E.E.N. PROPERTY MANAGEMENT, INC.
FOR OFFICE USE ONLY
DATE:  
PROP. APPL. FOR: APT. #:
MON. RENT AMT. $: SD AMT. $:
APPOX M/I DT: SEC. 8:
 
 
RENTAL APPLICATION
INDIVIDUAL APPLICATIONS ARE REQUIRED FROM EACH OCCUPANT 18 YEARS OF AGE OR OLDER. ALL SECTIONS OF APPLICATION MUST BE COMPLETED.
 
LAST NAME                           FIRST NAME                           MIDDLE NAME, JR./SR. SOCIAL SECURITY #
OTHER NAMES USED IN THE LAST TEN YEARS HOME PHONE #
(       )
DATE OF BIRTH DRIVERS LIC. OR ID# EXP. DATE STATE MILITARY
YES (  )   NO (  )		 WORK PHONE #
(       )
 
1. PRESENT STREET ADDRESS                           CITY                           STATE               ZIP CODE            
 
MOVE-IN DATE RENT AMOUNT
$		 OWNER/MGR. NAME OWNER/MGR. PHONE #
(       )
REASON FOR MOVING? HAS A 30-DAY NOTICE BEEN GIVEN? YES (  )   NO (  )
 
2. PREVIOUS STREET ADDRESS                           CITY                           STATE               ZIP CODE
 
MOVE-IN/OUT DATE RENT AMOUNT
$		 OWNER/MGR. NAME OWNER/MGR. PHONE #
(       )
REASON FOR MOVING?
 
 
PROPOSED OCCUPANTS-
LIST ALL IN ADDITION
TO YOURSELF		 NAME                                         AGES NAME                                         AGES
   
   
 
A. PRESENT OCCUPATION OR SOURCE OF INCOME EMPLOYER NAME                        
HOW LONG WITH THIS EMPLOYER? SUPERVISOR PHONE #
(       )		 EMPLOYER ADDRESS
NAME OF YOUR SUPERVISOR MO. GROSS INCOME
$		 CITY, STATE, ZIP CODE
B. PRIOR OCCUPATION OR SOURCE OF INCOME EMPLOYER NAME
HOW LONG WITH THIS EMPLOYER? SUPERVISOR PHONE #
(       )		 EMPLOYER ADDRESS
NAME OF YOUR SUPERVISOR MONTHLY INCOME
$		 CITY, STATE, ZIP CODE
 
IF THERE ARE OTHER SOURCES OF INCOME YOU WOULD LIKE US TO CONSIDER, PLEASE LIST INCOME, SOURCE AND PERSON WHO WE COULD CONTACT FOR CONFIRMATION.
 
AMOUNT
$           PER		 CHECK ONE:
(  )WKLY  (  )MTHLY		 SOURCE             PERSON TO CONTACT PHONE #                
(       )
 
1. VEHICLE MAKE MODEL       YEAR LICENSE PLATE #
2. 2nd VEHICLE MAKE MODEL       YEAR LICENSE PLATE #
 
HAVE YOU EVER: FILED FOR BANKRUPTCY? (  )YES   (  )NO  _______ YEAR
BEEN EVICTED FROM TENANCY? (  )YES   (  )NO  _______ YEAR
WILLFULLY OR INTENTIONALLY REFUSED TO PAY RENT WHEN DUE? (  )YES   (  )NO  _______ YEAR
HAVE YOU EVER BEEN CONVICTED OF A FELONY? (  )YES   (  )NO  _______ YEAR
 
WILL YOU HAVE
PETS?		 DESCRIBE                     WILL YOU HAVE LIQUID
FILLED FURNITURE?		 DESCRIBE                    
 
NAME OF BANK
BRANCH OR ADDRESS
ACCOUNT NUMBER
    CHECKING #
SAVINGS #
 
1. NEAREST RELATIVE PHONE #            
(       )		 ADDRESS, CITY, STATE, ZIP CODE                    
2. PERSONAL REFERENCE PHONE #            
(       )		 ADDRESS, CITY, STATE, ZIP CODE                    
3. PERSONAL REFERENCE PHONE #            
(       )		 ADDRESS, CITY, STATE, ZIP CODE                    
 
I UNDERSTAND THAT E.E.N. PROPERTY MANAGEMENT, INC. WILL RETAIN THIS APPLICATION WHETHER OR NOT IT IS APPROVED. APPLICANT REPRESENTS THAT EVERYTHING STATED IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF THEIR KNOWLEDGE AND HEREBY AUTHORIZES VERIFICATION OF THE ANSWERS STATED, BUT NOT LIMITED TO, THE OBTAINING OF A CREDIT REPORT AND AGREES TO PROVIDE ADDITIONAL CREDIT REFERENCES UPON REQUEST. APPLICANT CONSENTS TO ALLOW OWNER/MANAGER TO DISCLOSE TENANCY INFORMATION TO PREVIOUS OR PRESENT OWNERS/MANAGERS.

RENT AMOUNT IS SUBJECT TO CHANGE WITHOUT NOTICE. AFTER 72 HOURS OF RECEIPT OF RENTAL DEPOSIT, MANAGEMENT HAS THE RIGHT TO RETAIN RENTAL DEPOSIT FOR UNSPECIFIED DAMAGES, SUCH AS LOSS OF RENT, ADVERTISING, ETC. 
 
DATE ___________________ SIGNATURE ______________________________________________    
 
FOR OFFICE USE ONLY
PROCESSING FEE PAID:  (  ) DATE COMPLETED:  
INCOME VERIFIED:  (  ) DATE COMPLETED:  
RENTAL REF. COMPLETED:  (  ) DATE COMPLETED:  
APPROVED:  (  )    
DENIED:  (  ) DENIAL LTR. SENT:  
 

1000-J APOLLO COURT * ANTIOCH, CA 94509
PHONE (925) 778-3366 * FAX (925) 778-3458

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