Pre-Qualify Form – Goetz Manderley

Pre-Qualify Form

Applicant
Full name of applicant*
First Last
Present Address*
Street Address Address Line 2 City State ZIP Code
Home phone
Cell phone
Date of birth*
MM slash DD slash YYYY
Applicant’s employement
Name of present employer*
Address
Street Address Address Line 2 City Province Postal Code
Position*
Date started*
MM slash DD slash YYYY
Monthly income*
Supervisor's name*
Phone*
Other sources of income*
Co-Applicant / Spouse
Full name of co-applicant / spouse
First Last
Present Address*
Street Address Address Line 2 City State ZIP Code
Home phone
Cell phone
Date of birth*
MM slash DD slash YYYY

Ask for the Rental Department

Tel: (805) 781-6636

1400 Madonna Road

San Luis Obispo CA 93401

2540 Professional Parkway

Santa Maria CA 93455

820 North H Street Suite A

Lompoc CA 93436

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CA DRE #01862190