Please print out and mail or fax to
5150 S Old Spanish Trail, Tucson Az 85747
520-751-0760
Rental Application $30.00
Applicant’s Full Name____________________________________________________________________________
Social Security Number________________________________ Date of Birth________________________________
Drivers License (State & Number) __________________________________________________________________
Address__________________________________________________ City________________ St____ Zip_________
Phone Number_____________________ Cell Phone_________________________ Fax _______________________
Previous Address__________________________________________ City________________ St____ Zip_________
Have you ever been evicted or had a lease agreement terminated by a landlord? ____________________________ If yes, give date & explain: _______________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Employer________________________________________________________________________________________
Address__________________________________________________ City ________________St _____ Zip _______
Phone Number_________________________ Fax _______________________ Job Title ______________________
How Long with Employer? Yrs ________ Mo __________ Monthly Income________________________________
Previous Employer_____________________________________ How long with Employer? Yr ______ Mo ______
Address_________________________________________________ City_________________ St_____ Zip________
Phone Number________________ Job Title________________________________ Monthly Income____________
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Co-Applicant’s Full Name__________________________________________________________________________
Social Security Number__________________________ Date of Birth _____________________________________
Co-Applicant’s Drivers License (State & Number) _____________________________________________________
Address__________________________________________________ City _______________ St _____ Zip _______
Phone Number _____________________________Cell Phone____________________________________________
Have you ever been evicted or had a lease agreement terminated by a landlord? ____________________________
If yes, please explain: _____________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Co-Applicant’s Employer__________________________________________________________________________
Address_________________________________________________City _________________ St _____ Zip _______
Phone Number_____________________ Fax _______________ Job Title___________________________________
How Long with Employer? _______________________ Monthly Income___________________________________
Co-Applicant’s Previous Employer__________________________________________________________________
Address_________________________________________________ City ________________ St _____ Zip _______
Phone Number_________________ Job Title ______________________ Monthly Income ____________________
Vehicles:
Make ___________________ Model _____________________ Year_________ Plate # _______________
Make ___________________ Model _____________________ Year_________ Plate # _______________
Make ___________________ Model _____________________ Year_________ Plate # _______________
Other Income, if any: Amount$________________ Source: _____________________________________________
Other Income, if any: Amount$________________ Source: _____________________________________________
Banking Information:
Name of Bank____________________________________________________________________________________
Type of Account___________________ Account Number________________________________________________
If interested in Debit/Credit card rent payments: Bank Route # _________________________________________
Character References: (First & Last name)
________________________ Address _________________________________ Phone _________________
________________________ Address _________________________________ Phone _________________
________________________ Address _________________________________ Phone _________________
Nearest Relatives: (not living with you) First & last name
Name___________________________________ Address _________________________________________ Phone__________________ Relationship ______________________________________________________
Name ___________________________________ Address __________________________________________ Phone _________________ Relationship ______________________________________________________
Name ___________________________________ Address __________________________________________ Phone _________________ Relationship ______________________________________________________
Children Living with Applicants:
Name of Child ____________________________________________ Age ___________ D.O.B._________________
Name of Child ____________________________________________ Age ___________ D.O.B._________________
Name of Child ____________________________________________ Age ___________ D.O.B._________________
Name of Child ____________________________________________ Age ___________ D.O.B._________________
I (We), the undersigned applicant(s) hereby certify that the above information is true and correct and can be used and considered by the Landlord and /or the Agent for the Landlord in granting the undersigned applicant(s) the privilege of renting property owned by the landlord, or to collect a debt. I (We) further authorize Landlord and/or Agent for the Landlord to investigate my credit history, past rental history, employment, income and criminal record, if any and as necessary in the effort to collect a debt, a credit file may be pulled as necessary.
It is also understood and agreed that any false or misleading information provided in this application can result in the landlord’s termination of the tenancy agreement and the commencement of eviction proceedings.
Dated this ___________ day of _______________, 20___.
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Applicant’s Signature
_____________________________________________
Co-Applicant’s Signature