Application Form

Tenant's Personal and Credit Information

Anticipated length of occupancy:
Date:
House address:
Deposit Amount:
Rent Amount:
Personal Data Applicant:
Name:
Date of Birth:
SSN:
Drivers Lic. No.:
Expiration Date:
E-mail address:
Co-Tenant: Name of Co-Tenant:
Co-Tenant Date of Birth:
SSN:
Drivers Lic. No.:
Expiration Date:
Present Address:
Length at present address:
City/State/Zip:
Res. Phone:
Bus. Phone:
Landlord or Agent:
Phone:
Previous Address:
How long?
City/State/Zip:
Landlord or Agent:
Phone:
Total people in house:
Ages:
Relationships:
Pets: Y N
Vehicle Make/Model:
Year:
Color:
License No.:

Occupation
	Present Occupation:*	Prior Occupation:*	Co-Tenant's Information
Occupation:
Employer:
Self-Employed, dba:
Business Address:
Business Phone:
Type of Business:
Position Held:
Name/Title of Superior:
How Long?:
Monthly Gross Income:
*If employed or self employed less than two years, give same information on prior occupation.

References
Bank Reference: Address: Phone:
Credit Reference:	Payment per Month	Address	Highest Amount Owed	Purpose of Credit	Account Open or Date Closed

Personal Reference:	Address:	Phone:	Length of acquaintance:	Occupation:


Nearest Relative:	Address:	Phone:	City:	Relationship:

Have you ever filed a petition in banruptcy?
Yes No

Have you ever been evicted from any tenancy?
Yes No

Have you wilfully and intentionally refused to pay any rent when due?
Yes No

I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CONSUMER CREDIT REPORT.
Yes No

I agree that Landlord may terminate any agreement entered into in reliance on any misstatement made above.
Yes No

Information Disclosure Authorization

By checking this box, I hereby authorize Sininger's Enterprises, to obtain any and all information necessary concerning:

Employment history, dates, title, income, hours worked, etc.
Banking and savings accounts of record, and any other assets needed to process my credit application.

I further authorize Sininger's Enterprises to order a consumer credit report and verify other credit information, including past and present mortgage references, (open date, high credit, payment amount, loan balance and payment record).

The information obtained is only to be used in the processing of my personal loan application.

A photocopy of this form may be deemed to be the equivalent of the original and will serve as authorization.

Thank You.

siningers enterprises | huntington beach, ca 92647 | 714-847-4385 | E-mail