RENTING ARIZONA REAL ESTATE SERVICES
5930 W. GREENWAY RD. #8 - GLENDALE, AZ 85306
PHONE # (602) 424-4400
FAX # (623) 321-1035
Name:_____________________________________________________________________
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?_________________
Your signature and title_______________________________________________________
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. If 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.