CasaQuorum

California: Rental application

A rental application with fair housing wording and your state's application fee rules. In English and Spanish, checked against California law.

Who it's for
Document
State
Letter language
California check: all 2 rules met
English

Rosa Medina

Landlord

Rental application

Rental: 2207 Vista Grande Ct, Riverside, CA 92503. Monthly rent: $1,800.00. Security deposit: $1,800.00. Application fee: $45.00 per adult applicant.

1. Applicant

Full name:

Phone:  Email:

Date of birth:

2. Current home

Address:

Since:  Rent:

Landlord and phone:

3. Work and income

Employer:

Position:  Monthly income:

Supervisor's phone:

4. Other occupants, pets and vehicles

Other occupants:

Pets:  Vehicles:

5. Authorization. I authorize Rosa Medina to check my credit report, rental history and references to evaluate this application. The information I gave is true and complete.

We do not discriminate based on race, color, religion, sex, national origin, disability or familial status.

Applicant's signature:
Date:

Questions: (951) 555-0177.

Español

Rosa Medina

Arrendador

Solicitud de arrendamiento

Vivienda: 2207 Vista Grande Ct, Riverside, CA 92503. Renta mensual: $1,800.00. Depósito: $1,800.00. Cargo por solicitud: $45.00 por cada adulto.

1. Solicitante

Nombre completo:

Teléfono:  Correo:

Fecha de nacimiento:

2. Vivienda actual

Dirección:

Desde:  Renta:

Arrendador y teléfono:

3. Empleo e ingresos

Empleador:

Puesto:  Ingreso mensual:

Teléfono del supervisor:

4. Otros ocupantes, mascotas y vehículos

Otros ocupantes:

Mascotas:  Vehículos:

5. Autorización. Autorizo a Rosa Medina a revisar mi historial de crédito, mi historial de arrendamiento y mis referencias para evaluar esta solicitud. La información que proporcioné es verdadera y completa.

No discriminamos por raza, color, religión, sexo, origen nacional, discapacidad o situación familiar.

Firma del solicitante:
Fecha:

Preguntas: (951) 555-0177.

California rules for this letter

Template text is pending review by a licensed attorney. The checks below compare your dates and amounts with state law.

  • The fee is $45.00. California caps screening fees at a CPI-adjusted amount ($65.86 for 2026, per the California Apartment Association) and never more than your actual cost. Give an itemized receipt.
  • The form asks nothing about protected characteristics and includes a fair housing statement.
    Fair Housing Act
  • If you deny or add conditions because of a credit report, send the applicant an adverse action notice.
    Fair Credit Reporting Act

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