Frey Development Fax: 337-546-1145 161 W Maple Ave Eunice, LA 70535 PH: 337-546-6036 Rental Application Applicant Information Name: Yolanda Allen Date of birth: 10/05/1977 Phone: 510-932-8899 Email: yogie25jay@gmail.com Previous address: 11 Washington Ave City: Richmond State: California ZIP Code: 94801 Reason for leaving: Relocating with Employer Monthly payment or rent: $2,200 Owned《Rented》 How long? 6 yes 4 Employment Information Current employer: Contra Costa County Employer address: Contra Costa Blvd How long? Five years Phone: 925-240-3889 E-mail: maria.vanques@insite.4cd.edu City: CONCORD State: California Position: Monitor Hourly Salary Fax: ZIP Code: 94535 (Please circle) Annual income: $46,000 Emergency Contact Name of a person not residing with you: Click here to enter text. Address: Patrick Allen City: New Orleans State: Louisiana ZIPCode: 70117 Phone: 504- Relationship: Brother Co-applicant Information, if Applicable Name: Derrick Allen Date of birth: 07/24/1972 Phone: 504- Email: darrickallen07@gmail.com State: Louisiana ZIP Code: 70119 Previous address: Ursulines Avenue City: New Orleans Reason for leaving: Katrina Damaged Owned Rented (Please circle) Monthly payment or rent: 375 How long? 4 yrs Co-applicant Employment Information Current employer: Disabled SSI Employer address: Disable How long? Age 4 Phone: NA E-mail: NA City: new Orleans State: Louisiana Position: Disable Hourly Salary Fax: NA ZIP Code: 70119 (Please circle) monthy Annual income: 10,500 Other Occupants: Please list names and birth dates of ALL occupants 18 years or younger. Elisa Allen 07/26/2012 Click here to enter text. Click here to enter text. References Name: Address: Phone: Marlene Corgile 635 Berk Ave Richmond CA 94801 510-375-0598 Gwendolyn Thomas 3000 Shane Drive San Pablo CA 94806 510-988-0211 I authorize the verification of the information provided on this form as to my credit and employment. I have received a copy of this application. Signature of applicant: Click here to enter text. Date: June 14, 2021 Signature of co-applicant: Click here to enter text. Date: June 14, 2021