RENTING ARIZONA REAL ESTATE SERVICES 5350 W. Bell Rd #C122 - 403, GLENDALE, AZ 85308 PHONE # (602) 424-4400 FAX # (623) 321-1035 Name:______________________________________________________________________ Current or Previous Rental Address and unit#_____________________________________ When did the original lease begin?______________________________________________ When did or will the lease expire?_______________________________________________ Has proper notice been given?_________________________________________________ Amount of rent:______________________________________________________________ Number of late payment(s):______________ Number of NSF_________________________ Would you rent to resident again?________________If no, why?_____________________ Is rent in arrears?___________________________If yes, for how much?_______________ Any lease violations? ____________If yes, for what?_______________________________ Any pets?_____________________________Any noise complaints?__________________ ___________________________________________________________________________ Owner's / Manager Name + Title (Please print) _____________________________________ Owner's / Manager Name (Please sign) ___________________________________________ I hereby authorize the release of information requested above to Renting Arizona Real Estate Services. Applicant Name(s)____________________________________________________ Applicant Signature(s)_________________________________________________ To Whom it may concern: The applicant(s) named below has applied for one of our listings. Would you could please answer the following questions and fax this form back to us. The applicant as well as our staff at Renting Arizona would appreciate it. Thank you for your time.
Applicant(s)-- Please only fill out information next to a star