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Application

* Property Applying ForUnit #

* Requested Move In Date

* First Name: * Middle Initial (if none type N/A): * Last Name: Sr./Jr./etc: * Social Security #: * Date of Birth: * Current U.S. Driver's License #:

* Phone Number: Mobile Work Home Phone Number: Mobile Work Home * I am:
Applicant Co-Applicant Co-Signer * Email Address Names of Co-Applicants 18 yrs and older

Dependents

Full Name: Age: Relationship: Full Name: Age: Relationship: Full Name: Age: Relationship:

RENTAL HISTORY (no less than 2 years)

Current Address

* Address: * City: * State: * Zip: * From * To * Amount Rent Paid: * Owner/Agent Name: * Owner/Agent Phone Number: Owner/Agent Email: * Owner Address: * City * State: * Zip: * Reason for Leaving: Mortgage Company Name (if owned): Mortgage Account Number: Mortgage Company Address: City: State: Zip:

Previous Address

Address: City State Zip From To Amount Rent Paid: Owner/Agent Name: Owner/Agent Phone Number: Owner/Agent Email: Owner Address: City State: Zip: Reason for Leaving:

EMPLOYMENT (no less than 2 years)

Current Employer #1

* Employer Name: * Business Phone: * Fax: Website: * Employer Address: * City: * State: * Zip: * Supervisor's Name: * Supervisor's Title: * Supervisor's Email Address: * How Long There (Yrs. and Mos.) * Present Position: * Gross Annual Salary:

Current Employer #2

Employer Name: Business Phone: Fax: Website:

Address: City: State: Zip: Supervisor's Name: Supervisor's Title: Supervisor's Email Address: How Long There (Yrs. and Mos.) Gross Annual Salary:

Previous Employer

Employer Name: Business Phone: Fax: Website: Employer Address: City: State: Zip: Supervisor's Name: Supervisor's Title: Supervisor's Email Address: How Long There (Yrs. and Mos.) Present Position: Gross Annual Salary: Misc Info:

REFERENCES

* Name: * Phone #: * Email: * Relationship: * Address: * City: * State: * Zip:

* Name: * Phone #: * Email: * Relationship: * Address: * City: * State: * Zip:

Name: Phone #: Email: Relationship: Address: City: State: Zip:

In Case of Emergency, contact person:

* Name: * Phone #: * Relationship: * Address: * City: * State: * Zip:

MISCELLANEOUS INFORMATION

* Have you ever been delinquent in payment of your rent/mortgage obligation?
Yes No If yes, please provide explanation: * Have you ever been a defendant in an unlawful detainer (eviction), lawsuit or defaulted (failed to perform) an obligation of a lease or rental agreement?
Yes No If yes, please provide expanation: * Do you have animal(s)?
Yes No If yes, please describe breed/size/age/color/etc...

Automobiles/Motorcycles to be parked on the premises:

* Automobile Make * Model * Year * License # Automobile Make Model Year License # Automobile Make Model Year License # AFTER CLICKING SUBMIT BELOW, YOU MAY BE DIRECTED TO THE PAYMENT PAGE. IF SO, YOU MUST COMPLETE AND PAY TO SUBMIT YOUR APPLICATION. IF NO PAYMENT IS REQUIRED AT THIS TIME, OUR OFFICE WILL CONTACT YOU FOR YOUR CREDIT CARD INFORMATION, IF YOUR APPLICATION IS CHOSEN FOR PROCESSING. YOU WILL RECEIVE A CONFIRMATION EMAIL ONCE YOUR APPLICATION HAS SUBMITTED.

* Name * Date

Office Address

40 South Ash Street
Ventura, CA 93001
Contact

Post Office Box 23277
Ventura, CA 93002
(805)653-6794
Hours

Mon - Fri: 9am - 5pm
Closed: 12pm - 1pm Daily for Lunch

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