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Samir Rafeedie
Realty Ambassadors
Serving The Valley of the Sun

and Prescott Areas
Phoenix Area: (623) 815-1900
Prescott Area: (928) 606-5512

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Rental Applications

APPLICATION FOR OCCUPANCY
Each Adult (18 or older) must fill out a separate application

 

 

MOVE-IN INFO

Today’s Date:      _________________________     Requested Occupancy Date: _________­­­­­­_____________

Rental Property Address: ____________________________________         Rent Amount:______________

 

APPLICANT INFO

First Name:    _______________________    Last Name:    _______________________________

 SSN:     _____________________________  Birth Day:      _______________________________

 Phone: _____________________________  Cell Phone:    _______________________________

 Email:   ____________________________  DL License:    ______________________________

 

CO-APPLICANT INFO

First Name:    _______________________  Last Name:    _______________________________

 SSN:     ____________________________  Birth Day:      _______________________________

 Phone: ____________________________   Cell Phone:     _______________________________

 Email: ____________________________   DL License:   _______________________________

 

ADDITIONAL OCCUPANTS

Name: ____________________________ Relationship: ___________________ Age: ________

Name: ____________________________   Relationship: ___________________ Age: ________

 Name: ____________________________   Relationship: ___________________ Age: ________

 Name: ____________________________   Relationship: ___________________ Age: ________

 

CURRENT ADDRESS

Address:         _________________________________________________________________________

 City:   _____________________________     State: _____________       Zip: _______________

 Landlord:__________________________     Phone: ____________________________________

 _____

Mortgage Co: ______________________     Account #:  _________________________________

 How Long:      ________     Reason for Leaving: _________________________________________
Current Rent/Mortgage Payment _________________________

 

 

PREVIOUS ADDRESS

Address:         _________________________________________________________________________

 City:   _____________________________     State: _____________       Zip: ____________

 Landlord: _____________________________     Phone:          _______________________________

 Mortgage: _____________________________      Account #:  _______________________________

 How Long:________     Reason for Leaving: _____________________________________________

 Rent/Morgage Payment __________________

 

 

EMPLOYMENT HISTORY

Company:       ______________________________________________________________________

 Manager:       ______________________________        Phone: ______________________________

 Address:         _________________________________________________________________________

 City:                _____________________________     State: _____________       Zip: _______________

 Dates: From   ___/___/____ To: ___/___/______   Pay: _______ Per Yr__ Per Mo __Per Wk __Hr __

 If Less than 2 years, Complete

 Previous Co:   _________________________________________________________________________

 Manager:       ________________________________        Phone: ______________________________

 Address:         _________________________________________________________________________

 City:                _____________________________     State: _____________       Zip: _______________

 Dates: From   ___/___/____ To: ___/___/______   Pay: _______ Per Yr__ Per Mo __Per Wk __Hr __

 

 

CO-APPLICANT EMPLOYMENT HISTORY

Company:       _________________________________________________________________________

 Manager:       ________________________________        Phone: ______________________________

 Address:         _________________________________________________________________________

 City:                _____________________________     State: _____________       Zip: _______________

 Dates: From   ___/___/____ To: ___/___/______   Pay: _______ Per Yr__ Per Mo __Per Wk __Hr __

 If Less than 2 years, Complete

 Previous Co:   _________________________________________________________________________

 Manager:       ________________________________        Phone: ______________________________

 Address:         _________________________________________________________________________

 City:                _____________________________     State: _____________       Zip: _______________

Dates: From   ___/___/____ To: ___/___/______   Pay: _______ Per Yr__ Per Mo __Per Wk __Hr __

 

 

 

ADDITIONAL INCOME

 Source:           _______________________________          Amount: ____________ Per___________

 Contact:          _______________________________          Phone: _______________________________

 

 

BANKING INFO

 Bank:  ____________________________    Acct #: ___________________     Phone: ______________

 Bank:  ____________________________    Acct #: ___________________     Phone: ______________

 

 

PERSONAL REFERENCES

 Name: _________________________    Relationship: _________________    Phone: _______________

 Name: _________________________    Relationship: _________________    Phone: _______________

 Name: _________________________    Relationship: _________________    Phone: _______________

 

 

EMERGENCY INFO

Name: _________________________    Relationship: _________________    Phone: _______________

 

 

AUTOMOBILE INFO

 Make: _________________________    Model: ______________________   Plate: ________________

 Make: _________________________    Model: ______________________    Plate: ________________

 

 

PET INFO

Type:  ________________________    Breed: _______________________    Weight: _______________

 Type:  ________________________    Breed: _______________________    Weight: _______________

 

 

ADDITIONAL INFO (IF YES, PLEASE EXPLAIN & GIVE DATES)

 Ever convicted of a crime?:   Yes _____ No _____ Explain: ___________________________________

 Ever been evicted?:               Yes _____ No _____ Explain: ___________________________________

 Ever filed bankruptcy?:         Yes _____ No _____ Explain: ___________________________________

 

 

 

APPLICANT ACKNOWLEDGEMENT

I understand that this application is not a Lease Agreement and that it does not create any obligation on the part of the Landlord/Property Manager.

I understand that I will be charged a $50/Adult non-refundable fee to apply. I am not entitled to a refund
even if this application is rejected.

I understand that the information provided may be used to determine whether to accept this application. I authorize Landlord/Property Manager to verify all the information given including rental history,      employment history, personal references, and to obtain a current credit report and perform a criminal background check.

 I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for rejection of my application.

 

____________________________________                        ___________________________________

Applicant Signature                           Date                            Co-Applicant Signature                     Date

© 2017 Arizona Regional Multiple Listing Service, Inc. All rights reserved. All information should be verified by the recipient and none is guaranteed as accurate by ARMLS. Information deemed to be reliable but not guaranteed. Real estate listings held by brokerage firms other than Realty Ambassadors are marked with the ARMLS logo and detailed information about them includes the name of the listing brokers. Listing broker has attempted to offer accurate data, but buyers are advised to confirm all items. Only IDX residential listings are displayed on this site. The information being provided is for consumers' personal, non-commercial use and may not be used for any purpose other than to identify perspective properties consumers may be interested in. This site will be monitored for 'scraping' and any use of search facilities of data on the site other than by potential buyers/sellers is prohibited. Information last updated on 2017-09-21.

© 2017 Prescott Area Association of Realtors. All rights reserved. Information deemed to be reliable but not guaranteed. The data relating to real estate for sale on this website comes from Prescott Area Association of Realtors and the Broker Reciprocity Program.sm. Real estate listings held by brokerage firms other than Realty Ambassadors are marked with the BR logo and detailed information about them includes the name of the listing brokers. Listing broker has attempted to offer accurate data, but buyers are advised to confirm all items. Information last updated on 2017-09-21



Samir Rafeedie | 623-815-1900 | Contact Me
Serving The Valley of the Sun and Prescott Areas
Copyright © 2017, All Rights Reserved

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