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Stargate West Apartments

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  (520)  623-5336

Please fill out the below secure online rental application, or
if you prefer to print your application for U.S. mail or fax
click here.

Rental Application

Property Name:  Stargate West 

Scheduled Move in Date:__________________

FOR  OFFICIAL USE ONLY
Apt Number  
Monthly Rent  
Concession  
Lease Length  
Traffic Source  
APPLICANT INFORMATION
APPLICANT NAME DATE OF BIRTH DRIVERS LIC # STATE SOCIAL SECURITY #

HOME TELEPHONE WORK TELEPHONE EMERGENCY CONTACT RELATIONSHIP TELEPHONE
 
OTHER OCCUPANTS
 FULL NAME RELATIONSHIP SOCIAL SECURITY NUMBER
     
     
     
     
RESIDENCE HISTORY
 STREET ADDRESS CITY STATE ZIP DATE IN RENT $ LAND LORD
 NAME & PHONE
             
             
             
EMPLOYMENT HISTORY
 COMPANY NAME STREET ADDRESS PHONE HIRE
DATE
MONTHLY
SALARY
POSITION or OCCUPATION
BANKING INFORMATION
BANK / CREDIT UNION NAME BRANCH PHONE NUMBER SAVING/CHECKING ACCOUNT NUMBER
AUTOMOBILES
MAKE  MODEL YEAR LICENSE PLATE NUMBER
Will assistive animal of any type live in the apartment?     If yes please describe below.
Type:  Weight (full grown): Spayed/Neutered: License:
Please check YES or NO.  
1. Have you ever been evicted or refused to pay rent for any reason?
2. Have you ever been convicted of a felony or any crime related to harm to a person or property, including but not limited to arson, assault, intimidation, sex crimes, drug related offenses, theft, dishonesty, prostitution, obscenity and related violations? If yes please explain;
3. Do you have any outstanding warrants for your arrest? If yes please explain
4. Have you ever filed for bankruptcy? If yes please explain
I hereby authorize Stargate West Apartments to obtain a consumer report, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I hereby expressly release Stargate West, and any procurer or furnisher of information from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. The undersigned represents that the above statements are true/complete. Applicant acknowledges that false information contained herein shall be grounds for rejection of the application if discovered before move-in. Applicant acknowledges that management may not be able to false information contained herein shall be grounds for rejection of the application if discovered before move-in. Applicant acknowledges that management may not be able to complete a comprehensive evaluation of this agreement before move-in. Management reserves the right to verify application information after move-in and may convert the proposed rental agreement to a month-to-month term if false or misleading information is contained in this Application. Applicant understands that the amount received for an application fee is non-refundable. This application is preliminary only and does not obligate owner or owners representative to execute a lease or deliver possession of the proposed premises. If application is accepted, applicant understands that any information contained herein will be used should an eviction or collection action become
necessary.
Do you agree to sign this application. Yes
Email:
APPLICANT SIGNATURE             DATE
 


AGENT SIGNATURE                      DATE

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