CALIFORNIA RESIDENTIAL RENTAL APPLICATION

Property Applied For: [[Property Address]]

Application Date: [[Application Date]]

Monthly Rent: [[Monthly Rent Amount]]

Security Deposit: [[Security Deposit Amount]]

This Application is submitted to [[Landlord or Property Manager Name]] ("Landlord"). All information provided must be true and complete. Incomplete or false information may result in denial of the application or termination of any tenancy.

1. Applicant Information Full Legal Name: [[Applicant Full Name]]

Date of Birth: [[Applicant Date of Birth]]

Social Security Number: [[Applicant SSN]] (or ITIN if applicable)

Driver's License / State ID: [[DL Number and State]]

Phone: [[Applicant Phone]]

Email: [[Applicant Email]]

Current Address: [[Current Address]]

How long at current address: [[Time at Current Address]]

Reason for leaving: [[Reason for Leaving]]

2. Co-Applicants and Occupants List all persons who will reside in the unit:

3. Residency History (Last 3 Years) Current / Most Recent Landlord or Property Manager:

Name: [[Current Landlord Name]]

Phone: [[Current Landlord Phone]]

Monthly Rent Paid: [[Current Rent Paid]]

Dates of Tenancy: [[Current Tenancy Dates]]

Previous Landlord:

Name: [[Previous Landlord Name]]

Phone: [[Previous Landlord Phone]]

Monthly Rent Paid: [[Previous Rent Paid]]

Dates of Tenancy: [[Previous Tenancy Dates]]

Any evictions, unlawful detainers, or lease terminations: [[Eviction History]]

4. Employment and Income Current Employer: [[Current Employer Name]]

Position / Title: [[Job Title]]

Supervisor / HR Contact: [[Supervisor Contact]]

Monthly Gross Income: [[Monthly Gross Income]]

Length of Employment: [[Employment Duration]]

Additional Income Sources (include amount and source): [[Additional Income]]

Other Household Income: [[Other Household Income]]

5. Credit and Background Information Have you ever filed for bankruptcy? [[Bankruptcy Yes/No Details]]

Have you ever been convicted of a felony? [[Felony History]] (note: certain local Fair Chance Ordinances restrict consideration of criminal history; see below)

Do you authorize a credit report, criminal background check, and eviction history search? [[Credit Authorization Yes/No]]

6. Rental Screening Fee and Costs Pursuant to California Civil Code § 1950.6, the screening fee shall not exceed the actual out-of-pocket costs of obtaining the report(s), not to exceed the amount disclosed below.

Screening / Application Fee: [[Screening Fee Amount]]

This fee covers: [[What Fee Covers]] (credit report, background check, etc.).

If the applicant is not selected, Landlord shall provide an itemized accounting of actual costs incurred and refund any excess within a reasonable time.

Fee is non-refundable except as required by law or if Landlord does not perform screening.

7. Source of Income and Protected Classes Landlord does not discriminate on the basis of source of income (including Section 8 / housing vouchers) as required by SB 329 and applicable local law.

Applicant may provide proof of income from any lawful source.

8. AB 1482 (Tenant Protection Act) Notice If the property is subject to AB 1482 rent caps and just-cause eviction protections, the following applies: [[AB 1482 Applicability]]

Landlord will comply with all applicable rent increase limits and just-cause requirements for covered units.

9. Fair Chance and Criminal History Screening Many California cities and counties have Fair Chance Ordinances that limit when and how criminal history may be considered. Landlord will comply with all applicable local ordinances. Criminal history will only be considered after conditional approval where permitted.

10. Pets, Vehicles, and Additional Requests Pets: [[Pet Details and Type]]

Number of vehicles: [[Number of Vehicles]]

Vehicle descriptions: [[Vehicle Descriptions]]

Other special requests or needs: [[Special Requests]]

11. FCRA Authorization and Disclosure Authorization: By signing below, Applicant authorizes Landlord and its agents to obtain consumer reports, credit reports, criminal background reports, eviction reports, and to verify employment, income, rental history, and references for the purpose of evaluating this rental application.

FCRA Notice: If any adverse action is taken based in whole or in part on information contained in a consumer report, Applicant will be provided: (1) notice of the adverse action; (2) the name, address, and telephone number of the consumer reporting agency; and (3) a statement that the agency did not make the decision and cannot explain why the decision was made.

A copy of the report may be obtained free of charge upon request within 60 days.

12. Fair Housing and Nondiscrimination Notice Landlord complies with the Federal Fair Housing Act, California Fair Employment and Housing Act, and all applicable local fair housing laws. We do not discriminate on the basis of race, color, religion, sex, national origin, familial status, disability, age, sexual orientation, gender identity, source of income, or any other protected class.

13. Additional Disclosures and Consents Applicant consents to contact of references and employers listed.

Applicant understands that this is an application only and does not constitute a rental agreement. Landlord may approve or deny in its reasonable discretion subject to fair housing laws.

Any material misrepresentation will be grounds for denial or lease termination.

14. Signatures and Certification

I certify that all information provided in this Application is true, accurate, and complete to the best of my knowledge. I understand that false statements may result in denial or eviction.

Applicant Signature:

_______________________________ Date: [[Applicant Signature Date]]

Print Name: [[Applicant Full Name]]

Co-Applicant Signature (if any):

_______________________________ Date: [[Co-Applicant Signature Date]]

Print Name: [[Co-Applicant Full Name]], -

Landlord / Agent Use Only

Date Received: [[Date Received]]

Screening Fee Received: [[Fee Received Amount and Method]]

Application Status: [[Application Status]]

Decision Date: [[Decision Date]]

[[Landlord or Agent Name and Signature]], -

*California Residential Rental Application template. Screening fees limited to actual out-of-pocket costs per Civil Code § 1950.6 (CPI-adjusted). Complies with source-of-income protections (SB 329), AB 1482 where applicable, FCRA disclosure requirements, and fair housing laws. Criminal screening subject to local Fair Chance Ordinances. All [[tokens]] to be completed with actual information. This is a template, not legal advice. Verify compliance with current statutes and local ordinances as of 2026-06 before use.*