1727 W. Emelita Ave. Mesa, AZ 85202 (480) 827-0173
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NAME
Exactly as it appears on your drivers license or government ID card
__________________________________________________________________________________________________
First Name: (*)
Middle Name:
Last Name: (*)
Former Last Names (maiden and married)
ADDRESS
Where you live now
__________________________________________________________________________________________________
Street:
City:
State:
Zip:
Email Address:
Home/Cell Phone (*)
Name of apt where you now live:
Current Owner/Manager Name:
Owner/Manager Phone:
Current Rent ($):
Date Moved in:
Date Moved Out:
Why are you leaving your current residence?
As shown on your drivers license or ID card
__________________________________________________________________________________________________
Street:
City:
State:
Zip:
Your previous home address
__________________________________________________________________________________________________
Street:
City:
State:
Zip:
Apartment Name:
Owner/Manager Name:
Owner/Manger Phone:
Previous Monthly Rent:
Date you moved in:
Date you moved out:
OTHER
__________________________________________________________________________________________________
SSN:
Drivers License #:
Drivers License State:
Gov't Photo ID Card # (If no Drivers License):
Birthdate:
Height:
Weight:
Sex:
Eye Color:
Hair Color:
Marital Status:
Are you a US Citizen?
Yes    No
Do You or any Occupant Smoke?
Yes    No
Do You or any Occupant have an animal?
Yes    No
Animal kind, weight, breed, age
EMPLOYMENT
Present Employer
__________________________________________________________________________________________________
Company Name:
Position:
Work Phone:
Street:
City
State:
Zip:
Your gross monthly income is over $:
Date Job Began:
Supervisor's Name and Phone:
Previous Employer
__________________________________________________________________________________________________
Company Name:
Position:
Work Phone:
Street:
City:
State:
Zip:
Your gross monthly income was over $
Date Job Began:
Date Job Ended
Supervisor name and phone:
HISTORY
Credit
__________________________________________________________________________________________________
Bank Name:
City:
State:
Major Credit Cards:
Other non-work income you want considered. Please explain :
Rental/Criminal History
__________________________________________________________________________________________________
Have you or your spouse, or any occupant listed in this application ever :
Been Evicted or asked to move out?
Yes    No
Moved out of the dwelling before the end of the lease term?
Yes    No
Please check any item below which applies to you. If you do not check the item, you verify that it does not apply to you.
Declared Bankruptcy? Sued for Rent? Sued for Property Damage?
Been charged, detained, or arrested for a felony or sex crime that was resolved by conviction, probation, deferred, adjudication, court-ordered community supervision, or pretrial diversion?
Been charged, detained, or arrested for a felony or sex-related crime that has not been resolved by any method?
Please indicate below the year, location and type of each felony and sex crime other than those resolved by dismissal or acquittal. We may need to discuss more facts before making a decision.
YOUR SPOUSE
__________________________________________________________________________________________________
First Name:
Middle Name:
Last Name:
Former Last Names (maiden and married):
SPOUSES ADDRESS
Present Address
__________________________________________________________________________________________________
Street:
City:
State:
Zip:
SPOUSE EMPLOYMENT
Present Employer
_________________________________________________________________________________________________
Company Name:
Work Phone:
Your gross monthly income is over $
Date Job Began:
Supervisors Name and Phone:
OTHER
__________________________________________________________________________________________________
SSN:
Drivers License #:
Drivers License State:
Gov't Photo ID Card # (If no Drivers License)
Birthdate:
Height:
Weight:
Sex:
Eye Color:
Hair Color:
Is Spouse a US Citizen?
Yes    No
OTHER OCCUPANTS
Names of all persons under 18 and other adults who will occupy the unit without signing the lease.
__________________________________________________________________________________________________
First Name:
Middle Name:
Last Name:
Relationship:
Sex:
Birthdate:
SSN
Drivers License #:
Drivers License State:
Gov't Photo ID Card # (If no Drivers License)
________________________________________________________________________________________________________________________
First Name:
Middle Name:
Last Name:
Relationship:
Sex:
Birth Date:
SSN:
Drivers License #:
Drivers License State:
Gov't Photo ID Card # (If no Drivers License):
__________________________________________________________________________________________________________________________
First Name:
Middle Name:
Last Name:
Relationship:
Sex:
Birth Date:
SSN:
Drivers License #:
Drivers License State:
Gov't Photo ID Card # (If no Drivers License):
YOUR VEHICLES
List all vehicles owned or operated by you, your spouse, or any occupants (including cars,trucks,motorcycles,trailers,etc).
_________________________________________________________________________________________________________________________
Make and Color of vehicle:
Year:
License Number:
State:
___________________________________________________________________________________________________________________________
Make and Color of vehicle:
Year:
License Number:
State:
__________________________________________________________________________________________________________________________
Make and Color of vehicle:
Year:
License Number:
State:
HOW YOU FOUND US
Referral Information
_________________________________________________________________________________________________________________________
Were you referred?
Yes    No
Name of locator or rental agency:
Name of individual locator or agent:
Name of other person:
If you found us on your own
_________________________________________________________________________________________________________________________
Did you find us on your own?
Yes    No
Where you found us:
Internet    Stopped By
Newspaper Name:
Rental Publication:
Other Source:
EMERGENCY INFORMATION
_________________________________________________________________________________________________________________________
First Name:
Middle Name
Last Name:
Street:
City:
State:
Work Phone:
Home Phone:
Relationship:
Doctor Information
_________________________________________________________________________________________________________________________
If you are seriously ill or injured, what doctor may we notify? (We are not responsible for providing medical information to doctors or emergency personnel.)
Doctor Name:
Doctor Phone:
Important Medical Information in Emergency
If you die or are seriously ill, missing, or in a jail or penitentiary according to an affidavit of (Check one below); we may allow such person(s) to enter your dwelling to remove all contents, as well as your property in the mailbox, storerooms, and common areas. If no box is checked, any of the above are authorized at our option. If you are seriously ill or injured, you authorize us to call EMS or send for an ambulance at your expense. We're not legally obligated to do so.
Emergency Contact Your Child Your Parent Your Spouse
APPLICATION FEE
_________________________________________________________________________________________________________________________
The application fee is $30.00. This fee is non-refundable. This payment partially defrays the cost of administrative paperwork. Depending on the policies of the property to which you are applying, you may also be required to forward an application deposit and/or sign a printed Rental Agreement before the application is processed.
AUTHORIZATION
___________________________________________________________________________________________________________________
I or we authorize Sandstone Apartments to (1) share the information contained in this form with the owner's electric provider, and (2) verify without the owners consent.

By typing your full name in the space provided below, you declare that all your statements in this application are true and complete. By submitting this electronic application, you authorize the property to which you are applying to verify this information by all available means, including consumer reporting agencies and other rental housing owners. If you fail to answer any question or give false information, the property may reject your application, retain all application fees and deposits as liquidated damages for its time and expense, and terminate your right of occupancy. Giving false information is a serious criminal offense. In lawsuits relating to the application or Lease Contract, the prevailing party may recover all attorneys' fees and litigation costs from the losing party. The property may at any time furnish information to consumer reporting agencies and other rental housing owners regarding your performance of your legal obligations, including both favorable and unfavorable information about your compliance with the Lease Contract, the rules and financial obligations
Applicant's signature
After you submit this electronic application, you may be contacted by the property for any additional information or requirements needed to complete the application process.
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