Services

Homes for Rent

Investment Properties

GoldenWest Management, Inc

"Investment Property Solutions"

Tel: (866) 545-5303 Fax: (949) 723-4415
www.GoldenWestManagement.com

APPLICATION TO RENT/BACKGROUND SCREENING

Our Online Rental Application is designed to be quick & easy to fill out. To expedite the approval process, please fill out all information. Please know that all information is strictly confidential. Upon receipt of a fully filled out Rental Application, you’ll hear from us immediately. (Typically same day or, always within 24 hours.) If you prefer, feel free to Print The Application and Fax.

*Required

This section to be completed by applicant. A separate application to rent is required for each applicant over 18 years of age or emancipated minors.

*The applicant is completing the application as (Check one):
Tenant Tenant w/ Co-Tenants

Premises Information

Community Name:

*Property Address:

*City, State, and Zip:

*Rent:

$ Per Month

*Proposed Move-in Date:

mm/dd/yy

Personal Information

*Full Name of Applicant:

Aliases:

*Social Security Number:

*Driver's License, State and Exp:

*Birth Date:

*Cell Phone:

- -

Work Phone:

- -

Other:

- -

*Email Address:

*Permanent Address:

*City, State, and Zip:

Auto Make:

Year:

Model:

License Number:

Name(s) of all other proposed occupant(s) and relationship to applicant

1. Name:

2. Name:

3. Name:

4. Name:

Pet(s) or service animals

1. Pet:

2. Pet:

In Case of Emergency, Person to Notify

*Name:

*Relationship:

*Phone:

- -

*Address:

*City, State, and Zip:

*Has applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years?
No Yes
If Yes, explain:

*Has applicant or any proposed occupant ever been convicted of or pleaded no contest to a felony?
No Yes
If Yes, explain:

*Has applicant or any proposed occupant ever been asked to move out of a residence?
No Yes
If Yes, explain:

*Has applicant ever defaulted on a lease?
No Yes
If Yes, explain:

*Has applicant ever had any public record suits, liens, judgments or repossesions?
No Yes
If Yes, explain:

Residence History

*Current address:

*City, State, and Zip:

*How Long:

*Landlord / Manager Phone:

- -

Do you own this property?

No Yes

Reason For Leaving current address:

Previous address:

City, State, and Zip:

From (date):

mm/dd/yy

to (date):

Landlord/Manager Phone:

- -

Do you own this property?

No Yes

Reason For Leaving Current Address?:

No Current Job

Employment and Income History

*Current Employer:

Employer's address:

From (date):

mm/dd/yy

to (date):

Supervisor:

Position or title:

*Phone# to verify employment:

- -

*Employment Gross income

$ per

Previous Employer:

Employer's address:

From (date):

mm/dd/yy

to (date):

mm/dd/yy

Supervisor:

Position or title:

Phone# to verify employment:

- -

Employment Gross income

$ per

School Information (if applicable)

School:

School Phone number to verify enrollment:

Number of Credits/Units enrolled in this semester/quarter:

Class Standing:
SR JR SO FR GRAD Other

Projected Graduation Date: mm/dd/yy

Personal References

Name:

Phone:

- -

Address:

Relationship:

Name:

Phone:

- -

Address:

Relationship:

Consent to Verification of Credit and Other Information:
I am making this Application voluntarily for the purpose of obtaining GWM's approval to rent a property in the community listed on page 1 of this application. I hereby authorize and consent to allow GoldenWest Management, Inc, Owner, and their respective employees and agents (collectively "GWM PARTIES"), to obtain and verify the credit and other information provided by me in this Application through credit reporting agencies, tenant screening service companies, banks (including electronic funds verification), employers and other persons or entities with information relating to the Application. I also authorize the "GWM Parties" to provide information contained in the Application to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. I understand that if I lease this property, the GWM Parties shall have a continuing right to review my credit information, payment history, occupancy history and other information in this Application for purposes related to my Lease and/or for account review both during and after the term of my lease.

I hereby release and hold harmless GoldenWest Management, Inc., and all of their respective officers, brokers, employees and agents, from any and all liability, legal proceedings and costs, including attorney's fees, arising out of the verification and/or use of the information contained in this Application, including the release of such information to other parties in order facilitate the verification of information or to track down Tenants in the event of legal action.

I warrant that, to the best of my knowledge, all of the information provided in this Application (including but not limited to the statement of my financial condition) is true, accurate complete and correct as of the date of this Application. If any information provided by me is determined to be false, such false statements will be grounds for disapproval of my Application. If any information provided by me is determined to be false, such false statements will be grounds for disapproval of my Application or termination of my Lease with Owner. I agree to notify GWM if any of the information provided in this Application changes during the Application process or during my tenancy. I also understand that GWM will retain this Application, along with any other information provided by me, whether or not this Application is approved.

Applicant understands and agrees; (i) this is an application to rent only and does not guarantee that applicant will be offered the Premises: and (ii) Landlord or Manager or Agent may accept more than one application for the Premises and, using their sole discretion, will select the best qualified applicant.

If application is not fully completed, or received without the screening fee: (i) the application will not be processed, and (ii) the application and any screening fee WILL NOT be returned.

Screening Fee

Applicant agrees to pay a NONREFUNDABLE screening fee of $20.00, applied as follows:
Credit Report
Criminal Background Processing
The screening fee may not exceed $30.00.

*The undersigned has read the foregoing and acknowledges the right to a copy of any such reports if the applicant is denied tenancy based on Credit Report or Criminal Background Check

Applicant Name:

Date:

AZ Lic# CO583886000 CA Lic# 01313382