Dr. Harmohinder's 

ELITE RENTAL PROPERTIES

APPLICATION TO RENT HOUSE & SCREENING FEE


A SEPARATE APPLICATION TO RENT FORM IS REQUIRED FOR EACH OCCUPANT 18 YEARS OF AGE OR OVER.


I. APPLICATION





1585 Country Club Drive, Riverside, CA 92506 USA (now referred to as "Premises").





See Section II for Input of Social Security Number. Such shall be provided upon request from Landlord/Manager/Agent.













YES
NO


YES
NO


YES
NO


YES
NO


YES
NO


YES
NO











9. PLEASE INCLUDE ANY OTHER INFORMATION YOU BELIEVE WOULD HELP TO EVALUATE THIS APPLICATION:
    (CA CODE SB267* EXCEPTION APPLIES)



Applicant understands and agrees that: (i) this is an application to rent only and does not guarantee that applicant will be offered the Premises; (ii) Landlord or Manager or Agent may receive more than one application for the Premises and, will select the best qualified applicant; and (iii) Applicant will provide a copy of applicant's driver's license or other acceptable identification upon request.

Applicant represents the above information to be true and complete, and hereby authorizes Landlord or Manager or Agent to: (i) verify the information provided; (ii) obtain a credit report on applicant; and (iii) obtain an “Investigative Consumer Report” (“ICR”) on and about applicant. An ICR may include, but not be limited to, criminal background checks, reports on unlawful detainers, bad checks, fraud warnings, and employment and tenant history. By clicking on the checkbox below, you also acknowledge receipt of the attached NOTICE REGARDING BACKGROUND INVESTIGATION PURSUANT TO CALIFORNIA LAW (C.A.R. form BIRN).

Please check this box if you would like to receive, at no charge, a copy of an ICR or consumer credit report if one is obtained by the Landlord/Manager/Agent whenever you have a right to receive such a copy under California law.
Applicant further authorizes Landlord, Manager, or Agent to disclose information to prior or subsequent owners and/or agents with whom applicant has had, or intends to have, a rental relationship. If application is not fully completed, or if Section II is applicable and the application is received without the full screening fee: (i) the application will not be processed, and (ii) the application and any portion of the screening fee paid will be returned.


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    *If the applicant will be receiving a government rent subsidy to assist in the payment of rent, such as a Section 8 voucher, applicant may choose to provide lawful, verifiable, alternative evidence of reasonable ability to pay rather than have Landlord rely on a credit report. The applicant shall be given a reasonable time to provide alternative documentation.

II. SCREENING FEE & SSN

Applicant has paid a nonrefundable screening fee of $50 applied as follows:

Application shall provide Social Security Number to Landlord for resident screen purposes only and strictly confidental. This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. By providing the information below, I hereby hold the Landlord and its agents free and harmless of any liability for any damages arising out of any improper use of this information:



III. NOTICE REGARDING BACKGROUND INVESTIGATION REPORTS PURSUANT TO CALIFORNIA LAW

In connection with my application for housing, I understand that the Landlord or its agent may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application of letting a dwelling. Thus, you can expect to be the subject of 'investigative consumer reports' and 'consumer credit reports' obtained for housing purposes. Such reports may include information about your character, general reputation, personal characteristics and mode of living. With respect to any investigative consumer report from an investigative consumer reporting agency ('CRA'), the Landlord may investigate the information contained in your rental application and other background information about you, including but not limited to obtaining a criminal record report, eviction report, verifying references, work history, your social security number, and other information about you, and interviewing people who are knowledgeable about you. The results of this report may be used as a factor in making housing decisions. These consumer reports will be obtained from one or more of the following consumer reporting agencies:
The Landlord agrees to provide you with a copy of an investigative consumer report when required to do so underCalifornia law.Under California Civil Code section 1786.22, you are entitled to find out from a CRA what is in the CRA's file on you with proper identification, as follows:

● In person, by visual inspection of your file during normal business hours and on reasonable notice. You also may request a copy of the information in person. The CRA may not charge you more than the actual copying costs for providing you with a copy of your file.

● A summary of all information contained in the CRA's file on you that is required to be provided by the California Civil Code will be provided to you via telephone, if you have made a written request, with proper identification, for telephone disclosure, and the toll charge, if any, for the telephone call is prepaid by or charged directly to you.

● By requesting a copy be sent to a specified addressee by certified mail. CRAs complying with requests for certified mailings shall not be liable for disclosures to third parties caused by mishandling of mail after such mailings leave the CRAs.

“Proper Identification” includes documents such as a valid driver's license, social security account number, military identification card, and credit cards. Only if you cannot identify yourself with such information may the CRA require additional information concerning your employment and personal or family history in order to verify your identity. The CRA will provide trained personnel to explain any information furnished to you and will provide a written explanation of any coded information contained in files maintained on you. This written explanation will be provided whenever a file is provided to you for visual inspection.You may be accompanied by one other person of your choosing, who must furnish reasonable identification. A CRA may require you to furnish a written statement granting permission to the CRA to discuss your file in such person's presence.


By signing below, in connection with my application for housing, I authorize the Landlord or its agent to obtain a consumer report from the consumer reporting agencies listed above. I have provided the information in the foregoing Application accurately to the best of my knowledge, accept and understand the foregoing Screening Fee and Notices, and acknowledge receipt of a copy of the entire Application, Screening Fee, and Notices.

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