Apply Now - 200 N Grand Ave #263 West Covina, CA 91791

Please complete the application entirely, if something doesn't apply in your case, select or type N/A.

APPLICANT

(Each Applicant over the age of 18 must complete their own application form)

PROPERTY INFORMATION

ADDITIONAL OCCUPANTS?

(List everyone, who will live with you)

RESIDENCE

Current Residence

Previous Residence

Previous Residence

Resident Screening Verification

Our Resident Selection Policy requires that we verify certain information about all applicants submitting an application to rent at our apartment community. At this time, the following person specified below has given us permission to inquire about their former residency.

SIGNATURE *

I hereby authorize release of my residence information.

EMPLOYMENT

Current Employment

Prior Employment

Employment Verification

SIGNATURE *

I hereby authorize release of my employment information.

PERSONAL REFERENCES

In Case of Emergency, Notify

Reference

Nearest Relative Living Elsewhere

GENERAL INFORMATION

(Circle answer that applies)

Do you smoke?*
Do you have any pets?*
Have you ever filed for bankruptcy?*
Do you have any musical instruments?*
Do you have any water-filled furniture or do you intend to use water filled furniture in the apartment?*
Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs or convicted of any other crime?*
Have you ever been evicted for non-payment of rent or any other reason?*

To verify identity and income, please upload the following items:

Allowed files (pdf, jpg, jpeg, png). Maximum file size is 20 MB
Allowed files (pdf, jpg, jpeg, png). Maximum file size is 20 MB

An application fee of $40 is hereby submitted for the cost of processing this application, to obtain credit history and other background information.

Applicant acknowledges they have read and fully understand the Statement of Rental Policy. Applicant represents that all information given on this application is true and correct. Applicant here by authorizes verification of all reference and facts, including but not limited to current and previous landlords and employers, and personal references. Applicant hereby authorizes owner/agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.

SIGNATURE *