WOODMAN PLACE APARTMENTS APPLICATION FOR RESIDENCE Proof of Renter’s Insurance Required
AGENT: _________________
(Co-applicant must complete separate application)
APT.# __________________ TYPE: _________________
NAME OF APPLICANT________________________________________________________________________________ E-Mail Address: ___________________________________________________ DATE OF BIRTH____________________________ Any other names used__________________________________________ SOCIAL SECURITY #_____________________________ PHONE #: __________________________ CELL PHONE #: ____________________________
ALL OTHERS TO BE LIVING IN THE APARTMENT Name______________________________________ Date of Birth_____________ Social Security #_____________________ Name______________________________________ Date of Birth_____________ Social Security #_____________________ Name______________________________________ Date of Birth_____________ Social Security #_____________________ PRESENT ADDRESS_____________________________________________________________________________________________ Street
City
State
Zip
How long __________ If owner, Lender’s name ______________________________ If renter, Manager’s phone #_________________ If Apartment Community, Name of Property______________________________ Reason for leaving_____________________________ PREVIOUS ADDRESS____________________________________________________________________________________________ Street
City
State
Zip
How long __________ If owner, Lender’s name ______________________________ If renter, Manager’s phone #__________________ If Apartment Community, Name of Property______________________________ Reason for leaving_____________________________ PRESENT EMPLOYER __________________________________________________________________How Long______________ Address______________________________________________________________________________Telephone #________________ Position______________________________Supervisor____________________________________ Salary per month_______________ PREVIOUS EMPLOYER_________________________________________________________________ How Long______________ Address______________________________________________________________________________Telephone #________________ Position______________________________Supervisor____________________________________ Salary per month_______________ OTHER INCOME Source(s) _____________________________________________________________ Total per month___________ CREDIT INFORMATION: Bank (Checking)________________________Branch ______________________Account #__________________ Bank (Savings) _________________________Branch ______________________Account #__________________ Bank (Loan) _________________________Branch ______________________Account #__________________ CREDIT CARDS: Card _______________Card Number _________________________Credit Line___________ Exp. Date________ Card _______________Card Number _________________________Credit Line___________ Exp. Date________ AUTOMOBILE INFORMATION: Make________________Model_____________________Year__________Color___________License Plate#________________ Make________________Model_____________________Year__________Color___________License Plate#_________________ Driver’s License Number _______________________State ____________________________Expiration Date________________ Address as shown on Driver’s License_____________________________________________________________________________ NOTIFY IN CASE OF EMERGENCY: Name__________________________________________________Relation___________________Telephone #__________________ Address___________________________________________________________________________ Business phone #_____________ Are you being or have you ever been evicted?________________Details___________________________________
Applicant states the above information is true and correct and authorizes investigation and verification of any information contained herein. DATE_______________________ APPLICANT’S SIGNATURE_____________________________________________________ MUST BE WITNESSED BY AGENT
WOODMAN PLACE APARTMENTS Date:
Apartment #
Leasing Consultant:
Leasing Consultant’s email address: Name of Customer: Name of Credit Card Holder: Telephone Number of Credit Card Holder: Address of Credit Card Holder:
Visa:
Master Card:
Discover:
Amex:
Credit Card Number: Last Three Digits (Located on the Back of the Credit Card): Credit Card Expiration Date: I authorize Woodman Place, to charge to my credit card the specified charges $__________________. I have included a photocopy of the FRONT and BACK of my credit card and of my Photo Identification to confirm the authorization and to verify the credit card number and signature. This authorization is for WOODMAN PLACE, only, and will not be released to any unauthorized persons. I also understand that this authorization is only for the above date and transaction. PLEASE NOTE… WOODMAN PLACE, MUST RECEIVE PHOTO COPY OF THE FRONT and BACK OF THE CREDIT CARD AND PHOTO IDENTIFICATION AS EXPLAINED ABOVE FOR CREDIT CARDHOLDER SECURITY. NO EXCEPTIONS.
CARD HOLDER SIGNATURE Date: Please complete this authorization letter, copy of credit card and photo I.D. and email to the leasing agent listed above or fax to 818-782-3478.
6210 Woodman Ave • Van Nuys, CA 91401 Phone: 818-782-3478 • Fax: 818-782-9971