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Sacramento Midtown Apartment Rentals

River City Rents
Application To Rent



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(All Sections must be completed) Individual applications required from each occupant 18 years or older.

First Name Last Name
Middle Name Social Security Number --
Other Names Used
In The Last 10 Years
Work Phone # Home Phone Number
Date Of Birth Year E-MAIL Cell Phone Number
Drivers License No. Expiration State Other ID
1 Present Address City State Zip Code
Date In Date Out Owner / Manager Owner / Manager Phone
Reason For Moving
2 Previous Address City State Zip Code
Date In Date Out Owner / Manager Owner / Manager Phone
Reason For Moving
3 Next Previous Address City State Zip Code
Date In Date Out Owner / Manager Owner / Manager Phone
Reason For Moving
Proposed
Occupants
Name
Name
List All In
Addition
to
Yourself


Will you
have Pets? Yes or No
Describe Will You Have Liquid
Filled Furniture? Yes or No
Describe
A Present Occupation
or Source of Income
Employer
Name
How Long with this Employer? Years Months Supervisor Phone Employer
Address
Name of Your Supervisor City State Zip Code
B Prior
Occupation
Employer
Name
How Long with Prior Employer? Years Months Supervisor Phone Employer
Address
Name of Your Supervisor City State Zip Code
Current Gross Income $ PER Week , Month or Year
Please List All of Your Financial Obligations Below
Name of Creditor
Address
Phone #
Monthly Payment Amount
$
$
$
$
$
$
In Case of Emergency, Notify:
Address
Phone #
City
1.
2.
3.

Automobile: Make Model Year License #

Automobile: Make Model Year License #

Other Motor Vehicles:

Are you a member of the Armed Forces (including the National Guard and Reserves) Yes or No.

Have You Ever Filed for Bankruptcy? YES or NO

Have You Ever Been Evicted or Asked to Move? YES or NO

Have You Ever Been Convicted of Selling, Distributing or Manufacturing Illegal Drugs? YES or NO

Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including, but not limited to, the obtaining of a credit report and agrees to furnish additional credit references upon request. Applicant consents to allow River City Rents to disclose tenancy information to previous or subsequent Owner / Manager.

The undersigned is applying to rent the premises designated as:

Apt. Number Located at

the rent for which is $ per . Upon approval of this application, and execution of a rental agreement or lease, the applicant shall pay all sums due, including the required security deposit before occupancy.

Date: Applicant Signature: (Type Name)

Contact information:
Phone (916) 704-5706
Fax (916) 443-4861
sonya@rivercityrents.com

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