Fillable Printable Arizona Rental Application
Fillable Printable Arizona Rental Application
Arizona Rental Application
Rental Application – Page 1 of 2 2014.07.02
Arizona Rental Application
An individual application is required from each occupant 18 years of age or older. By submitting this Rental Application, authorization is given to
the Community to obtain a credit report, eviction report, criminal background check and any other reports necessary to confirm the information
disclosed below on the Applicant. Government Issued ID is necessary . If the applicant has been issued a U.S. Social Security Number it
needs to be provided below. Please print when completing the information below.
OFFICE USE ONLY
Community Name: Apartment Number: Monthly Rent: Move-In Date:
Lease Term:
Date Received:
Other:
APPLICANT INFORMATION
Legal Name: (First, Middle, Last; disclose any alias, if
applicable)
Date of Birth:
Please check this box if you have been issued a U.S. Social
Security Number.
U.S. Social Security Number:
Please check this box if you have not been issued a U.S. Social Security
Number. Please provide an alternate form of government issued ID below.
Type of ID: ID #:
Driver License #: State Issued:
Best Contact Phone #:
( )
Phone Type:
Home Cell Work Other:
_____________________________
Additional Contact Phone #:
( )
Phone Type:
Home Cell Work Other:
_____________________________
Email Address:
NAMES OF PERSONS OTHER THAN YOURSELF WHO WILL OCCUPY APARTMENT
Name:
DOB:
Name:
DOB:
Name:
DOB:
Name:
DOB:
Name:
DOB:
Name:
DOB
CURRENT ADDRESS
Street Address: City: County: State: Zip:
Monthly Rent Paid: $ How long at this address
Years: Months: From: To:
Landlord or Community Name: Phone #:
( )
Email:
PREVIOUS ADDRESS
Street Address: City: State: Zip:
Monthly Rent Paid: $ How long at this address
Years: Months: From: To:
Landlord or Community Name:
Phone #:
( )
Email:
CURRENT EMPLOYMENT
Company Name: Position: Gross Monthly Income: $
Address: City: State: Zip:
Length of Employment:
Years: Months: From: To:
Phone #:
( )
Email:
Supervisor’s Name: Phone #:
( )
Email:
Rental Application – Page 2 of 2 2014.07.02
Other Income (monthly): $
Source:
Other Assets: $
Source:
PREVIOUS EMPLOYER (INFORMATION REQUIRED IF YOU HAVE BEEN WITH CURRENT EMPLOYER LESS THAN ONE YEAR)
Company Name: Position: Gross Monthly Income: $
Address: City : State: Zip:
Length of Employment:
Years: Months: From: To:
Phone #:
( )
Email:
PLEASE ANSWER YES OR NO TO THE FOLLOWING QUESTIONS
1. Have you filed for bankruptcy within the past seven (7) years? Yes No
2. Have you ever been evicted or asked to move? Yes No
3. Have you ever been convicted of a felony that involved an offense against property, persons, government officials, or involved firearms, illegal
drugs or a sex crime?
Yes No
The parties agree that if there is any subsequent conviction of a felony that involved an offense against property, persons, government
officials, or involved firearms, illegal drugs or a sex crime after approval of the Rental Application or move-in, the Resident agrees to
immediately vacate the premises, remove all personal belongings, clean the premises, surrender possession and return all keys to
management upon management’s request.
PETS (NAME, COLOR, SEX, BREED AND WEIGHT INFORMATION IS ONLY REQUIRED FOR CATS AND DOGS.)
Pet Type:
No Pet Cat Dog
Other:
__________________
Name: Color:
Breed/Mix: Sex: Approximate Weight:
Pet Type:
No Pet Cat Dog
Other:
__________________
Name: Color:
Breed/Mix: Sex: Approximate Weight:
AUTOMOBILES
Year: Make/Model:
Color: License Plate #:
Year: Make/Model:
Color: License Plate #:
BANKING INFORMATION
Bank Name:
EMERGENCY CONTACT (OTHER THAN OCCUPANT IN YOUR NEW APARTMENT)
Name: Relationship: Phone #:
( )
Address: City : State: Zip:
WHAT FACTORS MOST INFLUENCED YOUR DECISION TO CHOOSE THIS COMMUNITY? (CHOOSE UP TO THREE)
Apartment Features/Finishes
Location/Convenience
Staff/Management
Property Appearance
Floor Plans
Rent Amount
Lease Terms
Community Policies
Parking
Community Amenities
Resident Referral
Other:____________________________
RESIDENT REFERRAL (INFORMATION REQUIRED IF YOU WERE REFERRED BY A RESIDENT OR OTHER REFERRAL SOURCE)
Name of referring resident or referral source:
PLEASE PROVIDE THE FOLLOWING TO ASSIST US IN PROCESSING YOUR APPLICATION:
1. Driver License, State I.D. Card, or other government-issued photo identification
2. Proof of Income (upon request)
3. Other information requested by your leasing representative.
I authorize you to obtain an investigative report in connection with this application. I also understand that any false, deceptive or absent
information will result in the rejection of this application.
Signature: Date:
Renter’s Insurance will be required prior to move-in. As required by law, you are hereby notified that a negative credit report reflecting on
your credit record may be submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations.
THANK YOU FOR CHOOSING ESSEX MANAGEMENT CORPORATION
