Secure Online Rental Application for Residency











 

Tell us what’s important to you and allow us to extend the friendly and warm embrace of the Southwest, as we help you find the perfect home. Please use our Express Online Application below. We’ll contact you same day, or no longer than 24 hours. If you prefer to print and fax your application, click here to load the PDF file on your computer. Fax to: (520) 299-7729
Model:

Hacienda Casa Grande Casita Guest House Flexible
Carpet Color: Adobe Brown  Heather Gray  Flexible
Yard Size: Large    Small    Flexible
I currently: Own    Rent
Price Range:   From:
To:
Move-in Date: Earliest:
Latest:
Please list anything that's particularly important to you
Where was the VERY 1st
time you heard about us?		  
Other   

First Name

   Initial 
Last Name
Present Address    Apt# 
City   State     Zip  
How Long
Home Phone      
Work Phone
Cell Phone
Email Address
Confirm Email Address
Present Landlord
Landlord Address
Monthly Payment
Landlord Phone
Previous Address   Apt # 
City State Zip
How Long  
Previous Landlord
Landlord Address
Monthly Payment
Landlord Phone
List all states lived
in the last 5 years
Current Employer
Address
Gross Monthly Salary
Additional Monthly Income
(if any)		   Source 
Position   How Long  
Supervisor's Name
Supervisor's Phone
City   State    Zip 
Auto Make
Model   Color    Year  
License Plate#   State 
Monthly Auto Payment
Date of Birth
Driver's License   State Issued  
Social Security #
List Full Name & Birth date
of all Other Persons who
Will Occupy the Premises:		 1    DOB 
2    DOB 
3    DOB 
How Many Pets?   License# 
Pet Names
Breed & Description
Age(s)   Weight (s)
Do you attend School? Yes    No  If Yes Part Time   Full Time
Name of School you attend
Have you ever breached prior rental agreements? Yes No
Have you ever had eviction proceedings brought against you? Yes No
If yes explain
Have you ever been
arrested or convicted for a criminal or driving offence?		 Yes No
If yes explain:
Have you ever filed bankruptcy Yes No
Any judgments or
collections against you		 Yes No
Emergency Contact
(nearest family relative)
Emergency Contact Address
Emergency Contact Phone
Emergency Contact Cell Phone
Applicant   Date

I the undersigned, certify that the information given herein is for the confidential use of the management and is declared factual and true. (Management reserves the right to reject and/or terminate a Tenancy of any applicant because of misrepresentation.) By submitting this Rental Application, I give permission for my credit report and all other credit information to be examined. If this application is accepted, I will abide by all the rules and regulations of the management. I understand and agree that all deposit monies (in any form, cash, check and/or credit card) shall be forfeited in full as liquidated damage if I do not accept occupancy upon approval of this application.

           

 

 

 

 

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