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THIS APPLICATION TO BE COMPLETED BY APPLICANT. A SEPERATE APPLICATION TO RENT IS REQUIRED FOR EACH OCCUPANT 18 YEARS OF AGE AND OVER, OR AN EMANICIPATED MINOR.

By submitting this application, Applicant understands and agrees: (i) this is an application to rent only and does not guarantee that applicant will be offered the premises; and (ii) Landlord or Manager or Agent may accept more than one application for the Premises and, using their sole discretion, will select the best qualified applicant.

Applicant represents the below information to be true and complete, and hereby authorizes Landlord or Manager or Agent to (i) verify the information provided; and (ii) obtain credit report on applicant.

If the application is not fully completed, or received without the screening fee: (i) the application will not be processed, and (ii) the screening fee will be returned.

Applicant has paid a nonrefundable screening fee of $39.00, applied as follows:
$ 19.00 for credit reports prepared by YCC.
$ 20.00 for processing.

Input Your Information
* Applicant is completing Application as a (select one):
* Name
* Email
* Applicant Home Phone:
* Applicant Work Phone:
* Applicant Mobile Phone:
* Social Security No.
* Current Address:
* City/State:
* Zip Code:
* Date Moved In:
* Name of Landlord/Manager
* Landlord/Manager Phone:
* Previous Address:
* From:
* To:
* Name of Landlord/Manager:
* Landlord/Manager Phone(2):
* Driver's Licence No.
* State
* Expires:
* Name(s) of all other proposed occupants and relationship to to applicant:
* Pet(s) or Service Animals (number and type)
* Auto: Make Model Year Color
* Licence (tag) Number and State:
* Other Vehicles:
* In case of emengency, person to notify:
* Relationship:
* Address:
* Phone:
* City/State/Zip
* Current Employer:
* Supervisor:
* Employer's Address:
* Supervisor's Phone:
* Position or Title:
* Phone Number to Verify Employment:
* Employment Gross Income:
* Per (select one):
* Date Started with Current Employer:
Previous Employer:
Previous Employer Address, City, State, Zip:
Previous Employer Phone:
Lenth of Time with Previous Employer:
* Checking Account (Bank and Branch):
* Account Balance (Checking):
* Savings Account (Bank and Branch):
* Account Balance (Savings):
* Name of Creditor (1):
* Monthly Payment (1):
* Balance Due (1):
* Name of Creditor (2):
* Monthly Payment (2):
* Balance Due (2):
* Personal Reference Name (1):
* Personal Reference Address(1):
* Personal Reference Phone (1):
* Personal Reference Lenth of Acquaintance (1):
* Personal Reference Occupation (1):
* Personal Reference Name (2):
* Personal Reference Address(2):
* Personal Reference Phone (2):
* Personal Reference Lenth of Acquaintance (2):
* Personal Reference Occupation (2):
* Nearest Relative Name:
* Nearest Relative Address:
* Nearest Relative Phone:
* Relationship
* Applicant has read and agrees to all stipulations of this application (please initial):
* Applicant has paid the screening fee and agrees to a credit screening report (please initial):
* America Home Hunter Agent/Assistant you are working with:

America Home Hunters
9595 Wilshire Boulevard - Suite 900 • Beverly Hills, CA 90212
Phone: 800-789-9140 • Fax: 310-693-8055