Application Form |

The Location I Am Applying For Is:*
Personal Information:
Name*
First Last
Date Of Birth?*
Social Security #*
Driver's License*
State License Was Issued?*
Email*
Home Phone
Cell Phone*
Do you have any pets?*
- Yes
- No
Please provide Information about your pets Including Type, Breed, Age And Weight

When Do You Plan On Moving?*
Current Address*
Street Address Address Line 2 City State ZIP Code
Landlords Name and Phone Number:*
Dates Of Residence (from MM/YY to MM/YY)*
Amount of rent paid?*
Reason For Leaving:*
Where Else Have You Lived?
Street Address Address Line 2 City State ZIP Code
Landlords Name and Phone Number:
Dates Of Residence (from MM/YY to MM/YY)
Amount of rent paid?
Reason For Leaving:
Where Else Have You Lived?
Street Address Address Line 2 City State ZIP Code
Landlords Name and Phone Number:
Dates of Residence (from MM/YY to MM/YY)
Amount of rent paid?
Reason For Leaving:
List additional people living with you:
First Last
Age
Relationship
List additional people living with you:
First Last
Age
Relationship
List additional people living with you:
First Last
Age
Relationship
List additional people living with you:
First Last
Age
Relationship

Make Of Vehicle Owned Or Registered By Applicant
Model Of Vehicle
License Plate #
Year
Color

Employment
Position Held Current Employment
Current Employer Name
Street Address Address Line 2 City State ZIP Code
Phone
Salary (annual)
Years Worked
Supervisor's Name
Position Held Previous Employment
Previous Employer's Name
Street Address Address Line 2 City State ZIP Code
Phone
Salary (annual)
Supervisor's Name

Uploads
Please upload all required documentation including: Photo ID Proof of income (e.g. recent pay stubs, bank statements, or tax returns)

Application Payment
Terms of Agreement

By checking the box and electronically signing your full name below, you declare that all your statements in this application are true and complete. By submitting this electronic application, you are directing and authorizing Iconic Real Estate to verify this information and obtain additional background information about you through any means, including using a third party consumer agency, personal and professional references, employers and other rental housing owners. If you fail to answer any question or give false information, the property may reject your application, retain all application fees and deposits as liquidated damages for its time and expense, and terminate your right of occupancy. You further direct and authorize Iconic Real Estate to obtain from any law enforcement agency, present or past employer or supervisor, landlord, finance bureau/office, credit bureau, collection agency, college, university or other institute of learning or certification, private business, military branch or the national personnel records center, personal reference and/or other persons, and authorize the same to give records or information that they may have concerning your criminal history, motor vehicle/driving history, earnings history, credit history, character, general reputation, personal characteristics, mode of living, employment records, record of attendance and earned degrees or certificates, or any other information requested, whether the said records are private or public, and including those which may be deemed to be privileged or confidential in nature and you irrevocably and unconditionally release all such persons, including any named or unnamed informant, from any liability resulting from the furnishing of this information. I understand that typing my full name below, checking the box next to the words “I agree” and clicking on the Submit Application button below, constitutes my electronic signature, dated as of when I click on the button, and that by doing so:

I am authorizing Iconic Real Estate to conduct the background check(s) described above.

I am consenting to use electronic means to (i) sign this form, and (ii) receive the Disclosure Statement appearing above.

By signing below, you certify that the information on this application is complete, true, and submitted for rental application purposes.
Do You Agree?*
- I Agree
Type Your Full Name Here:*
Today's date*
Please Pay $35 Application Fee Below

818-857-2131818-857-2131

Application Form

Application Form

Step 1 of 7

Personal Information:

Employment

General Questions

Uploads

Application Payment

Terms of Agreement