Application To Rent

American West Properties Application To Rent

Property Address:_________________________________Home Phone #____________________

Full Name:________________________________________________________________________

First Middle Initial Last

S.S.#:_______________________ Birth Date:___/___/______ License #:_____________________

Spouse Name:_____________________________________________________________________

First Middle Initial Last

S.S.#:_______________________ Birth Date:___/___/______ License #:_____________________

1) Current Address: ______________________________ City:__________________State: _____ Zip: ____________

How long lived there? From______________ To _____________

Landlord:_____________________________________________ Telephone: (_____)__________-______________

2) Previous Address: ______________________________ City:__________________State: ____ Zip: ____________

How long lived there? From______________ To _____________

Landlord:_____________________________________________ Telephone: (_____)__________-______________

3) Previous Address: ______________________________ City:__________________State: ____ Zip: ____________

How long lived there? From______________ To _____________

Landlord:_____________________________________________ Telephone: (_____)__________-______________

Why are you vacating present residence?_____________________________________________________________

Have you ever: been evicted? [ ] Yes [ ] No Been sued by Landlord? [ ] Yes [ ] No Filed Bankruptcy? [ ] Yes [ ] No When?__________

Have you ever been convicted, pleaded guilty, or no contest to a criminal offense? [ ] Yes [ ] No What?___________________________

EMPLOYMENT

Applicant Employer______________________________How Long?__________________________

Supervisor_____________________________________Telephone:(_____)_________-_____________

Job Title_____________________Gross Pay____________/month Full Time___Part Time___

Spouse Employer________________________________How Long?__________________________

Supervisor_____________________________________Telephone:(_____)_________-_____________

Job Title_____________________ Gross Pay____________/month Full Time___Part Time___

Other income $________/mo Source__________________________________________________

PERSONAL PROPERTY

1) Automobile: Make: ______________________Model/Year:___________________License #___________State___

2) Automobile: Make: ______________________Model/Year:___________________License #___________State___

3) Automobile: Make: ______________________Model/Year:___________________License #___________State___

3) Other Vehicles/Boat: ____________________Model/Year:___________________License #___________State___

PETS APPLICANT TO COMPLETE

Type_________________Size__________Weight________ For Purposes of Identification Only

Has Pet ever injured anyone or damaged anything? [ ] Yes [ ] No Names & Ages of other persons to occupy unit

Do you smoke? [ ] Yes [ ] No __________________________________

__________________________________

BANK REFERENCES

1) Bank ____________________________________Branch______________ Checking Acc.#:__________________

2) Bank ____________________________________Branch______________ Checking Acc.#:__________________

3) Savings/Loan/Other ________________________Branch______________ Type/Acc. #:_____________________

PERSONAL REFERENCES

1) Name: ____________________________________Address______________ Phone #:.#:__________________

2) Name: ____________________________________Address______________ Phone #:.#:__________________

3) Name: ____________________________________Address______________ Phone #:.#:__________________

Tenant screening or consumer report consists of:

a) credit history of seven (7) years, including credit standing;

b) public records, including but not limited to judgments, liens, evictions and status of collection accounts;

c) information verification including income, references, and employment

d) current obligations and credit ratings and

e) criminal records

> Applicant has the right to dispute the accuracy of any information provided to the landlord by a screening service or

credit reporting agency.

> I am aware that an incomplete application may cause delays or result in denial of tenancy.

> I certify the above information is correct and complete and hereby authorize you to make any inquiries you feel

necessary to evaluate my tenancy and credit standing (including, but not limited to credit checks).

> I acknowledge that I have received a copy and have read American West Property Management Co.'s Screening Guidelines.

Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including, but not limited to, the obtaining of a credit report and agrees to furnish additional credit references upon request.
APPLICATION FEE $ _______________ DEPOSIT $__________________
The undersigned makes application to rent housing accommodations
Located at:___________________________________________

the rental for which is $_____________ per ___________ and upon approval of this application agrees to sign a rental or
lease agreement and to pay all sums due, including required deposits, before occupancy.
Dated:_______________________________ 20_______

__________________________________________ __________________________________________

Applicant Date Spouse Date

For Office Use Only: Rent $ ________Rent Amt x 3=$__________Applicant’s Income: $_________

Qualify? Yes No Approx Move-In Date: ____________ Move-In Fees: $______________

Photo ID _____ Type ____________ Base Deposit: $__________ # of Units Available: __________

Applicant #: ___________ Date: _____________ Time: ____________ AWPM Initial ____________