Alliance Property Management
Application Fees: $30 Per Adult
Red Bluff: 124. Jackson St Suite A 529-1811
Redding: 1003 Dana Dr Suite B 229-1811
Capital Investment Managing Group
Authorization for release of information and for the Procurement of a Background Report.
I consent to have a consumer report made as to my credit history, employment history, motor vehicle driving record, social security information, criminal
record, and other pertinent information for rental purposes. I hereby authorize Capital Investment Managing Group to obtain a background report
containing the foregoing information from Securint, P.O. Box 812289, Boca Raton, Florida 33481.
I am aware that the background report I consent to have prepared may include information obtained from a variety of sources, including but not limited to
government agencies, national credit reporting agencies, and others. I am aware that if I choose, I may obtain a complete disclosure of the nature and scope
of any report prepared about me if I make a written request to Securint within a reasonable time after I execute this authorization. I also authorize and
request every person, firm, company, corporation, government agency, court, law enforcement office, and other entity having or possession of any
information pertaining to me or my background to furnish same to any requesting party. By this authorization for Release of Information and for the
Procurement of a Background Report, I hereby forever release, discharge, exonerate, hold harmless and indemnify Securint, its affiliates, employees,
representatives, agents, and subcontractors, and any other person, entity, organization or institute furnishing information to them from all liabilities of every
nature and kind, including but not limited to claims for libel, slander, invasion of privacy, related tort claims, misuse of information obtained from Securint,
and any other claim or cause arising out of the furnishing, inspection or copying of any documents, files, records, any other information, or the investigation
made by or on behalf of Securint, unless such release is determined to violate the public policy of the state or federal district in which this contract is
executed, and in that event this release will be permitted to the maximum extent allowed by the governing law. I understand that a photo copy or facsimile of
this signed document shall be considered as valid as the original.
First Applicant Here: Please fill all lines Date
Signature Birth Date
Printed name social security #
Address: City/State/Zip
Second Applicant: Please fill out all lines Date
Signature Birth Date
Printed Name social security #
Address: City/State/Zip
Third Applicant Here: Please fill out all lines Date
Signature Birth Date
Printed Name: social security #
Address: City/State/Zip
Location of Property: When do you need it?
All information must be filled in or the application process could be held up
Personal information:
Last Name First Name
Home phone cell phone work phone
Second Occupant:
Last Name First Name
Home phone cell phone work phone
3rd Occupant:
Last Name First Name
Home phone cell phone work phone
other occupants 1) 2) 3) 4)
Please answer all Questions. All tenants must answer
Have you ever been evicted? 1 2 3
Have you ever been convicted of a crime?1 2 3
Do you own a pet?
Have you ever willfully not paid rent? 1 2 3
Do you smoke?1 2 3
Please list addresses here....
Present address who rented?
City (dates) from to amount paid
Did you give 30 day notice? Did owner give you 30 (or 3 day)day notice? was rent paid this month?
Reason for leaving
Owner/Manager name? phone
Cirlce one: Rent Own With Parents With Friends Board Motel Homeless
Must fill out Former Address
Former Address who lived here
City (dates) from to amount paid
Did you give 30 day notice? Did owner give 30 (or 3day) notice? did you receive all deposit back
Owner/Manager name phone
Reason for leaving
Cirlce one Rent Own With Parents With Friends Board Motel Homeless
If 2nd or 3rd applicant did not live together please put former addresses here.
Former Address Who rented here
City (dates) from to Did you receive all deposit back
Owner/Manager name phone
Cirlce one Rent Own With Parents With Friends Board Motel Homeless
Employment History: Current
Employer telephone supervisor
Employer address from dates to
monthly wages how long at this job
Employment History; Previous
Employer telephone supervisor
Employer address from dates to
monthly wages how long at this job
2nd Occupant
Employment History: Current
Employer telephone supervisor
Employer address from dates to
monthly wages how long at this job
Employment History: Previous
Employer telephone supervisor
Employer address from date to
monthly wages how long at this job
2rd Occupant
Employment History: Current
Employer telephone supervisor
Employer address from date to
monthly wages how long at this job
Employment History: Previous
Employer telephone supervisor
Employer address from date to '
monthly wages how long at this job
References:
Name telephone
Name telephone
Do you know a current tenant of Alliance Property Management?
Auto Make model year
Auto Make model year
Name of Bank branch
Important! Every Adult must answer.
Have you or anyone in this household been convicted of a crime?
If yes please explain.
Have you or anyone in this household been evicted?
Applicant is aware that everything on this application is true and to the best of their knowledge. Applicant realizes personelle will
contact names on this application for consideration for rental purposes only. All information pertained is privileged and all private
files are kept within the company. Any monies taken for this application are for credit fees and processing of this application.
Applicant, by signing below authorizes Capital Investment Managing Group to secure background checks.
Signature date
Signature date
Signature date
* Please fill out application and remit $30 credit fee per adult. Applications can be
turned in by calling number below, in person and through the mail. Although Alliance
Property Management does not only rely on credit score only but a combination of
work history, rental history and credit. Office phone 530-529-1811
Applications will not be processed without payment.
If applicant has extenuating circumstances with this application please explain here.