Rental Application
Century West Properties, Inc.
1437 Seventh Street, Suite 200
Santa Monica, CA  90401
Tel (310) 899-9580 / Fax (310) 899-9470
Property Address:				Unit #:
Agent.Manager:				Move-in Date:
Contact Number:				Rent/month:
Date application received:				Security Deposit:
Approved by:				Pet Deposit:
Applicant Name:  First	Middle	Last	Birthdate	Social Security #	Driver's License #	State
Other names ever used including maiden name:
E-Mail Address:
Other proposed occupants:			Age	Relationship to Applicant
Current Address:			Prior Address:
Streeet		Unit	Street:		Unit:
City	State	Zip	City:		State:	Zip:
Home Phone Number:			Cellular Phone Number:
How long?	From:	To:	How Long?		From:	To:
Last rent paid      Month:		Amount:	Last rent paid      Month:		Amount:
Owner:	Telephone:		Owner:		Telephone:
Mgr:	Telephone:		Mgr:		Telephone:
Reason for Leaving:			Reason for Leaving:
Employment	Current Employment		Previous Employment		Prior Employment
Employed by:
Address:
City, State, Zip:
Employers telephone:	(          )		(          )		(          )
Occupation/position:
Type of Business:
Name of Supervisor:
Dates of Employment:	From:	To:	From:	To:	From:	To:
Monthly Salary:
Other Income:
Credit Information
Name of Bank/Credit Union		Branch or Address		Account #	Approximate Balance
Credit References:  Credit Cards, Car Payments, Other Loans
Creditor	Address/City		Account #		Balance	Mo Pmt
Personal References	Address/City		Relationship	Telephone	Time known	Occupation
Emergency Contact	Address/City		Relationship	Telephone	Time known	Occupation
Vehicles	Are you the registered owner?		Yes:	No:	If not, who is?
List all	Year	Make	Model	Color	License Plate	State
operable
automobiles
1. Have you ever had credit problems?    Yes _____ No _____
2. Have you ever had an unlawful detainer filed against you?  Yes _____ No _____
3. Have you ever been evicted for NON PAYMENT of rent or for any other reason?   Yes _____ No _____
4. Have you ever filed bankruptcy?   Yes _____  No _____
5. Have you ever been convicted for selling, possessing, distribution or manufacturing illegal drugs? Yes _____ No _____
6. Do you have any pets?  Yes _____  No _____  If so, how many? _____     Describe:
7. Will you be using any water-filled furniture in your residence? Yes _____  No _____
8. Please explain any "yes" answers:
The facts set forth in this application are true and correct. I authorize verification of the information contained herein solely for the
purpose of establishing my qualifications as a tenant. I release anyone verifying such information or providing information from liability.
I understand that incomplete or incorrect information provided in this application may cause a delay in processing and/or denial.
I further understand any false information or misrepresentation can be a basis for terminating any tenancy that may
result if this Application is approved. The Application will be incorporated into any Rental Agreement of Lease
entered into pursuant to this Application.
I understand the Owner and Management do not tolerate or condone illegal activity in or around the building,
including activity related to narcotics use, possession, sales, manufacturing and distribution.
Agent will charge $30.00 per person for credit report ($8.25) and ($21.75) for processing and reviewing this application.
Applicants Signature					Date
Please fill out this Application completely prior to submission.