ࡱ> DFC5@ :+bjbj22 %>XX"&&&&&&&:8V$z$:!&L!!!!!!!$"R%f=!&www=!&&R!} } } w&&!} w!} V} &&  O0! $h!0! v% Rv% ::&&&&v%& } 8l=!=!:: g ::Santa Barbara Community Housing Corporation 11 E. Haley Street, Santa Barbara, CA 93101 (805) 963-9644; Fax: 963-3467 APPLICATION TO RENT (SOLICITUD PARA ALQUILER) Date Received ((Fecha Recibida)_____________________ Personal Data (Datos Personales) _______________________________________________________________________________________________________________________________________ Last Name (Apellado) First Name (Primer Nombre) Middle (Inicial) Soc. Sec. (Seguro Social) _______________________________________________________________________________________________________________________________________ Date of Birth (Fecha de Nacimiento) Drivers Lic. # (# Licencia de Conductor) State (Estado) Home Phone (# Telefonico en Caso) _______________________________________________________________________________________________________________________________________ Present/Mailing Address (Domicilo Actual) City (Ciudad) State (Estado) Zip Code (Codigo Postal) _______________________________________________________________________________________________________________________________________ Date In (Fecha de Ingreso) Date Out (Fecho de Egreso) Owners Name (Nombre del Dueno/Adminstrador) Telephone (Telefono) _______________________________________________________________________________________________________________________________________ Reason for Moving (Razon por la cual desea mudarze) Other Occupants (Otros Habitantes) Name(s) (Nombre[s]) Age (Edad) Relationship (Relacion) (1)____________________________________________________________________________________________________________________________________ (2) ____________________________________________________________________________________________________________________________________ (3) ____________________________________________________________________________________________________________________________________ (4)____________________________________________________________________________________________________________________________________ (5)____________________________________________________________________________________________________________________________________ (6)____________________________________________________________________________________________________________________________________ Student Status (Estatus Academico) Are any of the Occupants full-time students? (Es alguno de los habitantes esdudiante de tiempo completo? ____________________ If your answer is YES, is the household a single-parent and child? (Si su respuesta es SI, se considera padre/madre soltera e hijo menor?) _______________________ Do applicants file a joint Tax Return? (Los Solicitantes declaran impuestos conuuntamente?) ______________________________ Will you have pets? (Tendra mascotas?) _________________ Please describe (Por favor describa) _________________________________________________________ Employment (Empleo) Employed Full-Time (Emleado de Tiempo-Completo) ________ Part-Time (Empleado de Medio-Tiempo) ________ Self-Employed (Empleado por si mismo) ________ Current Employment (Empleo Actual) ________________________________ Employer Name (Nombre del Empleador) ___________________________________ How long employed? (Cuanto tiempo?) ________________________ Address (Direccion) ______________________________________________________________ Supervisors Name (Nombre del Supervisor) ____________________________________________________ Telephone # (#Telefonico) _________________________ Income (Ingreso) Current Gross Monthly Income (Ingreso Mensual Actual en Bruto) $ ____________________ Overtime? And how much? (Tiempo Extra? Y cuanto?) ______________ Santa Barbara Community Housing Corporation, 11 E. Haley St., Santa Barbara, CA 93101 (805) 963-9644, fax: (805) 963-3467 Credit References (Referencias de Credito) Banks Name (Nombre del Banco) Address (Direccion) Account Number (Numero de Cuenta) Payment (Pagos) _______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ Creditors Name (Nombre del Creditor) Address (Direccion) Telephone # (# Telefonico) _______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ In Case of Emergency, Notify (En Caso de Emergencia Notificar a): Name (Nombre) Address (Direccion) Telephone # (# Telefonico) Relationship (Parentezco) _______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ Personal References (Referencias Personales) Mus be non-relatives and must have known you for more than 3 years (No deben ser parientes y deben conocerle por mas de 3 anos) Name (Nombre) Address (Direccion) Telephone # (# Telefonico) Time Known (Tiempo de Conocer) (1) ____________________________________________________________________________________________________________________________________ (2) ____________________________________________________________________________________________________________________________________ (3) ____________________________________________________________________________________________________________________________________ Mothers Maiden Name (Apellido Materno) ___________________________________________________________ Personal Property (Propiedad Personal) Vehicle Model and Year (Modelo y Ano del Vehiculo) ____________________________________________________ License Plate # (# de Placas __________________ Vehicle Model and Year (Modelo y Ano del Vehiculo) ____________________________________________________ License Plate # (# de Placas __________________ When would you like to move in? (Cuando deseria mudarze?) _____________________________ Number of Bedrooms? (Numero de Recamaras?) _______________ Do you have public Housing Authority assistance? (Tiene usted asistencia publica para la vivienda por medio de Housing Authority?) _________________ City Housing Authority (Housing Authority de la Ciudad) __________________ County Housing Authority (Housing Authority del Condado) __________________ Certificate or Voucher (Certificado o Voucher) ____________ Number of bedrooms approved for (Numero de recamaras autorizadas) ___________________ Have you ever been evicted or asked to move? (Ha sido usted desalojado o le han pedido que desaloje?) ___________________________ Reason Why (Razon) _____________________________________________________________________________________________________________________ The apartments are operated and managed according to the regulations of the Affordable Housing Program. The Lease is conditioned on verification of Tenants eligibility as to household income and size. Continued tenancy is contingent upon annual recertification. I certify the above information is true and correct to the best of my knowledge. (Certifico que la informacion aqui declarada es verdadera y correcta tal y como mejor la recuerdo.) Applicants Signature (Firma del Solicitante) _______________________________________________________________ Date (Fecha) ____________________ It is the Applicants Responsibility to inform our office an changes to this application. Es la responsabilidad del Solicitante de informar a nuestra oficina sobre cualquier cambio a esta solicitud.  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