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Payment

Submitting your application:

1. Pay and process online: Fill out application online and press submit. After submitting, you will be routed to a page that will prompt you with a "Click Here to Pay" Button. Follow the necessary steps.
or
2. Fax or mail: Fill out the application and print. Fax to (818) 905-7280. Send checks to 369 South Columbia Ave. Los Angeles, CA 90017.

 

Last Name
First Name
Social Security
DOB MM/DD/YYYY
/ /
Driver's Lisence/State
Email
PRESENT ADDRESS (Last 24 Months of Resident History Required)
Address
Apt #
City
State
Zip
Landlord's Name
Landlord's Daytime Phone
( ) -
MM/YYYY
Moved-In
/
MM/YYYY
Moved-Out
PRESENT
Names on Lease
If own a home, monthly mortgage amount
PREVIOUS ADDRESS
Address
Apt #
City
State
Zip
Landlord's Name
Landlord's Daytime Phone
( ) -
MM/YYYY
Moved-In
/
MM/YYYY
Moved-Out
/
Names on Lease
   
APPLICANT EMPLOYER OR OTHER SUITABLE SOURCE OF INCOME
Company
Employer Phone
( ) -
Monthly Income
$
MM/YYYY Hire Date
/
Applicant's Position
Supervisor or Department
BANK REFERENCES
1) Name of Institution
State
Phone Number
( ) -
Account Type
Account Number
2) Name of Institution
State
Phone Number
( ) -
Account Type
Account Number
QUALIFYING QUESTIONS
Have you ever been evicted from Rental Housing?



If yes, state the date this occurred and explain why:
Have you ever been convicted of a crime? If yes, please explain the details:
Year of Conviction
County
State
Offense and Details
The facts set forth in my application are true and complete. Contractors or agents are hereby authorized to make any investigation of my personal, financial, credit record, litigation, business and other personal history in connection with this Application for the Lease of Residential Real Property. The undersigned further acknowledges that contractors and agents makes no independent warranty or representation, express or implied regarding the completeness, accuracy or content of any such information received, assembled, compiled, summarized or reported back from such third party sources to the Landlord and/or to the applicant. The applicant understands that, if accepted, the subsequent discovery of a false statement during the application process is grounds for termination of lease. This form may be photocopied or reproduced as necessary by contractors and agents to be used as my consent to release credit, rental, financial, personal, litigation, business and other personal history. I understand that if I have a mortgage, the monthly mortgage payment will be included with the rental amount for qualifying for this apartment.
/ /
Applicant Signature Date MM/DD/YYYY
PLEASE READ CAREFULLY: Legacy Partners Residential, Inc. and Applicant acknowledge that applicant has paid herewith a not-refundable processing fee of $ . The applicant has paid a holding deposit in the amount of $ for the rental of apartment # . This amount will be refunded within working days from the date the applicant was notified, if the applicant is not accepted as a resident or if this application is withdrawn within 72 hours of the date it is signed. If the application is accepted, and subsequently the resident does not move in, the holding deposit shall be retained. In the event that applicant is approved, the holding deposit will be applied to the security deposit or move in costs upon commencement of the lease term.
Contact Number for Applicant ( ) -
Emergency Contact Number for Applicant ( ) -


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