PERSONAL INFORMATION

Today's date: ________________________________________________________

Your name: ___________________________________________________________

Social Security/Passport Number: _____________________________________



APARTMENT INFORMATION

Location or unit number desired: _____________________________________

Desired date to begin occupancy: _____________________________________

Anticipated length of stay: __________________________________________

Do you own furniture? ________________ pets? _________________________



RESIDENCE HISTORY

Present Address: __________________________________________________

__________________________________ Your phone number: ________________

Email: ___________________________ Your fax number: __________________

Dates of occupancy: __________________________________________________

When will you stop living there? _____________________________________

Did you give appropriate notice? _____________________________________

Reason for moving: ___________________________________________________

Present landlord or mortgage holder: _________________________________

Their phone number: ____________________ Monthly payment: ____________



Previous Address: _________________________________________________

______________________________________________________________________

When did you start living there? _____________________________________

When did you stop living there? ______________________________________

Did you give appropriate notice? _____________________________________

Reason for moving: ___________________________________________________

Landlord or mortgage holder: _________________________________________

Their phone number: ____________________ Amount of rent: _____________

1.) Have you ever been served with a three-day notice? _______________

2.) Have eviction proceedings ever been started against you? _________

3.) Have you ever sued/been used by a landlord? ______________________

Please explain any "Yes" answers to 1.) 2.)or 3.) ____________________

______________________________________________________________________

EMPLOYMENT/COLLEGE INFORMATION

Employed by: _________________________________________________________

Their phone: _________________________________________________________

Position: _______________________ Salary: ___________ Since: _________           

Student at UCSB? ____ SBCC? ____ Other? ____________Year/Status: _____



BANKING, CREDIT, RENT INFORMATION

Bank name & location: ________________________________________________

Type of account(s): __________________________________________________

Credit Card(s): ______________________________________________________

4.) Have you ever had a rent check returned because of insufficient

funds in your account? _____ 

5.) Have you ever failed to pay a credit card debt or loan? __________

Please explain any "Yes" answers to 4.) or 5.) _______________________

______________________________________________________________________

What amount of rent will be paid:

by you? ________________________ by your parents? ____________________

by financial aid? ______________ other? ______________________________



AUTOMOBILE

Automobile Make: _________________________________ Year: _____________

License: _________________________________________ Color: ____________



EMERGENCY

In case of emergency, notify:            

Address: _____________________________________________________________

Telephone: ___________________________ Relationship: _________________



Mold Disclosure To Prospective Tenants

	There are many types of mold.  Residential properties such as 
STUDIO PLAZA APARTMENTS are not, and cannot be, constructed to exclude 
mold.  Moisture is one of the most significant factors contributing to 
mold growth.  The relatively close proximity of STUDIO PLAZA 
APARTMENTS to the beach and the Pacific Ocean is an environment with a 
relatively higher moisture level and consequent ambient levels of 
mold, both indoors and outdoors.  This is a special material factor 
for your consideration in leasing an apartment.

	Information about controlling mold growth is available from 
the California Department of Health Services, and the U.S. EPA*.  
Certain species of mold may cause damage to property and may adversely 
affect the health of susceptible persons, including (but not limited 
to) allergic reactions that may include skin, eye, nose, and throat 
irritation.  Certain species of mold may cause infections, 
particularly in individuals with suppressed immune systems.  Some 
experts contend that certain species of mold may cause serious and 
even life-threatening diseases.  However, experts do not agree about 
the nature and extent of the health problems caused by mold or about 
the level of mold exposure that may cause health problems.  The 
Centers for Disease Control and Prevention is studying the link 
between mold and serious health conditions. 

	STUDIO PLAZA APARTMENTS cannot and does not represent or 
warrant the absence of mold.  If you believe that you, or any other 
person who will reside in the apartment, have any sensitivity to mold, 
due to allergies, asthma or for any other reason, then it is your 
obligation as a prospective tenant to determine whether a mold problem 
is present.  To do so, you should hire a qualified inspector and make 
any contract to lease an apartment contingent upon the results of that 
inspection. 

	STUDIO PLAZA APARTMENTS shall not be liable to you or any
other person in any action based on the presence of or propensity for 
mold within or at the premises. 

	The STUDIO PLAZA APARTMENTS "Rental Agreement", and the "Mold 
Disclosure, Release of Liability, and Agreement Not to Sue Addendum" 
specifies that the TENANT is contractually responsible for maintenance 
and remedial action for any water intrusion and/or mold within the 
TENANT'S apartment unit.  There are no other representations of fact 
or opinion or other disclosures by STUDIO PLAZA APARTMENTS, other 
than the foregoing, unless acknowledged in writing by its authorized 
agent.


* A few sources of information and publications include: 

	- U.S. EPA:  "A Brief Guide to Mold, Moisture and Your Home"
	http://www.epa.gov/mold/images/moldguide.pdf

	- CDHS Guidance:  "Mold in My Home: What Do I Do?" 
		(revised 7/01) 
	http://www.cal-iaq.org/mold0107.pdf

	- CDHS and CDRE:  "Residential Environmental Hazards:  
		A Guide For Homeowners, Homebuyers, Landlords and 
		Tenants - Ch. VI "  (2002)
	http://www.dtsc.ca.gov/PublicationsForms/EHHsources.pdf
	


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I hereby make application for an apartment at Studio Plaza Apartments 
and certify that the information provided above is correct.  I 
authorize you to verify the information provided in this application 
from my credit sources, credit bureaus, current and previous landlords 
and employers, and personal references. If my application is accepted 
and I rent an apartment at Studio Plaza, I agree to conduct myself as 
a quiet, responsible adult; abide by all provisions of the rental 
agreement; and abide by all Building Rules and Addendums.

Signed: ______________________________________________________________
Applications generally take one day to process.  It is your
responsibility to contact Studio Plaza to determine whether your
application has been accepted.  If your application is accepted, you
may choose an apartment and place your $300 security deposit by
cashier's check, money order, or traveler's check.  First and last
months' rent in the form of cashier's check, money order, or
traveler's checks are due on the date your contract begins. Studio 
Plaza Apartments and Applicant agree that if Applicant changes his/her
mind and fails to sign the Rental Agreement and pay the first and last
month's rent, Studio Plaza Apartments will retain from the $300 deposit
the sum of $50.00 to compensate Studio Plaza Apartments for any costs
incurred and the inconvenience of holding the apartment vacant.