Gold Coast Residential

Rental Application


Please complete the application in its entirety, submit online or email directly to the Leasing Office at . If you prefer to submit the application in person please visit our Leasing Office located at 44236 20th Street East Lancaster, CA 93535. In addition to the application we would need to receive a holding deposit ($100 apartments/$200 houses), $45 application fee for everyone 18 and over that will be living in the residence, valid driver's license, social security card, and proof of income(3 most recent pay stubs or recent tax return with 3 months bank statements)"? Followed by "Application(s) are not complete until we have everything. If you have any questions please call (661) 9488807

List all Additional Adults and Children

Current Address
How Long (MO/DA/YR)
Last Rent Paid
Prior Address
How Long (MO/DA/YR)


Current Employment

Date Employed

Previous Employment

Date Employed


Personal References

Emergency Contact

Additional Information

Will you have water-filled furniture in your residence?


Auto #1

Applicant warrants that all information contained in this application is true and accurate. I authorize verification of the information contained herein for the purpose of establishing my qualifications as a tenant. I release anyone verifying such information or providing information from liability. I understand that incomplete or incorrect information provided in the application may cause a delay in processing and can result in denial of tenancy. I further authorize Gold Coast Residential to obtain a credit report and check criminal records. I further understand that any false information or misrepresentation can be a basis for terminating any tenancy that may result if this application is approved. This application will be incorporated into any lease agreement entered into pursuant to this application. I understand that Gold Coast Residential does not tolerate or condone illegal activity in or around the premises, including, but not limited, activity related to narcotics use, possession, sales, manufacturing or distribution. I hereby apply to rent house/apartment and upon approval of application, agree to pay the first month's rent and a security deposit. Gold Coast Residential charges $45.00 per person for the credit report and verification of information contained in the credit report and application. This $45.00 fee is non-refundable and must be in the form of a cashier's check or money order made payable to Gold Coast Residential. We do not discriminate based on race, ethnic background, national origin, religion, sex, marital status, age, familial status, disability, sexual orientation, receipt of public assistance, or personal characteristics or traits.

per Month and upon approval of my application agree to pay the first month's