TENANT APPLICATION FORM
For: Strombeck Properties
Brookside, Meadowbrook, Parkway, Woodridge, Hidden Grove, Twin Parks & Westwood Garden Apartments
Phone: 707-822-4557 | Fax: 707-822-4525 | Application Date: June 06, 2025
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 $40.00 fee.
APPLICANT
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ADDITIONAL OCCUPANTS
RENTAL HISTORY
EMPLOYMENT STATUS
HOUSEHOLD INCOME INFORMATION
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STUDENT INCOME INFORMATION
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MISCELLANEOUS
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      90
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      90
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      180
    • HAVE YOU EVER:
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        270
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        270
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        270
EMERGENCY CONTACT
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ALTERNATE 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.
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APPLICATION FEE
  • 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 check or money order directly to the Strombeck Properties office at PO Box 37, Eureka, CA 95502. We no longer accept credit card payments over the phone.
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.
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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 $40.00, WHICH SHALL BE USED TO OBTAIN A REPORT OF MY CREDIT FROM A CREDIT REPORTING AGENCY.
Equal Housing Opportunity
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