Rental Application - Walker & Associates

If you’d like to submit a tenant application you can utilize the online form below, or you may download a PDF which you can print, fill out and bring by our office.

Rental Application PDF

Rental Reference Form PDF

Tenant Application

Step 1 of 6

Today's Date*
Month
Day
Year
Desired Occupancy Date*
MM slash DD slash YYYY
Desired Rental Price (per month)*
Desired Unit Type*
Name*
First Last
Current Address*
Street Address City State ZIP Code
Work Phone*
Mobile Phone*
Driver's License Number*
Birth Date*
Month
Day
Year
SSN*

Please enter your social security number.
Email Address
Car Make & Model
Car License #
Additional Occupants
Please list all other individuals who will be living with you.
Name Relationship Age
Additional Information
Do you have any pets?*
- Yes
- No
Please tell us what type(s) of pet(s) you have and how many:
Would you like to pay your rent electronically?
- Yes
- No
You may enroll in automatic monthly payments ($3.00 convenience fee will apply).
Are you able to handle all the minor maintenance and basic upkeep of the property?*
- Yes
- No
Will someone else be helping you pay rent?*
- Yes
- No
Who will be helping you pay your rent?
Name Relationship
Have you ever broken a lease?*
- Yes
- No
Have you ever refused to pay rent for any reason?*
- Yes
- No
Have you ever been evicted or asked to vacate a rental unit?*
- Yes
- No
Have you ever filed for bankruptcy?*
- Yes
- No
Have you ever been convicted of a crime?*
- Yes
- No
Will you give us permission to perform a criminal background check?*
- Yes
- No
Is there anything to prevent you from placing utilities or phone in your name?*
- Yes
- No
Do you know of anything or any reason which may interrupt your ability to pay rent?*
- Yes
- No

Residence History
Present Residence Address*
Street Address City State ZIP Code
Dates lived at this address*
Do you own this property or pay rent?*
- Own
- Rent
- Occupy
Name of present landlord/owner/mortgage company:*
Name of landlord, owner, or mortgage company
Address of landlord, owner or management company:
Street Address City State ZIP Code
Landlord's Phone*
Monthly payment*
Reason for moving*
Is your rent/mortgage current?*
- Yes
- No
Number of late payments
Previous Residence History
Previous Residence*
Street Address City State ZIP Code
Previous landlord*
First and last name or name of mortgage company
Phone*
Dates at this address:*
Reason for moving?*
Was your full security deposit returned?*
- Yes
- No
Number of late payments?
Monthly payment?

Income History
Applicant's current employment status:*
- Full-time
- Part-time (less than 32 hrs)
- Student
- Retired
- Self-Employed
- Unemployed
- Other
Primary Source of Employment:
Applicant employed by:*
Name of employer
Supervisor's Name*
First Last
Average weekly hours:*
How long at the place of employment?*
Address*
Street Address City State ZIP Code
Phone*
Position:*
Salary:*
Please indicate weekly, bi-weekly, monthly, or annual average take-home pay:*
Additional Employment
Applicant employed by:
Name of employer
Supervisor's Name
First Last
Average weekly hours:
How long at the place of employment?
Address
Street Address City State ZIP Code
Phone
Position:
Salary:
Please indicate weekly, bi-weekly, monthly, or annual average take-home pay:
Additional Income (optional)
If there are additional, verifiable sources of income you would like considered, please list income source (e.g., self-employment, social security, benefit payments), and requested information below regarding each source. Applicant may be required to produce additional documentation or provide and sign release statements. Child support, alimony, or separate maintenance need NOT be disclosed unless you desire this additional income to be considered for qualification.
Additional source:
Amount:
Per:
How long have you been receiving this income from this source?
How long do you expect this income to continue?
Is there any reason it would stop?

Assets / Credits / Loans
Number of vehicles on property?*
Valid registration and inspection?
Do you have any commercial vehicles, RV, campers, boats, or motorcycles?*
- Yes
- No
Vehicle 1
Make / model / color / year:
Plate number:
State:
Financed/leased through:
Contact and phone number:
Acct. #
Monthly payment:
Vehicle 2
Make / model / color / year:
Plate number:
State:
Financed/leased through:
Contact and phone number:
Acct. #
Monthly payment:
Bank Reference
Name
Name of bank
Phone
Address
Street Address City State ZIP Code
Checking account:*
Checking account #: How long account active? Average monthly balance:
Savings account:*
Savings account #: How long account active? Average monthly balance:

Personal, Professional or Character Reference
Name*
First Last
Relationship*
Address*
Street Address City State ZIP Code
How long have you known this person?*
Phone*
Professional Reference (e.g., attorney, accountant):
Name*
First Last
Relationship*
Address*
Street Address City State ZIP Code
How long have you known this person?*
Phone*
Nearest Living Relative:
Name*
First Last
Relationship*
Address
Street Address City State ZIP Code
How long have you known this person?
Phone*

Thank You!
Thank you for completing an application to rent from us. Please sign below. Please note that a completed application requires submission of the following, which will be copied and attached to this application:
Please provide us with the following:
- Driver's license picture ID (Note: rentals will not be shown without a valid picture ID)
- Personal check (to verify bank)
- 2 weeks of most current pay stubs of each income source listed
- If self-employed, most current Schedule C tax return and proof of current income
A fee of $40.00 is charged on all rental applicants for the purpose of verifying the information furnished on this application. By signing below, applicant hereby represents all information on this application is true, complete, and hereby authorizes annual verification of information, references, and credit history for continual rental consideration or for collection purposes should that become necessary. This fee is refundable/nonrefundable/or only refundable if applicant meets our minimal criteria but is not selected because they were not the first qualified applicant.

Applicant acknowledges this application will become part of the lease agreement when approved. If any information is found to be incorrect the application will be rejected and any subsequent rental agreement becomes void.
You, the rental applicant, authorize and permit Walker & Associates Property Management (rental/owner/manager) to perform background checks and obtain information about you from credit reporting sources, current and previous landlords, personal and professional references, employers, banks, and law enforcement agencies.

You also authorize and give permission for all parties listed to disclose any information requested about you to the rental owner or manager stated above.

You further authorize and permit the rental owner or manager to obtain updated information annually and on future occasions for rental renewal consideration and for collection purposes should that be deemed necessary.

Thanks to all parties for your cooperation with this matter.
Rental Applicant:
First Last
Applicant's signature*
Today's date
MM slash DD slash YYYY
Phone
Social Security Number:*
145 S. Gray St., Suite 203 Orcutt, Ca. 93455 Tel. 805-937-9900 Fax 805-937-9909 www.walkerrentals.net

Name	Relationship	Age

Name	Relationship

Tenant Application

Step 1 of 6

Additional Occupants

Additional Information

Residence History

Previous Residence History

Income History

Primary Source of Employment:

Additional Employment

Additional Income (optional)

Assets / Credits / Loans

Vehicle 1

Vehicle 2

Bank Reference

Personal, Professional or Character Reference

Professional Reference (e.g., attorney, accountant):

Nearest Living Relative:

Thank You!