Hedgerow Property Management Rental Application Form
Fax to (707) 254-1843

Date

Unit Applying For:        

Personal Information

Last Name

  First Name:   M.I.:

Home Phone

 Work Phone: Messages:

Birth Date:

 SSN#: Drivers License #:

Email Address
Rental History

Current Address:

 Street: 
City:      State:  Zip:

How Long:

 From (month/year): To (month/year):

Rent Amt. Paid:

Current Landlord:

 Name:
Address  
Phone:

Reason for moving:

 

Prior Address #1

 Street: 
City:      State:  Zip:
How Long: From (month/year): To (month/year):

Prior Landlord #1:

 Name:   
Address: 
Phone: 
 
Prior Address #2 Street: 
City:      State:  Zip:
How Long: From (month/year): To (month/year):

Prior Landlord #2:

 Name:  
Address:
Phone:
Persons to Occupy Unit

Co-Applicant(s)

Names of Minors:

Total Number of People to Live in Unit:
Smokers: Yes  No (Please Answer-Required Field)

(Please Answer) Pets: Yes  No  
If yes, Type and Breed:   Weight: lbs
Vehicles

Vehicle 1:

 Make:   Color: 
Year:  License #:

Vehicle 2:

 Make:   Color: 
Year:  License #:

Vehicle 3:

 Make:   Color: 
Year:  License #:
Employment

Current Employer: 


 

 Name:   
Phone:   
Address:
City: State:   Zip:
Position:
How Long:
 Salary:

 

Previous Employer:  

Name:
Address:
City:   State: Zip:
Phone:

Other Income: Amount/Source:

Bank Information

Checking Account #: Bank: Branch:

Savings Account #:: Bank: Branch:
Personal References

Nearest Relative: 

Name:
Address:
City:   State: Zip:
Phone:

 

Reference: 

Name:
Address:
 City: State: Zip:
Phone:

 

Other Reference: 

Name:
Address:
City: State: Zip:
Phone:

 

Person to Call in an Emergency:

Phone:
 
Please answer the following: (Please Answer-Required Fields)

Have you ever filed bankruptcy?   Yes No

Received a 30-day notice? .         Yes No

Have you ever been evicted?        Yes No

Have you ever withheld rent?        Yes No

If yes to any of above, please explain:

 

 

 

The undersigned agrees that the above information is true and correct and hereby authorizes Hedgerow Property Management to verify this information.  This includes obtaining credit reports and any information deemed necessary.

Applicant agrees to pay a processing fee of $25.00.  This processing fee is non-refundable.  A copy of your credit report may be obtained by request.

Applicant's Signature:   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 in any neighborhood.  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 individuals they are checking.  Information regarding neighborhoods is not available through the "900" telephone service.