3101 Concorde Dr Ste E
McKinleyville, CA 95519

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Tenant Application Form

Tenant Application
Each person over the age of 18 who will be residing in the unit is to fill out a separate application form.

All applications with a copy of your photo ID and income verification are to be dropped off or mailed to the address above.

Applicant Information

Additional Occupants: (List everyone who will live with you)

Rental History

Employment History:

Student Income Information:

1. Are you receiving Financial Aid?
2. Are you receiving any Grants?
3. Are you receiving money from your parents?


Do you have or intend to have liquid furniture?
Do you have ANY pets?
Do you smoke?
Have you or anyone who will reside with you ever been convicted of a felony?

Have you ever:

Filed for Bankruptcy?
Been sued?
Been evicted?

Emergency Contact:

Alternate Emergency Contact:

I certify that all the information given above is true and correct and understand that my Rental Agreement may be terminated by Landlord if I have made any misrepresentation in this application. I hereby authorize you to contact any listed references and run a credit report. I understand that this application will be retained regardless of approval.

Or you can download and print a pdf version of the application here: Tenant Application.