Westgate Villa Town Homes

345 Littlejohn Road

Yuba City, Ca. 95991

Residential Rental Application
(All Sections Must Be Completed) / Individual applications required from each applicant
Last Name / First Name / Middle Name / Social Security Number
Date of Birth / Drivers license No. / State / Home Phone Number
1 / Present Address City State Zip Code
Date in / Date out / Owner/Mgr / Owner/Mgr Phone No.
Reason for Moving
2 / Previous Address City State Zip Code
Date in / Date out / Owner/Mgr / Owner/Mgr Phone No.
Reason for Moving
3 / Previous Address City State Zip Code
Date in / Date out / Owner/Mgr / Owner/Mgr Phone No.
Reason for Moving
Proposed
Occupants
List All
in addition
to yourself / Name / Age / Name / Age
Do you have pets? / Describe / Will you have liquid filled furniture? / Describe
1 / Present
Occupation / Employer
Name
How long with
this employer / Employer
Address
Name of your
supervisor / Employer
phone no.
2 / Previous
Occupation / Employer
Name
How long with
this employer / Employer
Address
Name of your
supervisor / Employer
phone no.
Current gross income
$ Per / Check one below / Please list ALL of your financial obligations below
Wk. / Mo. / Yr.
Name of your bank / Branch or address / Account number
Name of creditor / Address / Phone Number / Payment Amount
In case of emergency, notify: / Address / Phone / City / Relationship
1.
2.
Personal References / Address / Phone / City / Length of acquaintance
1.
2.

Automobile: Make ______Model ______Year ______Reg.State ______Vehicle license number ______

(Other vehicles): ______

Have you ever filed for bankruptcy? ______If Yes, when and where? ______

Have you ever been evicted, party to an unlawful detainer action, or asked to move? ______(If yes explain in detail on separate page.)

Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including but not limited to the obtaining of a credit report and agrees to furnish additional credit references on request.

The undersigned makes application to rent housing accommodations designated as:

Unit # ______Located at 345 Littlejohn Rd, Yuba City.

The rent for which is $ 800.00/month (2br) and $ 900.00/month (3br) per month [Month to Month Rental contracts] and upon approval of this application agrees to sign a rental or lease agreement, to pay all sums due, including required deposits, before occupancy. Longer term Lease Agreements may be negotiable.

Note: This application does not constitute an offer to rent or lease and is provided for your convenience only. There is a $30.00, non- refundable, cost to each adult applicant for processing this application and tenant screening. This screening fee includes out of pocket costs of for three agency credit report ($15.00/person) plus staff time to process your application ($15.00, minimum).Your credit report may be used by Westgate Villas and Owner/s only for the purpose of financial screening of applicants for properties which we manage or own, only with the expressed consent of the applicant. Our evaluation is based on financial status, credit history, rental history, and evaluation of references. Please provide complete and current information. Westgate Villa and Owner/s are an Equal Housing Opportunity company.

Signature of Applicant: ______Dated: ______, 20______

Notice: Westgate Villa and Owner/s enthusiastically supports and complies with all state and federal laws and regulations in the management and processing of applications for residential rental property it manages and operates.
Property Manager: R J Beardsley Mail to: P O Box 160294Sacramento, CA95816-0294 Email:
Yuba City Phone: 530-845-0450 Office: 916-451-6750 Office Fax: 916-927-0609
For Office use Only. Do not write in space below.