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RENTAL APPLICATION IVHR

Rental Homes and Apartments

2351 s. Fourth Street, El Centro, CA 92243 - Office: (760) 353-1016 - Cell: (760) 554-5791 - Email: imperialvalleyhomerentals@gmail.com

We need a $30 processing fee per applicant 18 yrs and older, a copy of driver's licenses and a copy of last 2 pay stubs (or any type of income verification)

RENTAL APPLICATION IVHR

Select Location:

El Centro

Imperial

Calexico

Heber

Brawley

Desired move-in date?

Property Type:

Free Text

APPLICANT INFORMATION

First & Last Name:

SSN:

Phone:

Cell Phone:

Email:

Birth Date:

Driver's License/ID No:

Do You Smoke?

YES

NO

Applicant Driver License:

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CO-APPLICANT INFORMATION

CO-Applicant First & Last Name:

CO-Applicant SSN:

CO-Applicant Phone:

CO-Applicant Birth Date:

CO-Applicant - Do You Smoke?

Yes

No

CO-Applicant Driver License

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OTHERS WHO WILL LIVE IN THIS PROPERTY

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

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CURRENT ADDRESS

Address:

City:

State:

Zip Code:

Monthly Payment:

Manager Name:

Manager Phone:

Tenancy From:

Tenancy To:

Reason For Vacating Property:

Currently Residint Here

Yes

No

Did you ever pay your rent late or fail to pay your rent while you were residing here?

Yes

No

Were you ever given a notice stating that you are violating the rental agreement or rules while you were residing here?

Yes

No

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PAST RENTAL HISTORY (PLEASE LIST FOR THE LAST FIVE (5) YEARS. ATTACH ADDITIONAL PAGES IF NEEDED)

Address:

City:

State:

Zip Code:

Monthly Payment:

Manager Name:

Manager Phone:

Tenancy From:

Tenancy To:

Reason For Vacating Property:

Did you ever pay your rent late or fail to pay your rent while you were residing here?

Yes

No

Were you ever given a notice stating that you are violating the rental agreement or rules while you were residing here?

Yes

No

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PET INFORMATION (Provide Picture of Pet)

Type:

Breed:

Weight:

Type:

Breed:

Weight:

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APPLICANT'S CURRENT EMPLOYMENT

Employer Name:

Address:

Phone Number:

Supervisor Name:

Current Title:

Employed From:

Employed To:

Current Pay Rate:

Are you currently employed with the above company?

Yes

No

Pay

Weekly

Bi-Weekly

Monthly

Applicant Pay Stub (1)

Applicant Pay Stub (2)

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APPLICANT'S PREVIOUS EMPLOYMENT

Employer Name:

Address:

Phone Number:

Supervisor Name:

Current Title:

Employed From:

Employed To:

Current Pay Rate:

Reason for Leaving:

Pay

Weekly

Bi-Weekly

Monthly

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CO-APPLICANT'S CURRENT EMPLOYMENT

Employer Name:

Address:

Phone Number:

Supervisor Name:

Current Title:

Employed From:

Employed To:

Current Pay Rate:

Are you currently employed with the above company?

Ye

No

Pay

Weekly

Bi-Weekly

Monthly

CO-Applicant Pay Stub (1)

CO-Applicant Pay Stub (2)

Free Text

CO-APPLICANT'S PREVIOUS EMPLOYMENT

Employer Name:

Address:

Phone Number:

Supervisor Name:

Current Title:

Employed From:

Employed To:

Current Pay Rate:

Reason for Leaving:

Pay

Weekly

Bi-Weekly

Monthly

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ADDITIONAL INCOME

Source:

Amount:

Pay

Weekly

Bi-Weekly

Monthly

Proof of Income:

Yes

No

Source:

Amount:

Pay

Weekly

Bi-Weekly

Monthly

Proof of Income:

Yes

No

Source:

Amount:

Pay

Weekly

Bi-Weekly

Monthly

Proof of Income:

Yes

No

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BANKING INFORMATION

Bank Name:

Type of Account:

Amount:

Bank Name;

Type of Account:

Amount:

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AUTOMOBILE INFORMATION

Make/Model:

License Plate:

Color:

Make/Model:

License Plate:

Color:

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REFERENCES (NOT RELATED TO YOU)

First & Last Name:

Address/City/State:

Phone:

First & Last Name:

Address/City/State:

Phone:

First & Last Name:

Address/City/State:

Phone:

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REFERENCES (RELATED TO YOU)

First & Last Name & Relationship:

Address/City/State:

Phone:

First & Last Name & Relationship:

Address/City/State:

Phone:

First & Last Name & Relationship:

Address/City/State:

Phone:

Have you ever been a party to a lawsuit?

Yes

No

Describe:

Have you ever filed for bankruptcy?

Yes

No

Describe:

Do you have any liquid-filled furniture/aquariums containing more than 100 gallons of liquid?

Yes:

No

Describe:

Have you ever been convicted for a crime against a persons or property?

Yes

No

Describe:

Have you ever been evicted for non-payment of rent or any other reason or asked to leave a prior residence?

Yes

No

Describe:

Opt-In

By checking, I AGREE to the following Statement:

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I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understant that any misrepresentation or omission of information is grounds for evicition.

1st Applicant Initial:

2nd Applicant Initial:

Opt-In

By checking, I AGREE to the following Statement:

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I understand that the information provided might be used by Landlord to determine whether to accept this application. I authorize Landlord to verify all the information given in this application, including past rental information, personal references and employment information provided. I authorize the Landlord to obtain a curent

credit and criminal background check.

1st Applicant Initial:

2nd Applicant Initial:

Opt-In

By checking, I AGREE to the following Statement:

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I understand that this application is not a rental agreement and that this application does not create any obligation on the Landlord

1st Applicant Initial:

2nd Applicant Initial:

Opt-In

By checking, I AGREE to the following Statement

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I understand that by signing this application I acknowledge that Coyne Powersports is a sister company to Imperial Valley Home Rentals and that I agree to have Coyne Powersports process a credit check in my name and all other applicants over the age of 18 years for the applicable processing fee.

1st Applicant Initial:

2nd Applicant Initial:

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Applicant represents that all information given and statements made on this application are true and correct. Applicant hereby authorizes Owner/Agent to verify and investigate by whatever means possible all facts and references stated herein, including but not limited to, current and previous landlords and employers, and personal references. Applicant hereby authorizes Owner/Agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing and/or may result in denial of tenancy. Applicant acknowledges that Owner/agent will rely on the information provided herein, and that any material misstatement(s) will, at Owner/Agent's option, be a material and non-curable breach of any subsequent rental agreement and grounds for immediate eviction.

Opt-In

By checking, I have read and fully understand the contents of this document.

Opt-In

By checking, I agree to the terms and conditions stated above and I acknoledge that the information provided is true and correct.

Printed Full Name:

Date

Printed Full Name:

Date:

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RENTAL LISTINGS

RESIDENT PORTAL

Imperial Valley Home Rentals

2351 South 4th Street El Centro, CA 92243

(760) 353-1016

Monday - Friday, 9am - 6pm

Saturday, By Appointment Only

Morningside Apartment Homes

498 Treshill Road Imperial CA, 92251

(760) 353-1450

Monday - Friday, 9am - 6pm

Saturday, By Appointment Only

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