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B Squared Realty charges a non refundable application fee of $35 in order to run a credit and evictions report. B Squared Realty, Inc. will not consider applicants who have been evicted or who have outstanding debts that have been referred to a collection agency excluding medical claims.

APPLICANT each applicant over the age of 18 must complete their own application form
First Name: *
Middle Name:
Last Name: *
Date of Birth: *
Social Security #: *
Driver's License #: *
Other Names Used In the Last 10 Years
Home Phone: *
Work Phone
Cell Phone
Email *
ADDITIONAL OCCUPANTS List everyone, who will live with you
First name:
Middle name:
Last Name:

Relationship To Applicant:

  Current Employment Prior Employment
Employer *
Address *
Employer Phone *
Job Title *
Name of Supervisor *
Dates of Employment From:* To: * From: To:
Income Per Month *
  Current Residence Previous Residence Previous Residence
Street Address * *
City * *
State * *
Zip * *
Dates of Stay * *
Owner / Manager * *
Manager´s Phone Number * *
Reason for Leaving


Last  Rent Paid * *
License No.
In Case Of Emergency, Notify
Close Friend
Nearest Relative Living Elsewhere
CREDIT INFORMATION - Please list all your financial obligations.
Name of Bank or Savings & Loan *
 * Branch or Address

Account No.

Checking  *
 * $
    Savings *
 * $
Credit Accounts
Account No
Address / City
Due Monthly
1. Do you smoke? *  
2. Do you have any pets? *  
3. Have you ever filed for bankruptcy? *  
4. Do you have any musical instruments? *  
5. Do you have any water-filled furniture or do you intend to use water filled furniture in the apartment? *  
6. Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs or convicted of any other crime? *  
7. Have you ever been evicted for non-payment of rent or any other reason? *  
Please explain any "yes" answers to the above questions: 
Why are you leaving your current residence?
The applicant hereby applies to rent/lease Apartment #: * at: * for $: * per month, and upon owner's approval agrees to enter into a Rental Agreement and/or Lease and pay all rent and security deposits
required before occupancy.
An application fee of $  is hereby submitted for the cost of processing this application, to obtain credit history and other background information.

Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords and employers, and personal references. Applicant hereby authorizes owner/agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.


Social Security #: *  Date: *

Email: leasing@bsquaredrealty.com
Office Number: (310) 910-9377 and our Fax Number: 213-402-3632

Please provide your digital signature (Cal Civ Code § 1633.9 (2008)) by entering your social security number and clicking on the "I Agree" button below.


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