application

Chardonnay Property Management 3055 Jefferson Street, Suite 6 Napa, CA 94558 Phone: (707) 224-8538 Fax: (707) 224-8591	Application to Rent
Please print out this application and bring it with your processing fee of $25 to the office. The processing fee of $25 per application is a non-refundable fee. Upon request, a copy of your credit report can be obtained. If you prefer, call the office for a pre-printed form.

Unit(s) applying for: ____________________________________________________________________

Person Applying for Unit:
First Name: ________________________MI:________ Last:___________________________________
Current Address:______________________________________________________________________
Home Phone: ________________________________ Work Phone: ____________________________
Message Phone or Cell: _______________________________________________________________
Drivers License No.:____________________________ S.S. Number:___________________________
Birthdate:_____________________________________________________________________________

Additional Persons to Reside in the Unit:
First Name: ________________________MI:________ Last:___________________________________
First Name: ________________________MI:________ Last:___________________________________
First Name: ________________________MI:________ Last:___________________________________

Total Number of Residents to Occupy this Unit: ___________________

Employment
Present Employer: _________________________________Business Phone:______________________
Address:____________________________________City/State:________________ Zip:______________
Position/Title:__________________________________Salary:__________________________________
Years with Company: _____________________

Previous Employer: _________________________________Business Phone:_____________________
Address:____________________________________City/State:________________ Zip:______________
Position/Title:__________________________________Salary:__________________________________
Years with Company: _____________________

Rental History
PRESENT ADDRESS:____________________________________________________________________
City/State:_____________________________________________Zip Code:________________________
Person to Contact for Reference:___________________________Phone:________________________
Current Rent:______________________________ From:________________ To:___________________

PREVIOUS ADDRESS:___________________________________________________________________
City/State:_____________________________________________Zip Code:________________________
Person to Contact for Reference:___________________________Phone:________________________
Current Rent:______________________________ From:________________ To:___________________

Application to Rent ♦ Page 1

Application to Rent ♦ Page 2

Vehicles that will be parked on the premises:
Year: ___________Make/Color:_______________________________License No.:_________________
Year: ___________Make/Color:_______________________________License No.:_________________
Year: ___________Make/Color:_______________________________License No.:_________________

Pets to Live in the Unit:
Breed:_____________Age:_____________ Weight:_______________Color:_______________________

Banking Information:
Banking Institution Name:_______________________________ Address:_________________________
Phone Number: __________________________ Account Number:_______________________________
Checking Account [ ] Savings Account [ ]

Personal References:
Reference: ____________________________________Address:__________________________________
Phone: ____________________ Relative [ ] Co-worker [ ] Neighbor [ ] Friend [ ] Foe [ ]

Reference: ____________________________________Address:__________________________________
Phone: ____________________ Relative [ ] Co-worker [ ] Neighbor [ ] Friend [ ] Foe [ ]

Have You Ever:
Been issued a 3-Day Notice? _______ 30-Day Notice? _______
Have you ever been evicted? Yes [ ] No [ ] Have you ever withheld rent? Yes [ ] No [ ]
If yes, please explain:___________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

The undersigned agrees that the above information is true and correct and hereby gives Chardonnay Property Management authority to verify this information. This includes acquiring necessary credit reports, speaking with current and prior landlords, and any other information deeded valuable in assessing you as a tenant.

The processing fee of $25 per application is a non-refundable fee. Upon request, a copy of your credit report can be obtained.

_______________________________________ ____________________________________
Signature of Applicant Date

Notice: The California Department of Justice, Sheriff's Department, Police Departments serving jurisdictions of 200,000 or more and many other local law enforcement authorities maintain for public access a data base of the locations of persons required to register pursuant to paragraph (1) of subdivision (a) of Section 290.4 of the Penal Code. The database is updated on a quarterly basis and a source of information about the presence of these individuals may be made. The Department of Justice also maintains a Sex Offender Identification Line through which inquiries about individuals may be made. This is a "900" telephone service. Callers must have specific information about the individuals they are checking. Information regarding neighborhoods is not available though the "900" telephone service.

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