APPLICATION TO RENT FORM Courtesy of

COPYRIGHT 2004 [Link]

Each Individual Occupant Who is Responsible for Rent Payment [Link]

MUST Complete A Separate Application Form (California Residents 18 years or older Apply)
PERSONAL INFORMATION

LAST NAME FIRST NAME MIDDLE NAME SOCIAL SECURITY NUMBER

Calalo David Lawrence Dalayaon ***-**- 1495
DATE OF BIRTH DRIVER'S LICENSE NO. STATE EMAIL ADDRESS HOME PHONE NUMBER
10/05/1995 Y8690908 CA [Link]@[Link] ( 916 ) 495-8248
1 PRESENT HOME ADDRESS CITY STATE ZIP CODE
5684 Bay St. , #546 EMERYVILLE CA 94608
LENGTH OF TIME STATE REASON FOR MOVING LANDLORD NAME LANDLORD PHONE NO.
12 MONTHS Financial priorities Brianna ( 510 ) 390-7742
2 PREVIOUS HOME ADDRESS CITY STATE ZIP CODE
2852 Grasslands Drive #2313 Sacramento CA 95833
LENGTH OF TIME STATE REASON FOR MOVING LANDLORD NAME LANDLORD PHONE NO.
12 MONTHS New job opportunity in Bay Area Janine Rood ( 916 ) 927 1177
3 NEXT PREVIOUS HOME ADDRESS CITY STATE ZIP CODE
2852 Grasslands Drive #2113 Sacramento CA 95833
LENGTH OF TIME STATE REASON FOR MOVING LANDLORD NAME LANDLORD PHONE NO.
12 months UPGRADED TO 2BR WITH DAD Janine Rood ( 916 ) 927 1177

PROPOSED OCCUPANT(S)
DESCRIBE EACH & EVERY PERSON WHO WILL OCCUPY THE PREMISES

David Calalo- 30 M, who loves to run and be outdoors on his free time. A psychiatric
nurse for 3 years employed in Alta Bates , Berkeley

WILL YOU HAVE ANY PETS? IF YES, PLEASE DESCRIBE WILL YOU HAVE ANY LIQUID FILLED FURNITURE? IF YES, DESCRIBE
NO NO
NO
no

EMPLOYMENT/FINANCIAL INFORMATION
Present Employer
Occupation Registered Nurse- Psych Name Alta Bates Summit Medical Center | Herrick Campus
How long with Phone Employer
this Employer 1 YR 2 MONTHS number ( 510 ) 204-4444 address 2001 Dwight Way, Berkeley, CA 94704
Name of your
Supervisor Susan
Prior Employer
Occupation PSYCH RN Name Sierra Vista Hospital
How long with Phone Employer
this Employer 2 years number ( 916 ) 288-0300 address 8001 Bruceville Rd, Sacramento, CA 95823
Name of your
Supervisor Sunny

Current Gross Income Year Name of your Bank Branch or Address Account Number
Week Safe Credit Union 2761 Del Paso Rd STE 110, Sacramento, CA 95835 Checking
$ PER **********1899
180,000 Month Savings

Please List ALL of your Financial Obligations (If More Creditors Use Additional Sheet of Paper)

Name of Creditor Address Phone Number Monthly Payment Amt.

Car- currently paid off ( )
no credit or debt loans at this time ( )
( )
( )
( )
( )

COPYRIGHT 1999-2004 [Link] ([Link] )

 EMERGENCY/PERSONAL REFERENCE INFORMATION
IN CASE OF EMERGENCY, NOTIFY: ADDRESS PHONE RELATIONSHIP
2852 Grasslands Drive #2313,
1. Glenn Calalo Sacramento, 95833 9164958248 DAD

2. KEVIN CALALO 7354 CARROT RIDGE ST, LAS VEGAS BROTHER

9164957312

MOTHER'S MAIDEN NAME: Dalayoan

PERSONAL REFERENCES ADDRESS PHONE YEARS KNOWN

1 . IVAN PARAGAS - CLOSE COUSIN- 511 FALCON WAY, HERCULES 650 7842256 20

2. THONG S. CURRENT COWORKER RODEO, CALIFORNIA 510-589-3071 14 MONTHS

3. JOSE PONCE SACRAMENTO 916 229 7591 2 YEARS

- RUNNING BUDDY

VEHICLE INFORMATION- (Please state exact number of motor vehicle that will be at the premises)

VEHICLE MAKE MODEL YEAR LICENSE NO.

Honda Civic 2017 touring 9KAK120

VEHICLE MAKE MODEL YEAR LICENSE NO.

MOTORCYCLES (OTHER VEHICLES) MODEL YEAR LICENSE NO.

Have you ever filed for bankruptcy? IF YES, DATE BK FILED AND DESCRIBE: N/A

Have you ever been evicted or asked to move? IF YES, PLEASE DESCRIBE: N/A

APPLICANT AUTHORIZATION

Applicant represents that all the above statements are true and correct and hereby authorizes landlord/agent to verify the above items including, but not limited
to, the obtaining of a credit report and agrees to furnish additional credit references upon request. Landlord/Agent received a payment of $
which will be used to verify Applicant's credit history and other background information. The amount charged is itemized as follows:
1. Actual cost of credit report, including any eviction search, and/or other verifying reports: $
2. Landlord/Agent cost to process and screen applicant's supplied information: $
3. TOTAL FEE charged (not to exceed $30.00 per applicant (California Residents Only)): $
The undersigned makes application to rent housing accommodations designated as:
Address of: Apt. No. City/State
the rental for which is $ per Month Week Other and upon approval of this application agrees to sign a rental or lease
agreement and to pay all sums due, including required deposits, before occupancy.

Date Signature of Applicant

COPYRIGHT 1999-2004 [Link] [Link]