park central apartments Rental Application

 Each adult applicant over 18 MUST fill out a separate application. Please Print Clearly.  

 Print this application and follow instructions at the bottom of the last page.

Applicant                                                I am looking for qOne Bedroom   qTwo Bedroom

Last name: ___________________________   First name: _________________________  Middle name: _______________

Date Of Birth: ____/____/____  Soc. Sec.#: ______-______-______   Drivers Lic. #____________________  State: ________

Work Phone: (______) _______--__________ ext. ____   Home: (______) _______--__________   email: ___________________

Names and relationship of every person to be living with you, even temporarily, children, and children that you share custody for:

______________________________ DOB____/____/____     ______________________________ DOB____/____/____

______________________________ DOB____/____/____     ______________________________ DOB____/____/____

Present Address

Address: __________________________  Apt#: ______  City: ___________________   State: _________   Zip: __________

Rentedq      Ownedq     I lived there from: ____/____/____ to: ____/____/____      Rent or payment you now make: $______

Reason For Moving (please describe fully): ________________________________________________________________

__________________________________________________________________________________________________

Manager’s Name: ___________________________________   phone: (____) _____________  fax:: (____) _____________

Previous Address 

Address: __________________________  Apt#: ______  City: ___________________   State: _________   Zip: __________

Rentedq      Ownedq     I lived there from: ____/____/____ to: ____/____/____      Rent or payment: $________

Reason For Moving (please describe fully): ________________________________________________________________

__________________________________________________________________________________________________

Manager’s Name: ___________________________________   phone: (____) _____________  fax:: (____) _____________  

Employer

Company Name: ________________________  Phone: (___) ______________  Supervisors Name: ___________________

Address: ______________________________       City: ____________________    State: __________     Zip: ___________

When did you start work with this employer? ______/______/______   Monthly Salary: $____________

Position: __________________________________________       Is this position permanent? qyes qno   Full time? qyes qno

Supervisors Name: __________________________________________                   His/Her Fax: (_____) ________________

Other Income: $____________  Source: ___________________________________________________________________

All Vehicles Owned

Make: _________________  Model: ________________  Year: ______  Color: _________  Lic.: ____________ State: ____

qCar      qTruck       qTruck With Camper       qVan     qMotorcycle

Make: _________________  Model: ________________  Year: ______  Color: _________  Lic.: ____________ State: ____

qCar      qTruck       qTruck With Camper       qVan     qMotorcycle

In Case Of Emergency Please Notify

Name: ________________________________________                     Relationship: ______________________

Address: ______________________________    City: ____________________     State: _____________      Zip: ________

Work Phone: (______) _______--__________       ext.: ____                 Home Phone: (______) _______--__________

Your heard about us from:     qCraig’s List     qWeRent.com   qDrove by    qFriend    qCurrent Resident    qPast Resident

Have you ever filed for Bankruptcy?  qyes qno                        Have you ever been evicted or asked to move?  qyes qno

Have you ever paid your rent later than agreed?  qyes qno  Have you ever been cautioned about excessive noise? qyes qno
 

 If you checked yes for any of the above please explain in detail on the reverse side.  Applicant hereby represents that the above
 information is true and correct in all respects and authorizes investigation and verification thereof which will include, but not be
 limited to, obtaining a credit report, verifying Landlord references, verifying employment and income, etc.

  Today’s Date: _____/_____/_____    Applicant’s Signature: ________________________________________________ 

                                                                    I understand and agree that no pets will be present in the apartment.

Print, fill out, sign, and fax to us at (510) 865-0972.
  Mail the $25 application fee:

Park Central Apartments

Rental Office
773 Esterbrook Court
Alameda California 94501

Phone (510) 865-9494     Fax (510) 865-0972

Park Central Apartments