Rental Application Page 2

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Apartment Address: ______________________________
______________________________
City, State. Zip
______________________________
Landlord Name:
__________________ Tel. Number: _______________
How long at this address? _____
Applicant's Financial History:
Checking Account #: _______________
Savings Account #: _______________
Bank Name:
______________________________
Bank Address:
______________________________
Credit Reference:
__________________ Tel. Number:
_______________
Have you ever been evicted? _____
Have you ever been sued for unlawful detainer? _____
Have you ever been delinquent in paying rent during the last 3 years? _____
CONSENT TO OBTAIN CREDIT INFORMATION
As a material inducement to be considered as a tenant for the Premises, I herewith
consent to and authorize __Surprise Properties, LLC__, or any agent of same, to
contact all references named in this application, and to conduct a credit review, including
obtaining my credit report from any authorized credit reporting agency.
I declare under penalty of perjury that the information listed in this application is true and
correct.
Executed on this _____ day of _______________, 2012, in the city of
_______________, state of Arizona.
____________________________
Signature
____________________________
Printed Name
*Include a copy of Driver’s License, proof of income (Pay Stubs), and latest bank
statement
Email completed form to
or Fax to 888-613-3441
All information is kept confidential and if applicant is not accepted, all information
provided is disposed of.

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