LEASE APPLICATION, MOUNTAIN VIEW APTS., LLC 9860 E.

Broadway, Mesa, AZ 85208

Today’s Date Desired Move-in Date Apt No/Type

APPLICANT
Name __________________________________________
Social Security # __________________________________
Date of Birth ______________________________________
Drivers License # ______________________ State _____
Current Phone # __(________)________________________
Employer _________________________________________
Position __________________________________________
How Long _________________________________________
Supervisor ________________________________________
Phone ____________________________________________
Net Income _________________________ Per __________
SPOUSE
Name __________________________________________
Social Security #__________________________________
Date of Birth _____________________________________
Drivers License # ____________________ State _______
Employer________________________________________
Position
How Long ______________________________________
Supervisor ______________________________________
Phone
Net Income ____________________ Per _____________

Current Address ____________________________________________ City _________________ State Zip

Apartment Name ____________________________________________ Apartment # __________ How Long ____________
Landlords Name _______________________________Phone # _________________ Current Monthly Rent $ ___________
Reason for Moving
Previous Address ___________________________________________ Apt No. __________ Zip Code
_________________
Apartment Name __________________________________________________ Phone #
____________________________ Landlords Name _____________________________Reason for
Moving___________________________________________
Have you ever been evicted, broken a Lease or been a Party to dispute rent and/or possession of any Rental Agreement
in the last 5 years YES ______ NO ______ Have you ever been convicted of a Felony YES_______ NO ________

ADDITIONAL INFORMATION
Name of Children or other residents to occupy apartment Date of Birth Relationship
1) ______________________________________________ ____________ ________________________________
2 ______________________________________________ ____________
________________________________
1 ______________________________________________ ____________
________________________________
4 ______________________________________________ ____________
________________________________

Any Pets Yes ____________ No ____________

Please Describe ______________________________________________________________________________________
(pets over 12 inches and 15 pounds in weight are not permitted. Please advise manager)

Number of Cars ___________________ Trucks ______________________ Motorcycles ____________________

Make/Model __________________________________ Year ____________ License # ______________ State _______
Make/Model __________________________________ Year ____________ License # ______________ State _______

CHECKING - Bank _______________________ Branch or Address ___________________ Acct. # ____________________

SAVINGS - Bank ________________________ Branch or Address __________________ Acct # _____________________
CREDIT REFERENCES: 1) ________________________________________ Acct # _______________________________
2 _________________________________________Acct # ______________________________
REFERENCES: Relative: ___________________________________________________Phone # ____________________
Address: ____________________________________________________________________________
Other: _________________________________________________ Phone # ___________________
Address: ____________________________________________________________________________
In Case of Emergency please Notify ____________________________________________ Phone # ___________________
Applicant understands that occupancy is limited to only those names on this application.
Applicant acknowledges that all information is true and correct. Applicant authorizes verification of all information including
credit check, rental history and employment. I/We are aware that an incomplete application will cause a delay in processing, and
may result in denial of tenancy. False, fraudulent, omitted or misleading information may be grounds for denial of tenancy or
subsequent eviction.

Applicant’s Signature__________________________________________________ Date _________________________

Spouse’s Signature __________________________________________________ Date _________________________

Who referred you to our apartment complex_______________________________________________

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