DATE
*
Enter numbers only, no special characters
MM
DD
YYYY
UNIT YOU ARE APPLYING FOR
*
1 Bed + 1 Bath
2 Bed + 2 Bath
1 Bed + 1 Loft + 1 Bath
BUILDING YOU ARE APPLYING AT
*
CHELSEA MANOR: 5929 Whitsett Ave. Valley Village, CA 91607
HOFFMAN PLAZA: 12059 Hoffman St. Studio City, CA 91604
What is your ideal move in-date?
*
FULL LEGAL NAME
*
Please add your middle initial after your first name
First Name
Last Name
DATE OF BIRTH
*
Enter numbers only, no special characters
MM
DD
YYYY
DRIVER'S LICENSE / ID #
*
STATE ID WAS ISSUED IN
*
SOCIAL SECURITY NUMBER
*
PRIMARY PHONE
*
Enter numbers only, no special characters
(###)
###
####
SECONDARY PHONE
Enter numbers only, no special characters
(###)
###
####
EMAIL
*
RE-ENTER EMAIL
*
HOW LONG AT CURRENT ADDRESS?
*
LAST RENT (or Mortgage) PAID MONTH
*
RENT (or Mortgage) AMOUNT
*
REASON FOR LEAVING
*
LANDLORD NAME
*
If you own the property where you currently live, please enter "Owner" in first AND last name fields
First Name
Last Name
HOW LONG AT 1st PREVIOUS ADDRESS?
*
1st PREVIOUS ADDRESS — LAST RENT (or Mortgage) PAID MONTH
*
1st PREVIOUS ADDRESS — RENT (or Mortgage) AMOUNT
*
1st PREVIOUS ADDRESS — REASON FOR LEAVING
*
1st PREVIOUS ADDRESS - LANDLORD NAME
If you owned the property where you lived, please enter "Owner" in the first AND last name
First Name
Last Name
2nd PREVIOUS ADDRESS
HOW LONG AT 2nd PREVIOUS ADDRESS?
2nd PREVIOUS ADDRESS — LAST RENT (or Mortgage) PAID MONTH
2nd PREVIOUS ADDRESS — RENT (or Mortgage) AMOUNT
2nd PREVIOUS ADDRESS — REASON FOR LEAVING
2nd PREVIOUS ADDRESS - LANDLORD NAME
If you owned the property where you lived, please enter "Owner" in the first AND last name
First Name
Last Name
CURRENT EMPLOYER and TYPE OF BUSINESS
*
EMPLOYER PHONE
*
Enter numbers only, no special characters
(###)
###
####
YOUR OCCUPATION
*
SUPERVISOR'S NAME
*
EMPLOYMENT DATES
*
MONTHLY SALARY (GROSS / PRE-TAX)
*
PREVIOUS EMPLOYER and TYPE OF BUSINESS
*
PREVIOUS EMPLOYER — PHONE
*
Enter numbers only, no special characters
(###)
###
####
PREVIOUS EMPLOYER — YOUR OCCUPATION
*
PREVIOUS EMPLOYER — SUPERVISOR'S NAME
*
PREVIOUS EMPLOYER — EMPLOYMENT DATES
*
PREVIOUS EMPLOYER — MONTHLY SALARY (GROSS / PRE-TAX)
*
1) Have you ever had any credit problems?
*
YES
NO
2) Have you ever had an unlawful detainer filed against you?
*
YES
NO
3) Have you ever been evicted for non-payment of rent for any other reason?
*
YES
NO
4) Have you ever filed for bankruptcy?
*
YES
NO
5) Have you ever been convicted of a felony?
*
YES
NO
6) Do you or any other proposed occupant smoke and/or vape?
*
YES
NO
7a) Do you or any other proposed occupant have any animals?
*
YES
NO
7b) If you have animals, please describe:
7c) Do you agree you will not acquire any pets throughout your tenancy at the building?
*
YES, I agree
NO, I do not agree
8a) Will you be using any water-filled furniture in your apartment?
*
YES
NO
8b) If you will be using any water-filled furniture in your apartment, do you have insurance coverage?
YES
NO
9a) Do you have any musical instruments?
*
YES
NO
9b) If you have musical instruments, please describe:
If you answered YES to any of the questions 1-9 above, please provide more info:
VEHICLES — Do you own or operate any vehicles? (cars, trucks, vans or motorcycles)
*
YES
NO
VEHICLE — LICENSE PLATE #
VEHICLE — STATE
Are you a Registered Owner?
*
YES
NO
ADDITIONAL OCCUPANTS
*
YES, there will be additional occupant(s)
NO, there will be no additional occupant(s)
Number of additonal occupants (excluding myself)
*
NOT APPLICABLE / NONE
1
2
3
4
ADDITIONAL OCCUPANT 1 — NAME
First Name
Last Name
ADDITIONAL OCCUPANT 1 — AGE
ADDITIONAL OCCUPANT 1 — RELATIONSHIP
ADDITIONAL OCCUPANT 2 — NAME
First Name
Last Name
ADDITIONAL OCCUPANT 2 — AGE
ADDITIONAL OCCUPANT 2 — RELATIONSHIP
ADDITIONAL OCCUPANT 3 — NAME
First Name
Last Name
ADDITIONAL OCCUPANT 3 — AGE
ADDITIONAL OCCUPANT 3 — RELATIONSHIP
ADDITIONAL OCCUPANT 4 — NAME
First Name
Last Name
ADDITIONAL OCCUPANT 4 — AGE
ADDITIONAL OCCUPANT 4 — RELATIONSHIP
RENTERS INSURANCE
*
If my Rental Application is approved, I agree to obtain my own Renter’s Insurance Policy to cover any personal losses, and agree to keep the policy active and in full force throughout my residency.
Yes, I agree
No, I do not agree
APPLICATION TERMS - By checking the box and entering my name below, Applicant represents that the statements made are true and correct and authorizes Owner's verification of credit, income and references; and APPLICANT UNDERSTANDS AND AGREES THAT ANY MISREPRESENTATION AND/OR OMISSION IS GROUNDS FOR EVICTION.
*
I accept the Application Terms stated above
Name
First Name
Last Name