CO-SIGNER APPLICATION FORM
For: Strombeck Properties
Brookside, Meadowbrook, Parkway, Woodridge & Hidden Grove Apartments
Phone: 707-822-4557 | Fax: 707-822-4525 | Application Date:
Note: Each person over the age of 18 who will be residing in (or co-signing for) the unit is required to submit a separate application and pay the nonrefundable $20.00 fee.
The Co-Signer application is to be filled out with the Co-Signer's information. Co-Signers need to have sufficient income to pay the tenants' rent as well as their own living expenses.
APPLICANT (Co-Signer)
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  • If you obtain a driver's license, please report this to our office immediately.
OCCUPANTS (List Everyone You Are Co-Signing For)
RENTAL HISTORY
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  • DATES
    OCCUPIED
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EMPLOYMENT STATUS
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  • LENGTH OF
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HOUSEHOLD INCOME INFORMATION
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  • 2. AVERAGE MONTHLY AMOUNTS OF OTHER INCOME...
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MISCELLANEOUS
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      180
    • HAVE YOU EVER:
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        270
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        270
EMERGENCY CONTACT
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PHOTO ID
  • You can attach a digital picture of your photo ID to this form, or if you prefer, mail a copy directly to the Strombeck Properties office at PO Box 37, Eureka, CA 95502.
  • Choose Photo
    *.jpg or *.jpeg < 10MB
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PAYMENT
  • Strombeck Properties utilizes 256-bit Private SSL encryption, to safeguard your personal data, the same level of protection used in commercial bank transactions. You can enter your payment details below, or if you prefer, mail your $20 check or money order directly to the Strombeck Properties office at PO Box 37, Eureka, CA 95502. You can also call our office at 707-822-4557 to submit credit card information over the phone.
  • Visa and MasterCard accepted
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  • CVV Illustration
  • secure
SIGNATURE
  • This form contains advanced technology to capture a highly responsive hand-written signature directly from your device. Using your left mouse button or touch-enabled screen, lift and drag the cursor across the pad below. Click "Clear" to redo and "Save" when complete. Your signature is required and will be attached to this application.
I CERTIFY THAT ALL INFORMATION GIVEN ABOVE IS TRUE AND CORRECT AND UNDERSTAND THAT MY LEASE OR RENTAL AGREEMENT MAY BE TERMINATED IF ANY MISREPRESENTATION IS FOUND IN THIS APPLICATION. I AUTHORIZE VERIFICATION OF ANY GIVEN INFORMATION AND REFERENCES PROVIDED IN THIS APPLICATION. I UNDERSTAND THIS APPLICATION WILL BE RETAINED FOR THREE MONTHS, REGARDLESS OF APPROVAL. STROMBECK PROPERTIES DOES NOT STORE THE CONTENTS OF THIS FORM IN AN ONLINE DATABASE, AND DOES NOT SET HTTP COOKIES IN YOUR WEB BROWSER. ALL INFORMATION IS CLEARED FROM LOCAL STORAGE, IF YOUR WEB BROWSER SUPPORTS THIS PROTOCOL, ONCE THIS FORM IS SUBMITTED. IN ADDITION TO ALL SUMS DUE PRIOR TO OCCUPANCY, I AGREE TO PAY A NON-REFUNDABLE FEE OF $20.00, WHICH SHALL BE USED TO OBTAIN A REPORT OF MY CREDIT FROM A CREDIT REPORTING AGENCY.
CC this application to my email.