Wellman Realty Company, Inc.

^{1415 Stanford St. Suite 4, Santa Monica, CA 90404  Ph: 310-829-5910 Fax: 310-829-2079}

Application to Rent

Applicant

Name:___________________________________________________

Date of Birth:______________________________________________

SS #:____________________________________________________

California Driver’s License #:_________________________________

Home Phone:_____________________________________________

Work Phone:______________________________________________

Mobile Phone:_____________________________________________

Email address:____________________________________________

Additional Occupants/Pets*:_________________________________

________________________________________________________

Current Residence

Address:_________________________________________________

________________________________________________________

Length of time:____________________________________________

Rent: $__________________________________________________

Landlord Name/Phone:_____________________________________

________________________________________________________

Reason for leaving:_________________________________________

________________________________________________________

 

 

 

Previous Residence

Address:________________________________________________

_______________________________________________________

Phone:_________________________________________________

Length of time:___________________________________________

Rent: $_________________________________________________

Reason for leaving:_______________________________________

_______________________________________________________

Current Employment

Employer name:_________________________________________

Address:_______________________________________________

______________________________________________________

Supervisor’s Phone #:____________________________________

Occupation:____________________________________________

Position:_______________________________________________

Dates of Employment:____________________________________

Monthly Income: $_______________________________________

Previous Employment

Employer name:________________________________________

Address:______________________________________________

______________________________________________________

Supervisor’s Phone #:____________________________________

Occupation:____________________________________________

Position:_______________________________________________

Dates of Employment:____________________________________

Monthly Income: $_______________________________________

 

 

 

Vehicle

Model:_________________________________________________

License Plate:___________________________________________

 

Apartment address applying for:

_______________________________________________________

Applicant's Signature and Date:

______________________________________________________________________      ____/____/____

By signing this application you are giving permission to have your credit run.

*This does not indicate whether pets are allowed or not.  That would be an individual apartment owner’s decision.