APPLICATION TO RENT

CRISSIUS PROPERTIES

1592 Union Street, Suite 473

San Francisco, CA, 94123

info@crissius.com

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Application to rent property at

Full Name of Applicant

Home Phone

Cell Phone

Work Phone

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Agree

Present Address

City

State

Zip

Driver’s License/State ID/Passport #

State/Country

Social Security No

Birthday

Name of Current Landlord/Property Manager

Phone

How long at present address?

Reason for Leaving?

How much rent do you pay? $

Have you ever had a deposit held for money owed, legal fees or damages?

If so, explain

Prior Address

How long at this address?

Name of prior Landlord//Property Manager

Phone

How much rent did you pay? $

Reason for Leaving?

Pet(s) (names, ages, type)

Name(s) of all other Applicants/Dependents and relationship to Applicant

Current Employer

How long with this employer?

Employer’s address

City

ZIP

Supervisor’s Phone

Position/Title

Gross Annual Income $

Supervisor’s Name/Title

Previous Employer

How long with this employer?

Employer’s address

City

ZIP

Supervisor’s Phone

Position/Title

Gross Annual Income $

Supervisor’s Name/Title

Other Income $

per

Source

Auto make

Model

Year

License

State

Color

Do you smoke?

Do you use incense or candles?

Do you use a waterbed?

Have you ever been evicted?

If so, explain

Personal Reference 1

Phone

Address

Personal Reference 2

Phone

Address

Emergency Contact

Phone

Address

I declare under penalty of perjury that this information is true and correct to the best of my knowledge and belief.

Applicant

Date

By signing here I am allowing Crissius Properties to obtain my credit report based on my own personal information, which I have truthfully supplied above:

Applicant

Date