________________________________
 

6. Have you ever been evicted, sued for nonpayment of rent, or
breached a lease (if so,

explain)?_______________________________________________________________________________

________________________________________________________________________________________
 

7. Present Employer ___________________________________________ Phone __________________
Address ________________________________________________________________________________

Occupation _____________________________________________________________________________

Gross Monthly Salary _________________________ Length of Employment __________________

Spouse Employer _____________________________________________ Phone ___________________

Address ________________________________________________________________________________

Occupation _____________________________________________________________________________

Gross Monthly Salary ________________________ Length of Employment ___________________
 

8. Previous Employer _________________________________________ Phone___________________

Address ________________________________________________________________________________

Occupation _____________________________________________________________________________

Gross Monthly Salary _______________________ Length of Employment _____________________
 

9. Other Income, if any (specify source)________________________________________________

________________________________________________________________________________________
 

10. Bank-Checking Account ________________________ Account Number ______________________

Address ________________________________________ Approximate Balance ___________________
 

11. Bank-Savings Account ________________________ Account Number________________________

Address ________________________________________ Approximate Balance____________________
 

12. Bank-Additional Account ________________________ Account Number_____________________

Address ________________________________________ Approximate Balance____________________
 
 
13. Credit Cards:

(1) ______________ Bank____________________________ Card Number_________________________

(2) ______________ Bank____________________________ Card Number_________________________

(3) ______________ Bank____________________________ Card Number_________________________
 

14. Loans:

(1)Lender _______________________________________________________ Balance ______________

Address ____________________________________________________ Monthly Payment ___________

(2)Lender _______________________________________________________ Balance_______________

Address ____________________________________________________ Monthly Payment____________
 

15. Other Debts and Obligations, if any (specify) ______________________________________

________________________________________________________________________________________
 
16. Personal Reference _____________________________________ Phone _____________________ 

Address_________________________________________________________________________________
 
17. Automobiles: 

Your License Number ________________________________________ State ____

(1)Make/Model ________________________ Year ___________ Plate _______________ State ____

(2)Make/Model ________________________ Year ___________ Plate _______________ State ____
 
18. In case of emergency notify ________________________________________________________

Address ____________________________________________________ Phone _____________________
 

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 institutions listed above. I understand that this is not a lease or an offer to rent. No binding obligation of any kind exists between the owner and myself unless and until a lease is signed. This Application is subject to prior Applications. This Application shall remain the property of the owner.

 
Signature of Applicant________________________________Date__________ 

Signature of Applicant________________________________Date__________
 
NO PERSON SHALL BE DENIED THE RIGHT TO RENT OUR PROPERTY BECAUSE OF THEIR RACE, COLOR, 
RELIGION, SEX, NATIONAL ORIGIN
OR ANCESTRY.
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