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PLEASE CALL ME 602-549-0249 for my fax number. |
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Name |
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Social Security # |
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Drivers License # |
Expir Date |
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Home Tel # |
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Work # |
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Cell # |
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Date of Birth |
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E-Mail |
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Current Address |
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City/State/Zip |
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How Long? |
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Landlord |
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Tel # |
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Current Rent |
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Cur. Lease Expires? |
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Rent Paid Through? |
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Previous Address |
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City/State/Zip |
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How Long? |
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Landlord |
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Tel # |
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Co Tenant Name |
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Social Security # |
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Drivers License # |
Expir Date |
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Home Tel # |
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Work # |
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Cell # |
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Other Occupants |
1) |
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Relationship |
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Age |
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2) |
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Relationship |
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Age |
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3) |
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Relationship |
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Age |
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Pets (Type) |
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How Many? |
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How Old? |
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Do you smoke? |
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Will There Be smoking in the Home |
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EMPLOYMENT DATA |
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Current |
Occupation |
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Position Title |
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How Long |
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Employer |
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Business Type |
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Monthly Income |
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Bus. Address |
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City/State/Zip |
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Tel # |
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Supervisor Name |
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Supervisor Title |
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Tel # |
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Prior Employer |
Occupation |
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Position Title |
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How Long |
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Employer |
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Business Type |
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Monthly Income |
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Bus. Address |
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City/State/Zip |
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Tel # |
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Supervisor Name |
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Supervisor Title |
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Tel # |
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Co-Applicant |
Occupation |
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Position Title |
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How Long |
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Employer |
Employer |
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Business Type |
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Monthly Income |
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Bus. Address |
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City/State/Zip |
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Tel # |
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Supervisor Name |
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Supervisor Title |
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Tel # |
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REFERENCES |
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Bank Reference |
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Address: |
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Tel # |
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PERSONAL REFERENCE |
ADDRESS |
TEL # |
TIME OF ACQUIANTANCE |
OCCUPATION |
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EMERGENCY CONTACT |
ADDRESS |
TEL # |
CITY |
RELATIONSHIP |
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Have applicant or co-applicant ever filed for bankruptcy |
_____Yes _____No |
Ever broken a lease? |
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_____Yes _____No |
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Ever been sued for non-payment of rent? |
_____Yes _____No |
Ever been Evicted? |
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_____Yes _____No |
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Ever intentionally refused to pay rent when due? |
_____Yes _____No |
Ever been sued for damage to rental property? |
_____Yes _____No |
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I CERTIFY THAT THE INFORMATION HEREIN IS COMPLETE, TRUE, AND CORRECT. LANDLORD
OR LANDLORD'S AGENT IS HEREBY EXPRESSLY |
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AUTHORIZED TO VERIFY THE ACCURACY AND CORRECTNESS OF THESE STATEMENTS, TO
COMMUNICATE WITH MY/OUR EMPLOYER AND CREDITORS, |
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OBTAIN A CREDIT REPORT AND TO PROCURE SUCH INFORMATION WHICH LANDLORD OR AGENT
MAY REQUIRE TO EVALUATE THIS APPLICATION |
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I agree that Landlord or Agent may terminate any agreement entered into in
reliance on any misstatement made above. |
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Applicant:_______________________________________________________________
Date____________________ |
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Co - Applicant:___________________________________________________________
Date____________________ |
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3104 E. Camelback Rd. STE 223 |
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Phoenix, AZ 85016 |
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CELL: 602-549-0249 |
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Fax: call for current fax number |
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www.TempeLiving.com |
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TENANT REFERENCE REQUEST |
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SECTION 1: To be completed by TENANT |
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I, |
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,authorize |
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Tenant Name |
Property Manager Name |
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to fully & honestly answer the questions below regarding my tenancy. |
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Tenant Signature |
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SECTION 2: To be completed by PROPERTY MANAGER |
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Please state the dates tenancy began & is scheduled to end. |
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Has Tenant ever paid rent late? |
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Yes |
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No |
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If yes, how many times?: |
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Has Tenant ever willfully & intentionally refused to pay rent when due? |
Yes |
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No |
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If yes, please explain: |
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Has Tenant broken the lease? |
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Yes |
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No |
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Has Tenant been evicted? |
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Yes |
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No |
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Has Tenant maintained property to acceptable standards? |
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Yes |
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No |
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Has Tenant damaged property? |
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Yes |
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No |
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What was damaged? |
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Based on the information you now know about the tenant, would you rent
to this Tenant again? |
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Yes |
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No |
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Thank you for your cooperation and attention. Your help is greatly
appreciated! |
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PLEASE FAX THIS APPLICATION |
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AT YOUR EARLIEST CONVENIENCE |