ࡱ> dfcO Ebjbj hօeօe!# EEEEE4yyyh$yJ"t!!!!!!!$#t&!EQ"QQ!EE"Y!Y!Y!QREE!Y!Q!Y!Y!Y!w9Y!!"0J"Y!&= &Y!&EY!\|Y! d!! J"QQQQ& :  Blackstone Acres LLC 1950 East Sussex Way Suite #119 Fresno, CA 93726 Phone (559) 224-4558 Fax (559) 224-6075 Email: blackstoneacres@rajproperties.com APPLICATION TO RENT Property Address: ________ East Sussex Way Unit # _______, Fresno, CA 93726 Apt Size: studio / 1 / 2 / 3 Rent Amount: $______________ Requested Move-in Date:___________ PERSONAL DATA Name:Date of Birth: / /Other Names Used in the Last 10 Years:SSN: - - Drivers License No: State: US Citizen: ( Yes ( NoPresent Address: City: Zip:Phone: ( ) - Cell Phone: ( ) -Landlord: Phone: ( ) - How Long at Present Address? Reason for Moving: Rent Amount: $Previous Address:How Long at Previous Address?Landlord:Phone: ( ) - Reason for Moving: Rent Amount: $Any Pets? ( Yes ( No Type: Waterbed? ( Yes ( No Aquarium? ( Yes ( No All Other Persons Who Name: ____________________ Relationship: ______________ DOB________ Will Occupy the Unit: Name: ____________________ Relationship: ______________ DOB________ Name: _____________________ Relationship: _____________ DOB________  In Case of Emergency Notify Name: ________________________________ Phone: ___________________ Address: ________________________________________________________ Relationship: _________________ OCCUPATION PRESENT EMPLOYERPREVIOUS EMPLOYMENTOccupationEmployerBusiness Address Business PhoneName of SupervisorDates of EmploymentFrom: To:From: To: GROSS MONTHLY INCOME Base Employment Income: $ ______________ Overtime: $ ______________ Bonuses/Commissions: $ ______________ Dividends/Interest: $ ______________ Total Employment Income: $ ______________  Other Income: Source: ______________ Amount: $ _________TOTAL GROSS MONTHLY INCOME$ ACCOUNTS BANKBRANCHACCOUNT TYPEACCOUNT NUMBERInstallment ObligationsBalance DueMonthly PaymentCar:Credit Cards: PERSONAL REFERENCES NameStreet AddressCity ZipPhone   BACKGROUND INFORMATION Have you ever filed for bankruptcy? ( Yes ( No Have you ever been evicted or asked to move? ( Yes ( No Do you have any charges pending against you for any criminal offense(s)? ( Yes ( No Have you ever been convicted, or plead guilty, or no contest to any criminal offense(s)? ( Yes ( No Have you ever been convicted of selling, distributing or manufacturing illegal drugs? ( Yes ( No If you answered yes to any of the above questions, give details and dates _____________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ REFERRAL Who should we thank for referring you to us? ________________________________________________________________________________ Name ________________________________________________________________________________ Address Applicant represents that the above is true and correct and authorizes Landlord/agent to process this application and verify the same. Applicant understands that processing shall include an interview, a credit check and contacting references, employers, or former Landlords or Agents. The processing of this application is conditional on applicants payment of $30.00 non-refundable Processing Fee which is necessary for credit checks, criminal background, administrative and overhead costs. If application is not accepted, Landlord/agent shall notify applicant within three (3) business days of the date hereof. ______ ____________ __________________ AM / PM (Date) (Time) It is understood that the Landlord/agent has made no commitment to rent. If applicant is accepted by Landlord/agent and there is a unit available, Landlord/agent shall then notify the applicant that Landlord/agent will reserve unit number____ at _________________________ in Fresno, California until move-in on _______. At which time applicant shall pay the $_____________ balance of Security Deposit and execute a Rental Agreement and other necessary documents. 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