Please fill out the following form or download this .pdf form, fill out and fax back to us at: 760-352-1099
Name: E-mail: Phone:
If member of the Armed Forces, complete the following:
Branch Pay Grade Serial No.
A. Employer Phone No.
Address Salary $
Length of Time Title Supervisor
B. Spouse's Employer Phone No.
C. Welfare Office Address Phone No.
D. Other Income Amount $
Total Income for past 12 months $
Present Address
How Long? Monthly Rent $ Reason for Leaving
Landlord Phone No.
Previous Address
Any Prior Evictions? Y N
Applying for property at: All Apartments Winfield Terrace Apartments Barbara Worth Villas Olivewood Garden Apartments Plaza Apartments Pet: Y N
