Cosigner Application

Phone Home:

Social Security No. - -

Date of Birth: / /

Driver's License No.

I am cosigner for:

Cosigner

For (address): 229 Winchester Drive, Goleta

Present Address:
From	To:		o Rent o Own - Loan No.
Owner/Manager/Mortgage Co.: Address:				Phone:
Previous Address:
From		To:	o Rent o Own - Loan No.
Owner/Manager/Mortgage Co.: Address:				Phone:

Present occupation:	Employer:	Phone:
How long?	Supervisor:	Phone:
Previous occupation:	Employer:	Phone:
How long?	Supervisor:	Phone:
Current gross income per month (before deductions) $
Other sources of income:

Bank or Credit Card Issuer		Branch		Account No.
Checking
Savings
Credit Card
Credit Card
Credit references	Owed		Monthly payment
1.
2.
Have you ever filed for bankruptcy? When and where?

I declare that the statements above are true and correct, and I hereby authorize verification of references given and a credit check.

I have completed a Rental Application for the express purpose of enabling Landlord to check my credit. I have no intention of occupying the dwelling referred to in the Rental Agreement.

As a cosigner on the Rental Agreement, I understand that I may be required to pay for rent, cleaning charges, damage assessments, or other legal charges in such amounts as are incurred by the Tenants under the terms of this Agreement if, and only if, the Tenants fail to pay.

Signed ______________________________________________ Date ________________

Return to or fax to