THE STELLRECHT COMPANY
15261 Transistor Lane
Huntington Beach, CA 92649
(714) 898-7557
***There is a $25.00 Application Fee, Per Adult, (Money Order, Cashier Check or Cash) due at the time of remittance***
Apartment Applying for: ___________________________________________
RENTAL APPLICATION
Applicant
Name___________________________________ Telephone (_____) ________________ Email____________________________________
Address___________________________________________________________________________________________Apt #___________
City____________________________________________________________ State ____ Zip ______________
D.O.B.____________________ Drivers Lic.# ____________State_______ Social Security # ________-______-________
Employer _____________________________________________Supervisors Name _______________________ Phone (____)___________
Address _________________________________________________________City______________________________________________
Gross Salary $_______________ Job Title _________________________________________________ Date Employed_________________
Other Income $_____________________________________________________________________________________________________
Automobile Yr________ Make__________________ Color______________ License #_____________
Do you have any animals? _______What type?_______________________________________ Do you have a waterbed?_____________
How many evictions or unlawful detainer actions have been filed against you? _______ Explain_____________________________________
Have you been convicted of a felon? _______ Explain ______________________________________________________________________
Have you ever been sued for non-payment of rent? _________or declared bankruptcy? ___________
In case of emergency notify (including non-payment of rent) ________________________________________________
Relationship ________________________________ Phone (______) _______________________
Address _________________________________________________________________City______________________________________
Who were you referred by? _____________________________________________________________________
Previous place of residence (Mandatory)
Dates ________to________ Manager____________________ Apt Name____________________________________Ph (____)__________
Address________________________________________________City__________________________Zip___________Apt #___________
__________________________________________________________________________________________________________________
Co-Applicant
Name___________________________________ Telephone (_____) ________________ Email____________________________________ Address___________________________________________________________________________________________Apt #___________
City____________________________________________________________ State ____ Zip ______________
D.O.B.____________________ Drivers Lic.# ____________State_______ Social Security # ________-______-________
Employer _____________________________________________Supervisors Name _______________________ Phone (____)___________
Address _________________________________________________________City______________________________________________
Gross Salary $_______________ Job Title _________________________________________________ Date Employed_________________
Other Income $_____________________________________________________________________________________________________
Automobile Yr________ Make__________________ Color______________ License #_____________
Do you have any animals? _______What type?_______________________________________ Do you have a waterbed?_____________
How many evictions or unlawful detainer actions have been filed against you? _______ Explain_____________________________________
Have you been convicted of a felon? _______ Explain ______________________________________________________________________
Have you ever been sued for non-payment of rent? _________or declared bankruptcy? ___________
In case of emergency notify (including non-payment of rent) ________________________________________________
Relationship ________________________________ Phone (______) _______________________
Address _________________________________________________________________City______________________________________
Who were you referred by? _____________________________________________________________________
Previous place of residence (Mandatory)
Dates ________to________ Manager____________________ Apt Name____________________________________Ph (____)__________
Address________________________________________________City__________________________Zip___________Apt #___________
Names and birthday (w/year) of persons that will reside in apartment: ______________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
I hereby authorize the landlord/agent to verify the validity of all the above information, and to inquire now or periodically with my employers, financial institutions, and any of the credit reporting bureaus available to him. I agree to supply any additional information needed by the owner/agent to process this application and I acknowledge that my deposit will be forfeit if I do not comply with any such request. I agree that my screening fee of $25.00 (per adult) is non-refundable.
___________________________________________
Signature Date
___________________________________________
Signature Date
_________________________________________________________________________________________________________________
THE STELLRECHT COMPANY
15261 TRANSISTOR LANE
HUNTINGTON BEACH, CA 92649
(714) 898-7557
AUTHORIZATION FOR RENTAL HISTORY VERIFICATION
This form is to gather the rental history of the individual mentioned below who has applied as a tenant in our property.
PREVIOUS LANDLORD NAME:___________________________________________
CONTACT NUMBER:___________________________________________
PREVIOUS ADDRESS:___________________________________________
MONTHLY RENTAL AMOUNT: $___________________________________________
RENTAL DATE:___________________________________________
MOVE-OUT DATE: ___________________________________________
WAS A 30-DAY NOTICE GIVEN:___________________________________________
MONTHLY RENTAL AMOUNT: $___________________________________________
I AUTHORIZE TO GIVE INFORMATION ABOUT MY RENTAL HISTORY TO THE INQUIRING LANDLORD.
___________________________________________
Signature Date
___________________________________________
Signature Date