RENT CONTROL

Please print and complete the following RENTAL APPLICATION.

Mail to:  Duggan Property Management, Inc., P. O. Box 7393, Northridge, CA 91327
Phone: 818-886-RENT, Fax: 818-363-3587
Or, deliver to our office at: 11145 Tampa Ave., Suite 25B, Northridge, CA 91326
(Located at the Southwest corner of Tampa and Rinaldi, above Porter Ranch Medical) 
Please include non-refundable screening fee of $30.00 per applicant payable to:
Duggan Property Management, Inc.  Every person 18 and older must apply.

Property Address:______________________________________________________________

Desired Move-in date:___________________________________________________________

Applicant Name:_______________________________________________________________
Birthdate:_____________________________________________________________________
Social Security #:_______________________________________________________________
Drivers License #:______________________________________State:___________________
Home Phone #:________________________________________________________________
Work Phone #:_________________________________________________________________
Cell Phone # __________________________________________________________________

Address:______________________________________________________________________
City, State, ZIP:________________________________________________________________
Managers Name:_______________________________________________________________
Managers Phone #:_____________________________________________________________
Dates of Residence:____________________________________________________________
Rent Paid:____________________________________________________________________
Reason for Leaving:____________________________________________________________

Employer:____________________________________________________________________
Occupation:___________________________________________________________________
Type of Business:______________________________________________________________
Monthly Gross Income:__________________________________________________________
Business Address:______________________________________________________________
Business Phone:_______________________________________________________________
Date Started:______________________________Ended: ______________________________

Name of Bank - Indicate Checking or Savings Account - Account Number - Balance
____________________________________________________________________________
____________________________________________________________________________

List any additional occupants, age and relationship to applicant: __________________________
____________________________________________________________________________

List breed, size and number of any pets: ____________________________________________

List Year, Make & Model of Automobiles owned: _____________________________________

____________________________________________________________________________
I certify that each statement above is true and correct to the best of my knowledge. I give the
owners or their agents permission to verify all information contained herein and to obtain any
information related to this document, including obtaining credit reports from any consumer
credit reporting agency. I will furnish further credit information upon request.

____________________________________________________________________________
Signature & Date