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Lease Application

Name *

First

Middle

Last

Other Names Used In The Last 10 Years

First

Middle

Last

Social Security # *

Driver's License # *

Email Address *

Name

First

Middle

Last

Relationship to Applicant

Name

First

Middle

Last

Relationship to Applicant

Name

First

Middle

Last

Relationship to Applicant

Current Employer *

Job Title *

Name of Supervisor *

Income Per Month ($) *

Prior Employer

Job Title

Name of Supervisor

Income Per Month ($)

Owner/Mgr Name and Phone # *

Reason For Leaving *

Last Rent Paid ($) *

Owner/Mgr Name and Phone #

Reason For Leaving

Last Rent Paid ($)

Vehicle 1 - Make

Model

Color

Year

License #

Vehicle 2 - Make

Model

Color

Year

License #

In Case of Emergency, Notify *

Relationship *

Close Friend

Relationship

Nearest Relative Living Elsewhere

Relationship

Name of Bank or Savings & Loan *

Checking Account Number *

Checking Account Balance *

Savings Account Number *

Savings Account Balance *

Credit Accounts *

Account Number *

Address/City *

Balance *

Due Monthly *

Account 2

Account 2 - Account #

Account 2 - Address/City

Account 2 - Balance

Account 2 - Due Monthly

Account 3

Account 3 - Account #

Account 3 - Address/City

Account 3 - Balance

Account 3 - Due Monthly

Account 4

Account 4 - Account #

Account 4 - Address/City

Account 4 - Balance

Account 4 - Due Monthly

Account 5

Account 5 - Account #

Account 5 - Address/City

Account 5 - Balance

Account 5 - Due Monthly

Do you smoke? *

Yes
No

Do you have any pets/animals? *

Yes
No

Have you ever filed for bankruptcy? *

Yes
No

Do you have any musical instruments? *

Yes
No

Do you have any water-filled furniture or do you intend to use water filled furniture in the apartment? *

Yes
No

Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs or convicted of any other crime? *

Yes
No

Have you ever been evicted or named as a defendant in an eviction for non-payment of rent or any other reason? *

Yes
No

Please explain and "yes" answers to the above questions:

Why are you leaving your current residence? *

Message

Contact Us

(323) 487-2650
info@lotusproperties.com
11944 Mayfield Avenue
Los Angeles, CA 90049

Need more info?

Request a callback

Name *

First

Last

Email *

Type of Problem *

Please Describe the Issue

Does our maintenance team have permission to enter your residence and make the necessary repairs without you present? *

Yes
No

Do you have any pets? *

Yes
No

Website

Name *

Email *

Comment