park central apartments Rental Application

 Each adult applicant over 18 MUST fill out a separate application. Please Print Clearly.  

 Print this application and follow instructions at the bottom of the last page.

 

Applicant                                                I am looking for qOne Bedroom   qTwo Bedroom

 

Last name: ___________________________   First name: _________________________  Middle name: _______________

 

Date Of Birth: ____/____/____  Soc. Sec.#: ______-______-______   Drivers Lic. #____________________  State: ________

 

Work Phone: (______) _______--__________ ext. ____   Home: (______) _______--__________   email: ___________________

 

Names and relationship of every person to be living with you, even temporarily, children, and children that you share custody for:

 

______________________________ DOB____/____/____     ______________________________ DOB____/____/____

 

______________________________ DOB____/____/____     ______________________________ DOB____/____/____

 

Present Address

 

Address: __________________________  Apt#: ______  City: ___________________   State: _________   Zip: __________

 

Rentedq      Ownedq     I lived there from: ____/____/____ to: ____/____/____      Rent or payment you now make: $______

 

Reason For Moving (please describe fully): ________________________________________________________________

 

__________________________________________________________________________________________________

 

Manager’s Name: ___________________________________   phone: (____) _____________  fax:: (____) _____________

 

Previous Address 

 

Address: __________________________  Apt#: ______  City: ___________________   State: _________   Zip: __________

 

Rentedq      Ownedq     I lived there from: ____/____/____ to: ____/____/____      Rent or payment: $________

 

Reason For Moving (please describe fully): ________________________________________________________________

 

__________________________________________________________________________________________________

 

Manager’s Name: ___________________________________   phone: (____) _____________  fax:: (____) _____________  

 

Employer

 

Company Name: ________________________  Phone: (___) ______________  Supervisors Name: ___________________

 

Address: ______________________________       City: ____________________    State: __________     Zip: ___________

 

When did you start work with this employer? ______/______/______   Monthly Salary: $____________

 

Position: __________________________________________       Is this position permanent? qyes qno   Full time? qyes qno

Supervisors Name: __________________________________________                   His/Her Fax: (_____) ________________

Other Income: $____________  Source: ___________________________________________________________________

 

All Vehicles Owned

 

Make: _________________  Model: ________________  Year: ______  Color: _________  Lic.: ____________ State: ____

qCar      qTruck       qTruck With Camper       qVan     qMotorcycle

 

Make: _________________  Model: ________________  Year: ______  Color: _________  Lic.: ____________ State: ____

qCar      qTruck       qTruck With Camper       qVan     qMotorcycle

 

In Case Of Emergency Please Notify

 

Name: ________________________________________                     Relationship: ______________________

 

Address: ______________________________    City: ____________________     State: _____________      Zip: ________

 

Work Phone: (______) _______--__________       ext.: ____                 Home Phone: (______) _______--__________

 

Your heard about us from:     qCraig’s List     qWeRent.com   qDrove by    qFriend    qCurrent Resident    qPast Resident

  

Have you ever filed for Bankruptcy?  qyes qno                        Have you ever been evicted or asked to move?  qyes qno

Have you ever paid your rent later than agreed?  qyes qno  Have you ever been cautioned about excessive noise? qyes qno
 

 If you checked yes for any of the above please explain in detail on the reverse side.  Applicant hereby represents that the above
 information is true and correct in all respects and authorizes investigation and verification thereof which will include, but not be
 limited to, obtaining a credit report, verifying Landlord references, verifying employment and income, etc.

 

  Today’s Date: _____/_____/_____    Applicant’s Signature: ________________________________________________ 

                                                                    I understand and agree that no pets will be present in the apartment.

 

Print, fill out, sign, and fax to us at (510) 865-0972.
  Ma
il the $25 application fee:

 

Park Central Apartments

Rental Office
773 Esterbrook Court
Alameda California 94501


Phone (510) 865-9494     Fax (510) 865-0972

 

Park Central Apartments