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(707) 254-1837
 

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Contact Us At:
 1736 Jefferson Street
Napa CA 94559
Phone: (707) 254-1837
Fax: (707) 254-1843

CA Dept. Real Estate
License # 01317082

Email Us

 

 


 

 

 

 

 

Application for Rental

Rental Steps:

  1. Call our office or stop by to get a list of available properties.

  2. Drive by prospective rental(s) to determine which one(s) you would like to see

  3. To make an appointment to view the interior of selected rental, please fill out application form below and submit to us.

  4. (Each adult to live in unit should fill out a separate copy of form--fill one out completely, then click the "submit" button, and repeat these steps for each adult. )  Also, please print out a copy of your completed forms, sign and bring them with you to the showing.

    Click here for Printer-friendly version

    If you would prefer to fax in your application, click on the "Printer-friendly version" link above, print, fill out and fax to (707) 254-1843.
     

  5. Once you have sent us your application, please contact us to schedule a visit to the home/apartment you are interested in.

  6. If you decide you would like the rental, we will complete a credit check
    (Fee is $25 per adult).

  7. If approved, we will notify you to come in and sign the lease and related disclosure forms.  We will then give you the keys to your unit.

  8. Move in--and welcome home!

Please review our Application Policy before completing the application below.

Application Form

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.