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Rental Application

The Pacifica Group, L.P.
25345 Avenue Stanford
Suite 214
Valencia, CA 91355
(661)294-8700  Fax (661) 294-8704

Unit# Building Address

Monthly Lease Rate$ Security Deposit $ Parking Spaces Sq. Ft.

Date Available Date Wanted

Term of Lease:     1 Year    2 Years    3 Years    4 Years    5 Years    Other

(All Information Must Be Printed and Completely Filled Out -- Full Names, Addresses, etc.)

Business Information

Company Name

Present Address

Present Phone

Present Landlord Contact Name Phone

Is Your Company a (Must Choose One of the Following):

Corporation & State Incorporated Partnership Sole Proprietorship

Premises to be Used For

Company Principal(s) / Personal Information:

Principal #1 Last Name First Name M.I. Position

Home Address

Own Rent Home Phone

How Long at Present Address Spouse

Date of Birth Social Security

Driver's License   Please provide proof of ID for verification purposes only

Principal #2 Last Name First Name M.I. Position

Home Address

Own Rent Home Phone

How Long at Present Address Spouse

Date of Birth Social Security

Driver's License   Please provide proof of ID for verification purposes only

Your Name Email Address

Security Code

Note: In addition to a company principal signing our Leasehold Agreement on behalf of your company, we will also require them to sign as an individual.

I, We guarantee the correctness for the foregoing information and authorize The Pacifica Company, L.P. to run any or all credit checks deemed necessary.