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
Date of Birth:
applicable)
Please check this box if you have been issued a U.S. Social
Please check this box if you have not been issued a U.S. Social Security
Security Number.
Number. Please provide an alternate form of government issued ID below.
U.S. Social Security Number:
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:
Phone #:
Email:
Years:
Months:
From:
To:
(
)
Supervisor’s Name:
Phone #:
Email:
(
)
Rental Application – Page 1 of 2
2014.07.02