Whittier Gardens Rent App

         WHITTIER GARDENS APARTMENTS ONLINE RENTAL APPLICATION

10407 Bogardus Avenue Whittier, California 90603

                                                           (562) 947-8641 Voice (562)947-0442 Fax

internet   WWW.WhittierGardens.com

Completed legible Applications are required for ALL proposed adult occupants, 18 years of age or older.

Last Name First Name Middle			Social Security Number
Drivers License Number / State	Date of Birth	Home Phone	Other Phone
Current Address City State Zip			Current Rent
Apartment Name	Move in date	Owner Contact Name	Phone
Est. Move out date	Reason for Moving
Prior Address City State Zip			Prior Rent
Apartment Name	Move in date	Owner Contact Name	Phone
Move out date	Reason for Moving

PLEASE LIST ALL OTHER PROPOSED OCCUPANTS BELOW:

Name	Name
Name	Name

EMPLOYMENT INFORMATION

Current Employment Per Month / Year Gross Income			Other Income Amount Month/Year Source/Type
Current Employer Name		Employer Address
Position	Date Started			Supervisor Name	Phone
Prior Employer Name		Employer Address
Position	Date Started			Supervisor Name	Phone

VEHICLE INFORMATION: ALL VEHICLES PARKED ONSITE MUST BE LICENSED AND OPERABLE

Make	Model	Yr	License # / State
Make	Model	Yr	License # / State

Have you ever filed for bankruptcy?

Have you ever been evicted or asked to move?

If so, Why?

Have you ever been convicted of a felony?

If so, for what, when and where?

CHECKING/ SAVINGS BANK NAME/ BRANCH LOCATION ACCOUNT / NUMBER

PLEASE LIST ALL CREDITORS, IF MORE THAN 7 USE ADDITIONAL SHEET(S)

CREDITORS NAME TOTAL $ AMOUNT MON. PAYMENT CURRENT? Y/N PHONE #

PERSONAL REFERENCES/ EMERGENCY INFORMATION

NAME ADDRESS CITY PHONE # RELATIONSHIP

Mother's Maiden Name

Will you have Liquid filled furniture (waterbed)?

The undersigned applicant declares that all of the information given above is complete, true, and accurate and hereby authorizes verification of any of the above information, including, but not limited to, the production and release of a credit report, and other financial, credit or tenant information. Applicant also agrees to furnish additional information if requested.

NON REFUNDABLE APPLICATION CREDIT CHECK FEE $ ____________________________________

Upon written approval of this Application by an Authorized Representative of Whittier Gardens Apartments, the undersigned Applicant agrees to sign a Month to Month Rental Agreement and to pay all monies due, including required deposits and rents, before occupancy for

APT. #_______________________ , the rental for which is $ ______________________ per Month.,

_______________________________________ _______________________________________

APPLICANT SIGNATURE DATE