Paragon Realty Rental Application

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RENTAL APPLICATION

Separate application required for each adult – please fill out completely – see back for requirements

Name: Cell Phone #:


Other names used (maiden): E-mail:
SS#:
Date of birth:
Additional Occupants: Relationship:
Additional Occupants: Relationship:
Additional Occupants: Relationship:
Additional Occupants: Relationship:

Present address:
Reason for moving:
Name, address, ph# of owner/agent:
Previous address:
Reason for moving: Dates:
Name, address, ph# of owner/agent:
Previous address:
Reason for moving: Dates:
Name, address, ph# of owner/agent:

Present employer: How long?:


Address:
Supervisor: Telephone:
Occupation: Salary:
Additional income:
Previous employer: How long?
Address:
Supervisor: Telephone:
Occupation: Salary:
Name of bank: Acct #:
Name of bank: Acct #:
Name of creditor: Pymnt amt:
Name of creditor: Pymnt amt:
Name of creditor: Pymnt amt:

In case of emergency notify: Relationship:


Address: Phone #:
In case of emergency notify: Relationship:
Address: Phone #:
Personal reference: Phone:
Personal reference: Phone:

Automobile make: Model:


Year: Lic plate #:
Automobile make: Model:
Year: Lic plate #:
Do you have pets: What kind:
Do you have waterbeds: Do you have insurance for it:

Applicant represents that his/her statements made above are true and correct and hereby authorizes verification of references to include, but no to be
limited to now and in the future, if necessary to enforce judgments: credit checks, employment, rental history, unlawful detainer checks, and agrees to
furnish additional credit references upon request, and waves any claim against any person providing such verification.

Property: DATE:

SIGNATURE:

The following items are required to be submitted with your application, for it to be processed: E-mail application package to:
 Copy of your driver’s license [email protected]
 Copies of your last 2 paycheck stubs PARAGON REALTY
 Credit report (download it for free from www.AnnualCreditReport.com) P.O. BOX 8244
 Separate application for each adult Lancaster, CA 93539-8244
 Last bank statement (to verify move-in funds; acct # can be crossed out) (310) 528-5789 office
 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED

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