Online Application to Rent

Medici Apartment Homes
(916) 419-4080

4450 El Centro Rd
Sacramento, CA 95834

Thank you for your interest in Medici Apartment Homes. Please fill out the application below and we will contact you shortly.

As an alternative to applying online you can also download and print the application (requires Acrobat Reader) and mail it to us or fax it to (916) 419-4081.

Applicant Information

Full Name: *

Social Security Number or ITIN (Individual Tax ID Number): *

Birth Date: *

Government Photo ID Type: *

e.g. "Driver's License"

Government Photo ID Number: *

e.g. Driver's license number

Email Address:

Phone Number: *

Apartment You Want to Rent:

Desired Move-In Date: *

Have You Ever Been Asked to Move?: *

Yes

Have You Ever Been Convicted for Selling, Distributing, or Manufacturing Illegal Drugs?: *

Yes

Person to Contact in Case of Emergency

Name: *

Phone Number: *

Employment/Income Information

Place of Employment: *

Contact Name: *

Address: *

Complete Address of Place of Employment

Phone Number: *

Position: *

Gross Income: *

Gross Income is Per: *

How Long?: *

Additional Source of Income

Description:

Amount:

Amount is Per:

Additional Employment Information (If Less Than 2 Years at Above Address)

Prior Place of Employment:

Contact Name:

Address:

Complete Address of Place of Employment

Phone Number:

Position:

Gross Income:

Gross Income is Per:

How Long?:

Landlord Information

Landlord/Community Name: *

Phone Number: *

Current Address: *

Complete Address of Residence

How Long at This Address?: *

Why Are You Leaving?: *

30 Day Minimum Notice Given?: *

Yes

When Was Notice Given?: *

Current Rent Per Month: *

Additional Landlord Information (If Less Than 2 Years at Above Addres)

Landlord/Community Name:

Phone Number:

Previous Address:

Complete Address of Residence

How Long at This Address?:

Why Did You Leave?:

30 Day Minimum Notice Given?:

Yes

Previous Rent Per Month:

Automobile Information

Automobile Make:

Model:

Color:

License Number:

2nd Automobile Information

Automobile Make:

Model:

Color:

License Number:

All Occupants to Reside in Apartment

Name and Date of Birth for All Occupants: *

List Name and Date of Birth. One occupant per line.

Pets to Reside in Apartment:

List Type of Pet, Breed, Age, Sex, Color and Name. One pet per line.

Everything that I have stated in this application is correct to the best of my knowledge. I realize my application may be rejected if I have failed to answer any of the questions or have given any false information. I understand that you will retain this application, credit report, and other documents whether or not it is approved. I hereby authorize Medici Apartment Homes to obtain a consumer report, and any other information it deems necessary, for the purpose of evaluating my application.I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information.I hereby expressly release Medici Apartment Homes, and any procurer or furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. Furthermore, I understand that there is a NON-REFUNDABLE application fee of $30 regardless of whether or not the application is approved.

Acceptance of Terms of Application : *

I Accept the Terms of Application

Today's Date: Tuesday, July 8, 2008 - 2:06pm

Medici Apartment Homes in Sacramento California

Online Application to Rent