notice: all adult applicants (18 years or older) must complete a separate application for rental
EMAIL ADDRESS
year
monthly rent
other vehicles
Other Occupants
agent/referred by
start date
rent
apartment
ssn
middle name
first name
last name
license no. & state
landlord phone
end dare
relationship
BIRTH DATE
DRIVER'S LICENSE
HOME PHONE
WORK PHONE
start date
supervisor phone
last name and birth dates of all occupants 18 years or younger
City
Background Information
state
other income description
monthly rent
reason for leaving
landlord phone
date out
landlord name
DATE in
zip
Other Information
make & model
last name and birth dates of all occupants 18 years or older
last name
Applicant Information
Current Address
street address
pets?
Pets
date out
landlord name
DATE in
zip
monthly income
address
name
describe
phone
supervisor name
Employment and Income Information
employer/company
occupation
monthly salary
relationship
address
name
phone
relationship
address
name
phone
relationship
Emergency Contact
address
name
phone
relationship
address
name
phone
Personal Reference
relationship
address
name
phone
reason for leaving
been evicted from a tenancy or left owing money? if yes, please provide property name, city, state, and landlord name.
willfully or intentionally refused to pay rent when due?
filed for bankruptcy?
City
state
Previous Address
street address
year
license no. & state
please include any other information you believe would help to evaluate this application.
been covicted of a crime? if yes, please provide type of offence, county, and state.
Vehicle Information
make & model
date
how did you hear about this property?
(signed/applicant)
consume report disclosure and authorization
I/we, the undersigned, authorize On-Site.com, Landlord and its agents to obtain an investigative consumer credit report including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender search. I authorize the release of information from previous or current landlords, employers, and bar representatives. This investigation is for resident screening purposes only, and is strictly confidential. This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold On-Site.com, Landlord and its agents free and harmless of any liability for any damages arising out of any improper use of this information.
Important information about your rights under the Fair Credit reporting Act:
You have a right to request disclosure of the nature and scope of the investigation.
You must be told if information in your file has been used against you.
You have a right to know what is in your file, and this disclosure may be free.
You have the right to ask for a credit score (there may be a fee for this service).
You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccurate, incomplete, or unverifiable information.
These reports are being processed by On-Site.com, P.O. Box 1514, Los Altos, CA 94023-1514, (877) 222-0384.
A summary of your rights under the Fair Credit Reporting Act is available by visiting or writing (Para information en espanol. visite o escribe): http://www.ftc.gov/credit
Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Avenue N.W., Washington D.C. 20580
In connection with my application for housing, I understand that the property owner/agent may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application. These consumer reports will be obtained from one or more of the following consumer reporting agencies:
On-Site Manager, Inc., P.O. Box 1514, Los Altos, CA, 94023-1514, (877) 222-0384
If you would like to receive a copy of any credit report at no cost to you, please initial here:
Under Section 1786.22 of the Texas Civil Code, if you wish to dispute the accuracy or completeness of any item in the consumer report, you may contact the consumer reporting agency named above and request an investigation. You also may view the file maintained on you by the above credit reporting agency during normal business hours. You can receive a copy of your file by providing proper identification and paying any related-copy costs. You may also receive a summary of the file by telephone. The agency is required to have employees available to explain your file to you, and they must explain any coded information in your file. You can bring someone with you to view the file, so long as they have identification.
If you would like to receive a copy of any investigative consumer report at no cost to you, please initial here:
have you ever:
Under California law, these consumer reports are defined as investigative consumer reports. These reports may contain information on my character, general reputation, personal characteristics and mode of living. In connection with my application for housing, I authorize owner/agent to obtain a consumer report from the consumer reporting agencies listed above.