You are on page 1of 4

Rental Application

ADOBE GROUP REALTY-Property Management Direct Line 928-634-7710


1019 N. Main Street, Ste. B Fax 888-486-7644
Cottonwood, AZ 86326
Patricia A. Bonomo, Property Manager

Email: patbonomo@hotmail.com

Thank you for choosing “Adobe Group Realty” for your Rental & Real Estate needs. By
filling in all blanks, dates and required information processing and placement will be to
your 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 Information

Current Status: Full-Time Part-Time Retired Student Not Employed

Applicants Present Employer

Employer’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 Address
City, State & Zip
Previous Supervisor’s Name & Telephone Number

Vehicle Information

Please list total number of Vehicles that you will be parking on the Property, Including
Motor 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? Yes No


Broken a Rental Agreement or Lease? Yes No
Been Sued for Non-Payment of Rent? Yes No
Been Sued for Damage to Rental Property? Yes No
Have now or have had a Judgment rendered Against You? Yes No
Had a Pet cause Injury to another Person or Property? Yes No
Declared Bankruptcy? Yes No
Own or Carry a Firearm? Yes No
Been convicted or a felony/misdemeanor? Yes No
Have any outstanding Warrants for Arrest? Yes No
Use/Sell Illegal Drugs? Yes No
Registered Sex-Offender? Yes No

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.

Applicant Signature Date

Driver’s License will be copied and attached to this application.