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A non-refundable $25 application fee is required by each adult 18 years or older. Please include photo copy of your driver's license will ALL applications.

An application is required from each tenant age 18 yrs or older

Application for-Address__________________Today’s Date____________

NAME________________________________Date of Birth____________

SOCIAL SECURITY #_____________________Driver License #__________

OCCUPATION______________________Salary $________________/Month

EMPLOYED BY_____________________How Long?________________

EMPLOYER’S ADDRESS____________________________________________

EMPLOYERS PHONE#____________________Supervisor_________________

OTHER INCOME-SOURCE & AMOUNT________________________________

_________________________________________________________________
 

(Please provide at least 5 Years History of Addresses)

Present Address________________________City___________Zip_________

Monthly Rent $_________How Long?_______Reason For Moving_____________

Owner’s Name________________________Owner’s Phone#_____________

Previous Address______________________City_____________Zip__________

Monthly Rent $_______How Long?_________Reason For Moving____________

Owner’s Name_________________Owner’s Phone #__________________

Previous Address_____________________City_____________Zip__________

Monthly Rent $______How Long?_________Reason for Moving_____________

Owner’s Name_______________Owner’s Phone #____________
 

Names & Date of Birth for all other persons who will live with you:

______________________________________________________________

 Have you ever been evicted?_____  Benn convicted of a felony?__________

Filed Bankruptcy?__________Automobile-Make, Model, Year_____________

Do you have pets?____What kind of pets?____________Do you smoke?_____

Nearest Relative___________________Address__________________Phone#______________

 
Other Credit References______________________________________________________________


I declare that the foregoing information is true & correct, & hereby authorize you to use reasonable means to verify it, including-but not limited to-the acquisition of a consumer credit report.

SIGNATURE_________________________Home Phone#_____________

Cell Phone #________________Work Phone #___________________

 email:___________________________________________________
                                             



                               FAX: (707) 252-2860, OFFICE: (707) 252-2022,

                                              email: mainstreetnapa@sbcglobal.net




For Office Use Only:

App Fee: _____FOP:_____