Residential Application 1 Personal Information2 Employment & References3 Credit Information4 Terms & Conditions5 Checkout Manager Email PERSONAL INFORMATIONAddress you are applying forCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZipFirst Name*Last Name*Social Security No.*Driver’s Lic. No.Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920E-mail* PhoneCell*Present street address*City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip*How long at present address?LandlordPhonePrevious addressCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZipHow long at present address?LandlordPhonePets?SelectYesNoIf yes, please describeOccupant’s Car MakeYearModelColorLicense No.Who will be living with you/sharing space with you in this apartment? PRESENT OCCUPATIONOccupationEmployerBusiness AddressCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZipPhoneType of BusinessPosition HeldName and Title of SuperiorHow longMonthly Gross IncomePRIOR OCCUPATIONOccupationEmployerBusiness AddressCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZipPhoneType of BusinessPosition HeldName and Title of SuperiorHow longMonthly Gross IncomeEMPLOYMENT VERIFICATIONUpload PDF or JPG or PNG of most recent pay stub or bank statement.Mail or fax copy of most recent pay stub or bank statement.Select PDF, JPG or PNG* Drop files here or Accepted file types: pdf, png, jpg. Fax: 415.668.3307 Mail: 4444 Geary Blvd. #100 SF, CA 94118 Rental application will not be considered until employment verification is received. Section BreakHave you ever filed of bankruptcy?YesNoHave you ever been evicted from any tenancy or had an eviction notice served on you?YesNoHave you ever willfully and intentionally refused to pay any rent when due?YesNoHave you ever been convicted by any court of competent jurisdiction of the illegal manufacturing or distribution of a controlled substance?YesNo TERMS & CONDITIONSGaetani Real Estate does not discriminate on the basis of race, color, religion, sex, national origin, familial status, handicap or sexual orientation. Gaetani Real Estate is an equal opportunity housing provider. Approval to rent an apartment is based on rental, employment, earnings and credit histories. The following is our criteria for renting: APPLICATION: The application form is to be completed by all adults, eighteen (18) years or older who will be residing in the rental unit. The application authorizes Gaetani Real Estate to procure a credit report on each adult. EARNINGS: Your gross earnings/income must be three (3) times the monthly rent of the unit you are interested in. EMPLOYMENT: You must have been employed with your present employer for one full year. If you have not been employed for one full year with your present employer, your move-in cost would be the first month’s rent plus security deposit equal to two (2) months’ rent. VERIFICATION OF EMPLOYMENT/INCOME: This verification must be in writing and on employer’s letterhead stationery. This letter must state a) present gross earnings per month and b) date of hiring. This letter of Employment Verification must be signed by either a) immediate supervisor, b) payroll department supervisor, or c) personnel department supervisor. The person who signs the Employment Verification Letter must identify himself by position or job title. VERIFICATION OF CURRENT TENANCY: By clicking below you authorize Gaetani Real Estate to obtain information relevant to your tenancy from your current landlord. You must provide a written reference from your current landlord stating your current address, length of residency and payment history. MOVE-IN COSTS: Upon approval of application, all monies must be paid with a money order or cashier’s check. No personal checks or cash can be accepted. Your move-in costs amount to the first month’s rent plus security deposit, which is deemed reasonable for the unit you are renting. The only exception to this is Note #3, regarding length of employment. After one month of occupancy, you may pay with a personal check. CASH IS NOT ACCEPTED. If two (2) checks are dishonored by your bank for “insufficient funds”, you must pay your monthly rent with a money order or cashier’s check until further notice. APPROVAL/DISAPPROVAL OF APPLICATION: Gaetani Real Estate and the Applicant should have a comfortable working relationship. Upon receipt of a properly filled-in application and a valid picture ID, a rental review will occur. I DECLARE THAT THE FOREGOING IS TRUE AND CORRECT. I AUTHORIZE ITS VERIFICATION AS WELL AS THE OBTAINING OF A CREDIT REPORT AND RENTAL INFORMATION FROM MY CURRENT LANDLORD OR THEIR AGENTS. I AGREEE THAT THE LANDLOARD MAY TERMINATE ANY AGREEMENT ENTERED INTO IN RELIANCE ON ANY MISSTATEMENT MADE ABOVE. * I agree to the above terms and conditions CheckoutBilling Information$40 non-refundable fee will charged to your credit card when you press SUBMIT Use present address for billing address Billing Address*CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZipProduct NamePayment method*Your billing information must match the billing address for the credit card entered bellow or we will be unable to process your payment. American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.
