Short Application Form

Placerville Rentals For Rent Now Apply Here Pictures Utilities



Please copy and paste this form into your email screen and then type over

the lines to enter your information.  Email your completed application to:

newdigs10@yahoo.com     Thank you!

Please attach copies of your paystubs and other proof of income.

************ SHORT APPLICATION TO RENT **************

(all sections must be completed)
(individual applications required from each occupant over age 18)



Last______________________First___________________Middle________

D.O.B.___________________Social Security #_______________________

Drivers License ________________________ State_____

Cellphone ___________________ Workphone ___________________

Email ____________________________________________________

 

1. Present Address ______________________________________

Date In ________ Date Out_______

Manager/Owner Tel.____________________________________

Reason for Moving _____________________________________

 

2. Previous Address _______________________________

Date In _______ Date Out _______

Manager/Owner Tel._______________________________

Reason for Moving ______________________________



3. Proposed Occupants' Names & Birthdates (please list all)

_________________________________________________

_________________________________________________

_________________________________________________


4. What kind of pet will you have, if any __________________________



5. Present Occupation __________________________________________

Employer's Name ______________________________________________

How long? _________ Tel._______________________________________

Monthly Take-home Pay _______________________________________

Can you provide copy of paystubs or other proof?  ______________   Please attach to this email.  

 

6. Prior Occupation ___________________________________________

Employer's Name ____________________________________________

How long? _________ Tel._____________________________________

Address ____________________________________________________

 

7.  Other income such as:

Child Support ____________________

Disability ________________________

Unemployemnt __________________

Social Security ___________________

Other ___________________________



8. Do you have a bank account?______________________________

Do you have a credit card? ___________________________________

How much is your monthly car payment?  _____________________________

How much is your monthly cell-phone bill?  ___________________________

How much is your monthly credit-card bill?  ___________________________



9. Cars:

Make__________ Model___________Year___License_______

Make__________ Model___________Year___License_______

Motocycles (and other)______________________________


10. Other:

Have you ever filed for bankruptcy?  ______

Have you ever been evicted or asked to move?  ______

Length of time that you are planning to live here? _______

Do you, or anyone living with you, smoke inside your home?  _______

If you feel there may be a problem with your credit, please explain here:

 

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.   Upon submitting the above information by fax, email or in printed form, applicant is agreeing to allow The Cottonwood Company to check his / her credit information.  Your typewritten or handwritten signature below constitutes such agreement.

 _____________________________________

Please type your name here as your agreement to allow The Cottonwood Company / Turtle Island LLC to perform the credit check.

 

 

Email your completed application to:

newdigs10@yahoo.com Thank you! 

 

************