form - Parkmerced Parkmerced APPLICATION FOR RENTAL Notice...

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Parkmerced APPLICATION FOR RENTAL Notice: All adult applicants (18 years or older) must complete a separate application for rental. The undersigned hereby makes application to rent an apartment at Parkmerced . APPLICANT INFORMATION LAST NAME FIRST NAME M.I. SSN DRIVER'S LICENSE # Pham Kien T. 000-00-0000 CA BIRTH DATE PHONE #1 PHONE #2 EMAIL 8/17/1992 (415) 490-8871 [email protected] CURRENT ADDRESS STREET ADDRESS CITY STATE ZIP 50 South Hill blvd San Francisco CA 94112 YEARS MONTHS LANDLORD NAME LANDLORD PHONE Nhung Pham (415) 490-8515 REASON FOR LEAVING RENT/OWN MONTHLY RENT the house was on fire. Rent $2,300.00 / Mo. OTHER OCCUPANTS LIST NAMES AND BIRTH DATES OF ALL DEPENDANTS 18 YEARS OR YOUNGER OCCUPATION EMPLOYER/COMPANY SALARY Student University of San Francisco $4,500.00/Mo. SUPERVISOR SUPERVISOR PHONE LENGTH Mari-Margret S Mc Dermott EMPLOYER ADDRESS CITY STATE ZIP PERSONAL REFERENCE NAME ADDRESS PHONE RELATIONSHIP EMERGENCY CONTACT NAME ADDRESS PHONE RELATIONSHIP Nhung Pham (415) 490-8515 sister ADDITIONAL INFORMATION PETS TYPE WEIGHT DESCRIPTION NO N/A N/A N/A BACKGROUND INFORMATION HAVE YOU EVER: Filed for bankruptcy? Willfully or intentionally refused to pay rent when due? NO NO Are you currently an illegal abuser or addict of a controlled substance? Been convicted of the illegal manufacture or distribution of a controlled substance? NO NO Been evicted from a tenancy or left owing money? If yes, please provide Property Name, City, State, and Landlord Name. NO Been convicted of a crime? If yes, please provide Type of Offense, County, and State. NO VEHICLE INFORMATION YEAR YEAR Parkmerced 1
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OTHER INFORMATION HOW DID YOU HEAR ABOUT THIS PROPERTY? Personal Referral DESIRED ADDRESS: DESIRED MOVE-IN DATE: 1/27/2011 PLEASE INCLUDE ANY OTHER INFORMATION YOU BELIEVE WOULD HELP TO EVALUATE THIS APPLICATION I hereby apply to lease an apartment and agree that the rental is to be payable the 1st day of each month in advance. I warrant that all statements above set forth are true. I hereby give my permission to communicate with my current and former landlord or property manager for the purpose of discussing any and all of the facts and circumstances of my current or former tenancy, as well as the other information listed above. I also give my permission to communicate with my current employer(s) and/or supervisor(s) for the purpose of verifying the employment information listed above. I understand there are no limitations or restrictions regarding what
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form - Parkmerced Parkmerced APPLICATION FOR RENTAL Notice...

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