APPLICATION FOR RESIDENCY
Bill & Karen Olsen, The Benjamin Group 480-354-7700 fax 480-354-2655 mobile 602-432-3333
Karen@rentaz.com
APPLICANT
Last Name:_____________________First:_____________________Middle:____________ Please Circle Jr. Sr. I, II
Social Security #:___________________Birthdate:_______________Drivers License#______________________
RESIDENT HISTORY:
CURRENT Address:_________________________Apt #_________City:_____________State:_______Zip______
Your Phone #:______________________Name of Landlord/Apartment Complex:___________________________
Landlord Phone #:___________________Rent Amount:____________Residency Dates From:_________to______
PREVIOUS Address:_________________________Apt#_________City:____________State________Zip_______
Your Phone #:_________________________Name of Landlord/Apt Complex:______________________________
Landlord Phone #______________________Rent Amount____________Residency Dates From_______to______
EMPLOYMENT HISTORY
CURRENT Employer:_________________________Phone #______________________Supervisor_____________
Address:________________________________________________Position:_____________________________
Monthly Income:______________Employed From:_______________________to__________________________
BANK REFERENCE:
Name of Bank:___________________________Branch Location:___________________Phone #_____________
Checking Account #__________________________Savings Account #___________________How long:________
CO-APPLICANT
Last Name:______________________________First:____________________Middle______________________
Social Security #________________Birthdate:_______________Drivers License #_______________State______
CO-AP RESIDENT HISTORY:
CURRENT Address:__________________________Apt#______City:______________State________Zip_______
Your Phone #_____________________________Name of Landlord/Apt Complex:_________________________
Landlord Phone #______________________Rent Amount:_______Residency Dates From________to________
CO-AP EMPLOYMENT HISTORY:
CURRENT Employer:________________________________Phone #_______________Supervisor____________
Address:____________________________________________________Position:________________________
Monthly Income:_____________________________Employed From:________________to_________________
CO-AP BANK REFERENCE:
Name of Bank:___________________________Branch Location:_____________Phone #___________________
Checking Account #______________________Savings Account #___________________How Long:__________
LIST INDIVIDUALS THAT WILL BE OCCUPYING THE HOUSE:
NAME RELATIONSHIP DATE OF BIRTH
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Have you or the co-applicant broken a rental agreement? Yes_______No________
Have you been convicted of a drug crime? Yes_______No________
Have you or the co-applicant been evicted/ Yes_______No________
Have you been convicted of a felony? Yes_______No________
Will there be any pets in the home? Yes_______No________
NAME TYPE WEIGHT LICENSE # COLOR
__________________________________________________________________________________________
How many vehicles do you plan to park on the property?_____________________
MAKE MODEL YEAR COLOR STATE LICENSE #
__________________________________________________________________________________________
In case of an emergency notify:
NAME ______________________ ADDRESS _______________________ RELATIONSHIP ___________
PHONE # ___________________
PLEASE READ CAREFULLY:
Applicant represents that all of the above statements are true and complete, and hereby authorizes verification of
above information references and credit records. Applicant acknowledges that false information contained herein
constitutes grounds for rejection of this application if discovered before move in. Applicant acknowledges that
management may not be able to complete comprehensive action of this Agreement before move in. Management
reserves the right to verify application information after move in and may convert the proposed Rental Agreement to
a month-to-month term if misleading information is contained in this application. This application is preliminary only
and does not obligate owner or representative to execute a lease or deliver possession of the proposed premises.
UNDERSTOOD AND APPROVED:
Applicant’s Signature ______________________________ Date _______________________
Applicant’s Signature ______________________________ Date _______________________
Co-Applicant’s Signature ___________________________ Date _______________________
Co-Applicant’s Signature ___________________________ Date _______________________
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1. You can simply print this page and fill it out and fax to 480-354-2655 OR
2.If you want to open this document in Word please choose the file below.
3. Once you have filled in the doc, please attach completed application to
an email and send to Karen@RentAZ.com or Fax to 480-354-2655
2.If you want to open this document in Word please choose the file below.
3. Once you have filled in the doc, please attach completed application to
an email and send to Karen@RentAZ.com or Fax to 480-354-2655