Application for Apartment Rental:  Amber Apartments  1201 10th Avenue Safford, Arizona
Email this Form by submitting at the bottom of the page or print and fax to 520-423-3103

IMPORTANT NOTICE TO ALL APPLICANTS:  Should you have any questions concerning the legality of this application or any of it's components, contact your attorney.  This is intended to be a legally binding agreement by and between the applicant and owner of the premises being applied for.  Failure to comply with the terms and conditions herein shall be construed as grounds for the forfeiture of your deposit.  Subject to approval of this application, the lease/rental agreement will be attached to the application, and shall be made a part of the lease/rental by this reference.  Therefore, this application shall survive the signing of the lease/rental agreement and shall become binding on the applicant(s) and signatory below.  Amber Apartments is authorized to investigate the credit worthiness, income and background information and when applicable, the employment of the parties subject to this application. 

Applicant represents that all of the above statements are true and complete and hereby authorizes verification of the above information, any references and credit records.  Applicant also acknowledges that false information may constitute grounds for the rejection of this application and may constitute a criminal offense under the laws of the state. 

Once the application has been approved the Applicant will deposit within 24 hours the security deposit which must be in the form of a cashier's check or money order.  If the Applicant fails to enter into the contemplated lease/rent prior to the move-in date the Applicant's deposit shall be forfeited to the Owner.  Keys will be furnished only after the lease has been signed and ll moneis due have been paid in full.

Important:  Payment of the first month's rent and security deposit must be in the form of a money order or cashier's check.  ALL RENT IS TO BE DIRECT DEPOSITED TO THE CHASE BANK TO THE DEPOSIT THAT A SLIP IS PROVIDED FOR.    In addition, notice is hereby given that all security deposits are placed in an interest bearing account of which Amber Apartments is the sole beneficiary.  $200 of the security deposit is non-refundable and sis to be used by Amber Apartments to clean the carpets.


Tenant's Full Name:
Co Tenant's Full Legal Name:
Home Phone:
Cell Phone:
How Long at this address?:
Tenant Social Security?:
Co-Tenant Social Security?:
Tenant Birth date:
Co Tenant's Date of Birth:
Employer Address:
Tenant Employer Name:
Supervisor's Name and Phone Number:
Tenant's Monthly Income:
Co Tenanant Employer Address:
Co Tenanant Employer Name:
Co-Tenant's Monthly Income:
Co-Tenant Supervisor and Phone:
Other Income:
Employer/Position/How Long:
Previous Landlord Name and Contact number:
List of Occupants to Occupy, Names and ages:
List of Vehicles Type, Make,Year, License#, State of Registration:
In the event of Emergency Please Notify:
Are you currently involved in a bankruptcy?:
Have you ever broken a rental agreement?:
Have you been evicted or sued for non-payment of rent or damages to property?:
Have you ever been convicted of a felony?:
Why are you leaving your current Address?:
In what state do you reside?:
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