RENTAL APPLICATION

                PLEASE NOTE: ALL INFORMATION MUST BE PRINTED LEGIBLY. WE DO REQUIRE A MAJOR CREDIT CARD; THERE CAN BE NO EXCEPTIONS.  
PERSONAL DATA: PLEASE COMPLETE THIS SECTION ON YOURSELF (NOT YOUR CHILD OR SPOUSE). 
THANK YOU.

LAST NAME:__________________________FIRST:______________________M.I._____

ADDRESS:____________________________________CITY:_______________ZIP______

TELEPHONE NUMBER:__________________  DRIVER’S   LICENSE_________________ 

NAME OF EMPLOYER:_________________________________________________

ADDRESSS:_______________________________ TELEPHONE________________

NAME OF SPOUSE:_________________________________________________________

SPOUSE’S EMPLOYER:_____________________________________________________

ADDRESS:________________________________ TELEPHONE__________________

CREDIT CARD NUMBER:_________________________ _____    EX DATE:__________

NAME, ADDRESS AND TELEPHONE NUMBER OF THE PERSON WHO WILL ALWAYS KNOW YOUR CURRENT ADDRESS AND TELEPHONE NUMBER ________________________________________

Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or notIt is approved. I understand you will charge to my credit card any amount I have not paid if I am more than 40 days delinquent in my payments.You are authorized to check my credit and employment history, and to answerquestions about your credit experience with me.

APPLICANT’S SIGNATURE DATE__________________________________________________ 

APPROVED BY:___________________________________

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Northridge Music Center
   916.969.4728