You may print out and fax this form to 303-447-1846,
or mail it to Valencia Apartments, 730 29th Street Boulder, CO 80303.

Valencia Apartments Rental Application

Type of Apartment applied for: ___________________________________________________________________

This application must be completed, in full, by each person intending to reside on the premises.
If applicant is a student, and not self supporting, a parent co-signer will be required for all 
apartment obligations. Please understand that the resident manager does not have the authority to
approve this application. All applicants must have previous landlord history and be at least 
18 years old at time of occupancy. (We accept Residence Hall References; We do not accept parental
references.) Rent.com For Rent Hubbuzz


How did you find out about our apartment complex?  (check only one)

Newspaper Ad _____ Off Campus Housing _____ Housing Fair _____ Friends recommendation  ___________

Rental Guide _______ Housing Helpers _______ Phone Book _______ 

Other _______  (please explain) __________________________________________________________________


Applicant __________________________________________________________  Age ________________________

Spouse _____________________________________________________________  Age ________________________

Current Address __________________________________________  City _________________  State ________

Zip Code __________  Home phone Number (_____) ______________ Local Number (_____) _______________

Applicant Social Security Number ______-____-_____

Spouse Social Security Number ______-____-______

Marital Status _________________________________  

Ages of Children (If Applicable) _____, ______, ______

Applicant Employer ___________________________________ Position __________________________________

Address ___________________________________________ City ________________________ State __________

Zip Code ___________ Length of Employment _______________ Gross Income (per month) _______________

Supervisor (Name and Position) _____________________________________ Telephone (____) ____________

Spouse Employer ______________________________________ Position __________________________________

Address ___________________________________________ City ________________________ State __________

Zip Code ___________ Length of Employment ______________ Gross Income (per month) ________________

Supervisor (Name and Position) ____________________________________ Telephone (____) _____________

Other income (per month) _____________________________

Source of other income (must be verifiable) ______________________________________________________


Rental History:

Previous Apartment or House residence references:

Apt. complex or Homeowners name     Address including Apt #          Moved Mngr/Owner phone #

________________________________    ________________________________ (____) _________________

________________________________    ________________________________ (____) _________________

Names of people to occupy residence _________________________________________________________
1. ______________________________________       2. _______________________________________
3. ______________________________________       4. _______________________________________


Financial Information (Bank Accounts, Credit Cards, Etc...)

Bank Name                                       Address or City

1. ______________________________________       _______________________________________

2. ______________________________________       _______________________________________


Automobile Information:

Car (Make) _________________ Model ____________________ Year _____ License Plate _______________

Applicant Drivers License Number ______________________ Spouse License Number __________________


Pet Information:

Do you currently own a Pet _______ No _______ Yes  If yes, what type and how many? _____________


Emergency Contact:

Name of person to be called in case of emergency: ______________________________________________

Relationship to Applicant: __________________________ Address __________________________________

City ____________________________ State ______ Zip Code _________  Telephone (_____) ___________


Student Section (To be completed only if applicant is a student):

Please note, students not meeting income requirements must have a parent co-signature on the
lease.

School Attending _______________________________  Year in School (Fresh, Soph etc...) __________

Co-Signing Parents name ___________________________________ Address ____________________________

City _________________________ State ________ Zip Code __________ Home Phone (____) ____________

Employer and Position ___________________________________________ Work Phone (____) ____________


Have you ever been requested to vacate an apartment or residence because of failure to pay rent,
unacceptable conduct or disturbances (noise or the like)? ________ NO _______ YES  
If yes, explain:

_____________________________________________________________________________________________


Date: _________________________             __________________________________________
                                            Signature of Applicant

                                            __________________________________________
                                            Spouse Signature


Signature of applicant(s) authorizes Valencia Apartments management to verify information herein 
contained. Further, signature(s) will serve as a written request to verify information if landlord 
or employer requires a written request to release such information.
__________________________________________________________________________________________________

Office Use:

Date of Verification _______________________ (E) _______ (L) ______

Verified by: ______________  A _____ D _____

Contacted via ______________________________________________  

Coming in to sign lease ____________________________________