Rental/Credit Application Application taken by Dariush Shafagh
Property Address
Personal Information Date XXE-mail Address XXPhone # Name of Applicant XXDate of Birth Social Security # XXDriver's License # Present Address City XXState XXZip How long at Present Address? 1 year 1-2 yrs 2-3 yrs 3-4 yrs 4-5 yrs 5-10 yrs Over 10 yrs XXHow long at Previous Address? 1 year 1-2 yrs 2-3 yrs 3-4 yrs 4-5 yrs 5-10 yrs Over 10 yrs Name of Landlord XXPhone # Former Landlord XXPhone # How many will be living at this unit? 1 2 3 4 5 6 7 8 9+ Adults 1 2 3 4 5 6 7 8 9+ XXChildren 1 2 3 4 5 6 7 8 9+ XXPets 1 2 3 4 5 6 7 8 9+ XXWeight of Pets 10 lbs 10-20 lbs 20-30 lbs 30-40 lbs 40-50 lbs Over 50 lbs Employer XXOccupation Current Salary per Year Under $10,000 $10,000-$20,000 $20,000-$30,000 $20,000-$30,000 $30,000-$40,000 $40,000-$50,000 $50,000-$60,000 $60,000-$75,000 $75,000-$100,000 $100,000-$150,000 $150,000-$200,000 $200,000+ XXHow Long at this Occupation? 1 yr 2 yrs 3 yrs 4 yrs 5 yrs 6 yrs 7 yrs 8 yrs 9 yrs 10 yrs+ Contact Person Phone #
Spouse Information Name of Spouse XXDate of Birth XXPhone #
Social Security # XXDriver's License #
Employer XXOccupation
Current Salary Under $10,000 $10,000-$20,000 $20,000-$30,000 $30,000-$40,000 $40,000-$50,000 $50,000-$60,000 $60,000-$75,000 $75,000-$100,000 $100,000-$150,000 $150,000-$200,000 $200,000+ XXHow Long at this Occupation? 1 yr 2 yrs 3 yrs 4 yrs 5 yrs 6 yrs 7 yrs 8 yrs 9 yrs 10 yrs+ Contact Person Phone #
Bank Information Bank Branch Name Phone # XXAddress Checking Acct. # Savings Acct. #
Personal References Name Relationship Phone # Name Relationship Phone # Name Relationship Phone #
Credit References Credit Grantor Address Phone # Credit Grantor Address Phone # Credit Grantor Address Phone #
Other Information Number of Vehicles (including company cars) 1 2 3 4 5 6 7 8 9+
Make/Model Year 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 <1987 Color Tag # State
Have You Ever…
Filed for Bankruptcy? No Yes If Yes, when? 2007 2006 2005 2004 2003 2002 2001 2000 1999 <1999
Been served an eviction notice or been asked to vacate a property you were renting? No Yes
Willfully or intentionally refused to pay rent? No Yes If yes, when and why?
Been sued for lawful detainer? No Yes
How were you referred to us? Newspaper (name) Realtor (name) Other (explain)
Rental unit applied for Commencement Date Term Rent/Month
Acknowledgement I/We the undersigned, understand that Solaris Property Management, LLC, is the leasing agent and representatives for the owner/landlord and that the leasing agent's fees will be paid by the owner/landlord. The undersigned acknowledge that this written notice was received prior to the undersigned receiveing a lease agreement.
Applicant's Approval Date Co-Applicant's Approval Date
Consent to Obtain Credit/Employment Information I/We authorize Solaris Property Management, LLC, to investigate my/our credit qualifications and hereby release, in any manner, all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.
The underesigned authorizes landlord, leasing agent, and representatives of owner/landlord to contact the undersigned's current or previous landlord, and current employer, and further, by a copy of the Application, authorizes any said landlord or employer to release pertinent residential and employment history information to be used in evaluating my leaase application. I further authorize owner/landlord, leasing agent or its representativesto apply for or obtain an investigation or credit report in connection with this application. I understand that said investigation or credit report may contain information obtained from various state governmental and private entities relative to the undersigned's number of children, employment, occupation, general health, financial, and criminal history information.
I/We declare under penalty of perjury that the information listed in this application is true and correct. Executed on this day of , 2007, in the city of Seattle, state of Washington.
