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Form LRA, Revised 12/19) for collecting applicant data used in residential rental screening. Includes sections for applicant and occupant details, premises and move-in information, personal identifiers, emergency contact, pet and vehicle information, and disclosure of prior detainer, bankruptcy, move-out requests, and felony convictions. 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Form LRA, Revised 12/19)  \nI. APPLICATION TO RENT  \nTHIS SECTION TO BE COMPLETED BY APPLICANT. A SEPARATE APPLICATION TO RENT IS REQUIRED FOR EACH OCCUPANT 18 YEARS OF AGE OR OVER, OR AN EMANCIPATED MINOR.  \n1. Applicant is completing Application as a (check one)  tenant,  tenant with co-tenant(s) or  guarantor/co-signor.  \nTotal number of applicants   .  \n2. PREMISES INFORMATION  \nApplication to rent property at   (\"Premises\") Rent: $   per   Proposed move-in date    \n3. PERSONAL INFORMATION  \nA. FULL NAME OF APPLICANT    \nB. Date of Birth   (For purpose of obtaining credit reports. Age discrimination is prohibited by law. )  \nC. 1. Driver's License No   State   Expires    \n2. See section II, 2 for Social Security Number/Tax Identification Numbers. Such number shall be provided upon request from Landlord/Manager/Agent.  \nD. Phone number: Home   Work   Other    \nE. Email    \nF. Name(s) of all other proposed occupant(s) and relationship to applicant    \nG. Pet(s) (Other than service or companion animals) (number and type)    \nH. Auto: Make   Model   Year   License No.   State   Color   Other vehicle(s):    \nI. In case of emergency, person to notify   Relationship   Address   Phone   \nJ. Does applicant or any proposed occupant plan to use liquid-filled furniture?  No  Yes Type    \nK. Has applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years?  No  Yes If yes, explain    \nL. Has applicant or any proposed occupant ever been asked to move out of a residence?  No  Yes If yes, explain    \nM. Has applicant or any proposed occupant ever been convicted of or pleaded no contest to a felony within the last seven years?  No  Yes  \nIf yes, explain  (After completing a credit review, Landlord may consider the nature of the felony and the length of time since it occurred so long as the felony is directly related to the applicant's ability to meet its obligations under the lease terms, and any other relevant mitigating information pursuant to 2 CCR §12266.)  \n4. RESIDENCE HISTORY  \nCurrent address   Previous address    \nCity/State/Zip   City/State/Zip    \nFrom   to   From   to    \nName of Landlord/Manager   Name of Landlord/Manager    \nLandlord/Manager's phone   Landlord/Manager's phone    \nDo you own this property?  No  Yes Did you own this property?  No  Yes  \nReason for leaving current address   Reason for leaving this address    \nApplicant's Initials (  ) (   )  \n© 2019, California Association of REALTORS®, Inc.  \nLRA REVISED 12/19 (PAGE 1 OF 3)  \nAPPLICATION TO RENT/SCREENING FEE (LRA PAGE 1 OF 3)  \n\n| 1st Choice Realty, 1607 Solano St Corning, CA 96021 Phone: 530-824-4101\u003Cbr>Teresa Smith Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 [www.zipLogix.com](www.zipLogix.com) | Fax: 530.824.4148 Untitled |\n| --- | --- |\n\n5. EMPLOYMENT AND INCOME HISTORY  \nCurrent employer    \nCurrent employer address   From   To   Supervisor    \nSupervisor phone   Employment gross income $  per   Other income info    \n6. CREDIT INFORMATION  \nPrevious employer   Prev. employer address   From   To   Supervisor    \nSupervisor phone   Employment gross income $  per   Other income info    \n\n| Name of creditor | Account number | Monthly payment | Balance due |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n\n\n| Name of bank/branch | Account number | Type of account | Account balance |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n\n7. PERSONAL REFERENCES  \nName   Address   Phone   Length of acquaintance   Occupation   Name   Address   Phone   Length of acquaintance   Occupation    \n8. NEAREST RELATIVE(S)  \nName   Address   Phone   Relationship   Name   Address   Phone   Relationship    \n9. Applicant understands and agrees that: (i) this is an application to rent only and does not guarantee that applicant will be offered the Premises; (ii) Landlord or Manager or Agent may receive more than one application for the Premises and, wi","cbCailWy6kEgm08Q","https://ap.wps.com/l/cbCailWy6kEgm08Q","pdf",807972,"English","# I. Application to Rent\n## Applicant Information\n## Premises Information\n## Personal Information\n## Residence History\n## Employment and Income History\n## Credit Information\n## Personal References\n## Nearest Relative(s)\n## Applicant Agreements and Authorizations\n## Signature and Submission\n# II. Screening Fee","[{\"question\":\"Who must complete an application to rent form?\",\"answer\":\"A separate application to rent is required for each occupant 18 years of age or over, or an emancipated minor.\"},{\"question\":\"What kinds of background information may be obtained for screening?\",\"answer\":\"The authorization allows verification of provided information, obtaining a credit report, and obtaining an Investigative Consumer Report that may include criminal background checks, unlawful detainer reports, bad checks, fraud warnings, and employment and tenant history.\"},{\"question\":\"What happens if the application is not fully completed or the screening fee is missing?\",\"answer\":\"If the application is not fully completed, or if Section II, 2 applies and the application is received without the full screening fee, the application will not be processed and the application plus any portion of the screening fee paid will be returned.\"}]","California Association of REALTORS - Application to Rent/Screening Fee - Applicant Section | PDF",1789831848]