NEWANDEE SPRINGFIELD STREET APARTMENTS

Application fee is $ 40.00
We are equal opportunity housing company
For More Information Please call (909)395-6205

Preliminary Application to Rent

Please enter your full name:
First Middle Initial Last
Your Social Security Number (e.g. 123-45-6789):
Date of Birth (e.g. 01/12/75): Driver's License: State

Present Address
City and State Zip Code
Date Moved In Date Moved Out
Owner/Manager's Name Owner/Manager's Tel.#:
Why are you moving ?

Present Employer
City and State Zip Code
How Long ? Occupation
Supervisor's Name Supervisor's Tel.#:
Monthly Gross Income $:

Proposed Occupants

Names	Ages	Relationship

Animal/Pets ? Waterbed ?

Any additional comments or questions?