home neighborhood amenities application  
RIVER CITY REAL ESTATE CO.
On-site manager * (503) 283-5690

River City Real Estate Co. • 1627 NE Alberta Portland, Oregon 97211 • (503) 257-9729 fax • rivercityco4@gmail.com

Please note that we will not process your application if you do not accurately provide all requested information including 2 years of landlord and employment history. If you prefer to mail in your application download this Printable Application.
Online Rental Application
   To be completed by each adult applicant

DATE       UNIT REQUESTED       UNIT RENT 
APPLICATION INFORMATION
APPLICANT'S FIRST NAME    M    LAST PHONE#    EMAIL
DATE OF BIRTH    SOCIAL SECURITY #    DRIVERS LICENSE

CO-APPLICANT'S FIRST NAME    M    LAST
DATE OF BIRTH    SOCIAL SECURITY #    DRIVERS LICENSE

HOUSING HISTORY
CURRENT ADDRESS    CITY    STATE     ZIP
LANDLORD   LANDLORD PHONE   FROM    TO   MONTLY RENT
LANDLORD ADDRESS    CITY    STATE     ZIP

PREVIOUS ADDRESS    CITY    STATE     ZIP
LANDLORD   LANDLORD PHONE   FROM    TO   MONTHLY RENT
LANDLORD ADDRESS    CITY    STATE     ZIP

EMPLOYMENT INFORMATION (List previous 2 years for each applicant.)
EMPLOYER     PHONE#    APPLICANT
ADDRESS    CITY    STATE     ZIP
POSITION    GROSS PAY
DATE EMPLOYMENT STARTED     DATE EMPLOYMENT ENDED

EMPLOYER     PHONE#    APPLICANT
ADDRESS    CITY    STATE     ZIP
POSITION    GROSS PAY
DATE EMPLOYMENT STARTED     DATE EMPLOYMENT ENDED

EMPLOYER     PHONE#    APPLICANT
ADDRESS    CITY    STATE     ZIP
POSITION    GROSS PAY
DATE EMPLOYMENT STARTED     DATE EMPLOYMENT ENDED

EMPLOYER     PHONE#    APPLICANT
ADDRESS    CITY    STATE     ZIP
POSITION    GROSS PAY
DATE EMPLOYMENT STARTED     DATE EMPLOYMENT ENDED

OTHER INCOME     POSITION    PHONE #
ADDRESS    CITY    STATE     ZIP

OTHER OCCUPANT     DATE OF BIRTH    SOCIAL SECURITY #
OTHER OCCUPANT     DATE OF BIRTH    SOCIAL SECURITY #
Have you given legal notice where you now live? (Y/N)     How did you hear about our property?


I certify that the above information is correct and complete and hereby authorize you to do a credit check and make any inquiries you feel necessary to evaluate my tenancy and credit standing.

By checking this box I certify that I have read the above statement and agree with its terms.