rental – Talahi Media Arts – Where "Good Enough" Never Is

Studio Rental Application

Please fill out completely so we can review your request for the rental available.
All fields are required. If field is not relevant to you, just fill it in with N/A, Thank you!

Name - First and Last*

Number of Residents*

Today's Date*

Date of Birth*

Phone*

Email*

Present Address*

City/State*

Zip*

Move In Date*

Date Planning to Move Out*

Reason for Leaving*

Monthly Rent*

Landlord Name/Agent*

Landlord/Agent Phone*

Previous Address

Previous City/State

Previous Zip

Previous Move In Date

Previous Move Out Date*

Previous Reason for Leaving*

Previous Monthly Rent*

Previous Landlord Name/Agent*

Previous Landlord/Agent Phone*

Soc. Sec. #*

Driver's License #*

State*

Vehicle*

Make*

Color*

Year *

Employer*

Employer's Address*

Contact Name*

Employer's Phone*

Employed As*

Your Start Date*

Monthly Wage*

Have You Ever Been Arrested for a Felony*

Yes

If Yes - Please explain circumstances and outcome.*

Emergency Contact*

Emergency Contact Address*

Relationship*

Emergency Contact Phone*

Emergency Contact Work Phone*

Emergency Contact Email*

Co Applicant Name*

Birthday*

Co Applicant Phone*

Is Address Same as Above?*

Yes

If No, Please list address, city, state and zip!*

Your Soc. Sec. #*

Your Driver's License #*

State of Registration*

Were You Ever Arrested for a Felony?*

Yes

If Yes, Please Explain Situation and Outcome.*

Your Employer*

Their Address*

Your Contact*

Their Phone*

You Are Employed As:*

Date Started*

Your Monthly Wage*

Applicant declares that the above stated facts are true and correct and, by their signature below, Applicant hereby authorizes Owner, or its Agent, to obtain, from others, full and complete information, including credit report, unlawful detainer (eviction search) report, criminal background check, previous tenant history and verification of employment history. Applicant consents to allow Landlord to disclose tenancy information to previous or subsequent Landlords.

Draw Your Signature*

Photo ID (500KB Max)*

Draw Signature*

ID Photo (500KB Max)*