RENTAL APPLICATION

(Each applicant must submit a separate application)

Approved__________ Not Approved__________________

University Palms Apts

1207 E 8th Street
Tempe, AZ 85281

Apt. Assigned____________________________________

Phone: 480-517-4800

Preferences_____________________________________
_______________________________________________

Amt. Deposit Received_____________________________

Move In Date____________________________________

Name _________________________________________________________________
(first)

(Middle)

Birth Date_______________________________

(Last)

Phone#_______________________________________
Social Security No. ___________________________

Driver's Licence No. ___________________________ State ________________

Spouse/ Roommate Name ________________________________________________

Social Security No. ___________________________
Present Address
Property Name/Owner

Birth Date_______________________________

Driver's Licence No. ___________________________ State ________________

City

State

Zip

Years

Address

Previous Address

Phone
City

State

Zip

Years

Property Name/Owner

Address

Phone

Current Employer

Address

Phone

Position
Previous Employer
Position
Spouse's Employer
Position

Salary

Supervisors Name

Phone

Address

Phone

Salary

Supervisors Name

Phone

Address

Phone

Salary

Supervisors Name

Phone

In case of emergency notify:

Name ____________________________

Address _________________________________________
Phone ________________________

Name ____________________________

Address _________________________________________
Phone ________________________

Size of apartment___________

Date needed________________

Lease term expected_____________________

Have you ever broken a lease or been evicted from any type of housing? ________________________________________________
If yes please explain: (You may use th back of this form for additional space if necessary) __________________________________
Name of other occupants: (All persons occupying premises must be listed.)
Name
Relationship

Date of Birth

How may autos (including company cars) would you keep at this address? __________
Make______________________________

Color____________

Year ____________

License No. ___________________

Make______________________________

Color____________

Year ____________

License No. ___________________

Do you have any pets? ______ If so, indicate kind, weight, breed, age ___________________________________________________
How did you find out about us? ___________________________________________________________________________________
Applicant(s): hereby represent that all the above statements are true and correct and are made to induce Owner to lease or rent
apartment and Applicant(s) hereby authorize verification of references given, including bank account balances, employment and
credit information. I (we) agree that I (we) have no right to occupy the apartment until the application is approved and a Rental or
Lease Agreement is entered into. Any false statements made above shall be sufficient cause for Owner to cancel and terminate
any agreement made with Applicant(s). Owner reserves the right to reject Applicant(s) Rental Application any time prior to
executions and delivery of the Rental or Lease Agreement. In the event of rejection, any sums deposited less application fees will
be refunded to Applicants. If Applicant(s) withdraws application prior to execution of Rental or Lease Agreement, the deposit/fee
will be forfeited unless written cancellation is received within 48 hours from the date and time indicated below. If owner for any
reason cannot deliver possession of the premises to Applicant(s) at the commencement of the term, all deposits/fees less
application fee paid to Owner shall be refunded to Applicant(s).

Date:______________________
Time:_____________
Applicant Signatures:

Leasing Agent Signature: