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Scott Communities
2151 East Broadway Road, Suite 210
Tempe, AZ 85282
RENTAL HOUSING APPLICATION
Date of Application________________
Estimated Move-in Date _______________
Personal Information
First Name ______________________________________________
Last Name_______________________________________________
Birth Date_______________________
Soc Sec No. ____________________________________________
Drivers License No. and State ______________________________
Email ___________________________________________________
No of Occupants_____________
Names:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Relationship:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
No. of Children __________
Birth Date of each Child:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Spouse's Information
First Name _____________________________________________
Last Name______________________________________________
Birth Date_______________________
Soc Sec No. ____________________________________________
Drivers License No. and State ______________________________
Email __________________________________________________
Pets
Will a pet or assitive animal of any type live in your apartment? Y
or N
Type __________________________________________________
Spayed/Neautered? Y or N
Weight/Height __________________________________________
Licensed/Date __________________________________________
Present Information
Address _______________________________________________
Apartment Number _________________
City __________________________________________________
State _________________________________________________
Zip ______________________________
Phone ________________________
Landlord / Mortgage Co. Information
Landlord / Mortgage Co. Name__________________________________
Address
___________________________________________________
Apartment Number _________________
City _____________________________
State ____________________________
Zip ______________________________
Phone ___________________________
Fax Number _______________________
Length of Residency ________________
Now Paying $ ______________________
Reason For Leaving _____________________________________
____________________________________________________
____________________________________________________
Previous Information
(if present information is less than 2 years please fill out Information
below)
Is previous Info. the same as above: Y or N
Address _______________________________________________
Apartment Number _________________
City __________________________________________________
State _________________________________________________
Zip ______________________________
Phone ________________________
Previous Information- Landlord / Mortgage Co. Information
Landlord / Mortgage
Co. Name__________________________________
Address
___________________________________________________
Apartment Number _________________
City _____________________________
State ____________________________
Zip ______________________________
Phone ___________________________
Fax Number _______________________
Length of Residency ________________
Previously Paying $ ______________________
Reason For Leaving _____________________________________
__________________________________________________________
__________________________________________________________
Current Employment
Employer __________________________________________________
Address
___________________________________________________
City _____________________________
State ____________________________
Zip ______________________________
Phone ___________________________
Supervisor's Name________________________________________
Supervisor's Phone________________________________________
Length of Employment (yrs/mos)_____________________________
Position_________________________________________________
Gross Monthly Wages $____________________
Previous Employment
(if present information is less than 2
years, please fill out Information below)
Is previous Info. the same as above: Y or N
Employer __________________________________________________
Address
___________________________________________________
City _____________________________
State ____________________________
Zip ______________________________
Phone ___________________________
Supervisor's Name________________________________________
Supervisor's Phone________________________________________
Length of Employment (yrs/mos)_____________________________
Position_________________________________________________
Gross Monthly Wages $____________________
Spouse's Current Employment
Employer __________________________________________________
Address
___________________________________________________
City _____________________________
State ____________________________
Zip ______________________________
Phone ___________________________
Supervisor's Name________________________________________
Supervisor's Phone________________________________________
Length of Employment (yrs/mos)_____________________________
Position_________________________________________________
Gross Monthly Wages $____________________
Spouse's Previous Employment
(if present information is less than 2
years, please fill out Information below)
Is previous Info. the same as above: Y or N
Employer __________________________________________________
Address
___________________________________________________
City _____________________________
State ____________________________
Zip ______________________________
Phone ___________________________
Supervisor's Name________________________________________
Supervisor's Phone________________________________________
Length of Employment (yrs/mos)_____________________________
Position_________________________________________________
Gross Monthly Wages $____________________
Other Sources of Income
Total combined & other source of Income: $ _______________________
(Circle ones that apply)
Social Security: Y or N
Unemployment Benefits: Y or N
Child Support: Y or N
Veterns Assistance: Y or N
Supplement Assistance: Y or N
Bank Interest: Y or N
Bank Name:_________________________________________________
Branch Office Phone _____________________________
Savings Account #_______________________________
Checking Account #______________________________
Other Account#_________________________________
Credit References
Reference 1
Name:_________________________________________
Address:_______________________________________
Phone:_________________________________________
Reference 2
Name:_________________________________________
Address:_______________________________________
Phone:_________________________________________
Reference 3
Name:_________________________________________
Address:_______________________________________
Phone:_________________________________________
Personal Reference
Friend
Name:_________________________________________
Address:_______________________________________
Phone:_________________________________________
Friend
Name:_________________________________________
Address:_______________________________________
Phone:_________________________________________
Relative
Name:_________________________________________
Address:_______________________________________
Phone:_________________________________________
Vehicle Information
Motor Vechicle Tag#______________________________
Make of Car____________________________________
State_______________________________
Year________________
Color_______________________________
Second Car
Motor Vechicle
Tag#______________________________
Make of Car____________________________________
State_______________________________
Year________________
Color_______________________________
Emergency Contact
Name:_________________________________________
Address:_______________________________________
Phone:_________________________________________
Relationship:___________________________________________________
Lease Dates
Lease Date From:________________________________________________
Prorated Date:__________________________________________________
Applicant represents that all of the above statements are true and complete,
and hereby authorizes verification of above information, references
and credit records. Applicant acknowledges that false information contained
herein constitutes grounds for rejection of this application if discovered
before move-in. Applicant acknowledges that discovery of false or misleading
information after move-in could result in immediate eviction or provide
cause to convert the proposal Rental Agreement to a month-to-month term.
Applicant understands that if the Application is NOT approved, all deposits,
excluding any application fees, will be refunded (14-day delay required
for bank clearance of check). Applicant also understands that if applicant
WITHDRAWS Application after a 48-hour period, a cancellation fee will
be deducted from holding deposit.
You are hereby informed that a free copy of the "Arizonia Landlord
and Tenant Act" is available to you through the Arizonia Secretary
of State's office.
I have read and agree to these terms. Yes or No
- Co-applicants 18 years or older must file separate applications.
(unless married)
- All units are shown and made available without respect to race,
color, sex, religion, national origin, familial status or handicap
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