Rental Application

ADOBE GROUP REALTY

-Property ManagementDirect Line928-634-77101019 N. Main Street, Ste. BFax888-486-7644Cottonwood, AZ 86326 Patricia A. Bonomo, Property Manager Email: patbonomo@hotmail.com

Thank you

for choosing

“Adobe Group Realty”

for your Rental & Real Estate needs. Byfilling in all blanks, dates and required information processing and placement will be toyour advantage.

Fees for Application: $30.00

Date of Application

Move in Date

Desired Length of Lease

__ Property that you are interested in renting___________________________________ Personal Information

Applicants Full Name______________________________________________________ Social Security Number____________________________Date of Birth______________ Driver’s License Number &

State

____________________________________________ Applicants

Present Address

________________________________________________ City, State, Zip___________________________________________________________ Applicants

Present TelephoneNumber

___________________

Cell

_________________ Applicants

Present E-mail Address

_________________________________________ Applicants

Present Landlord Telephone/Cell

__________________________________ Applicants

Monthly Rent________________

Date Move-In_______________________ Current Lease Expiration Date___________________Notice Given_________________ List all Persons, including children, which will be living in the home. Name__________________________Relationship to YOU___________AGE_________

Name__________________________Relationship to YOU___________AGE_________ Name__________________________Relationship to YOU___________AGE_________ Name__________________________Relationship to YOU___________AGE_________ Name__________________________Relationship to YOU___________AGE_________ Name__________________________Relationship to YOU___________AGE_________ Name__________________________Relationship to YOU___________AGE_________

Employment InformationCurrent Status

: Full-TimePart-TimeRetiredStudentNot EmployedApplicants

Present EmployerEmployer’s Address

City, State & Zip

Employer’s Telephone

Cell

Position Held________________________Date Started or Scheduled to Start_________ Monthly Income $__________________________Supervisor’s Name_______________

Previous Employer Previous AddressCity, State & ZipPrevious Supervisor’s Name & Telephone Number

Vehicle Information

Please list total number of Vehicles that you will be parking on the Property, IncludingMotor Cycles:Make/Model___________________Year_____Color______State______Tags Expire___ Make/Model___________________Year_____Color______State______Tags Expire___ Make/Model___________________Year_____Color______State______Tags Expire___ Make/Model___________________Year_____Color______State______Tags Expire___

Pet Information

Kind____________Breed________________Weight_____Age______Name__________ Kind____________Breed________________Weight_____Age______Name__________ Kind____________Breed________________Weight_____Age______Name__________ Kind____________Breed________________Weight_____Age______Name__________

Other Information

Has Applicant:Been Evicted or Given a 30-Day Notice by a Landlord?YesNoBroken a Rental Agreement or Lease?YesNoBeen Sued for Non-Payment of Rent?YesNoBeen Sued for Damage to Rental Property?YesNoHave now or have had a Judgment rendered Against You?YesNoHad a Pet cause Injury to another Person or Property?YesNoDeclared Bankruptcy?YesNoOwn or Carry a Firearm? YesNoBeen convicted or a felony/misdemeanor?YesNoHave any outstanding Warrants for Arrest?YesNoUse/Sell Illegal Drugs?YesNoRegistered Sex-Offender?YesNo

Comments and explanations for any “YES” answers are welcome.

Authorization

It is important that the information, which you have supplied, is true and correct. Authorization is given to “Adobe Group Realty” to verify references, employment information and submit a consumer credit report.