You do not have Java Script enabled. Please enable Java Script and reload this page to fill out the form. Form will not send without Java Script.
Please fill in all the required
*
information below OR
click here
to print the Rental Application
*
Where did you hear about Brewer-Caldwell?
Search Engine
-Google Search
-MSN Search
-Yahoo Search
Radio
Craigslist
RentalHouses.com
RentClicks.com
---ADVERTISING---
Newspaper Ads
-Tribune
-Republic
"For Rent" Sign
Family/Friend Referral
Tenant Referral
Other
*
Full Name:
*
Email:
Drivers Lic # and State:
*
SS#
*
Birth Date:
Spouse Full Name:
SS#
Birth Date:
Drivers Lic # and State:
Property you are interested in. \ Approximate move in date.
Address:
City:
Date:
Agent
Select Agent or Area
------PHOENIX-------
No Agent
Harris Bell
Travis Bohling
Nikki Brewer
Chris Goodman
Nathan Graham
Ryan Haueter
Maria Henderson
Ronaldo Lewis
Marc Lopeman
Stacey Miller
Matthew Smith
Alvah Smith
Brigg Taylor
Damon Williams
------TUCSON-----------
Viktoryia Anderson
Teri Carter
Jane Gohre
Occupant:
Occupant:
Occupant:
Occupant:
Occupant:
Relationship:
Relationship:
Relationship:
Relationship:
Relationship:
Age:
Age:
Age:
Age:
Age:
*
Present Address:
*
City:
*
State:
*
ZipCode:
Telephone:
Mobil Phone:
Fax:
*
Rent/Mortgage Payment:
*
How long:
Landlord/Mortgage Co:
Telephone:
Fax:
Previous Address:
City:
State:
ZipCode:
Rent/Mortgage Payment:
How long:
Landlord/Mortgage Co:
Telephone:
Fax:
*
Employer:
*
Length:
*
Gross Income:
Address:
Telephone:
Supervisor:
Previous Employer:
Length:
Gross Income:
Address:
Telephone:
Supervisor:
Spouse Employer:
Length:
Gross Income:
Address:
Telephone:
Supervisor:
Previous Employer:
Length:
Gross Income:
Address:
Telephone:
Supervisor:
Other Sources of Income:
*
Nearest Relative (not living with you):
*
Telephone:
Relative Address:
City:
State:
ZipCode
*
Character Reference:
*
Relationship:
*
Telephone:
Address:
City:
State:
ZipCode
*
Bank Reference:
*
Credit Reference:
Type:
Account Number
:
Number of Vehicles (including RV's, trailers, boats, motorcycles):
Make & Model:
Year:
License:
State:
Make & Model:
Year:
License:
State:
Make & Model:
Year:
License:
State:
Make & Model:
Year:
License:
State:
Make & Model:
Year:
License:
State:
Make & Model:
Year:
License:
State:
*
Do you have any Pets?:
How Many?:
If yes, list Breed and Weight?:
*
Are any Residents Smokers?:
*
Have you filed a petition of bankruptcy?:
*
Have you ever been evicted from a rental property?:
*
Have you had a civil judgment or collections for rental property?:
*
Have you ever been convicted of a felony?:
If yes, describe:
Are you currently an illegal abuser or addicted to a controlled substance?:
*
Have you ever been convicted of the illegal manufacture or distribution of a controlled substance?:
Authorization
The applicant(s) must sign this application before it will be considered for verification. Acceptance of the application and any monies herewith is not a binding contract until accepted by the homeowner and a lease is signed with Brewer Caldwell. Upon final acceptance of the application all monies will be applied to the move in cost required in the lease. Brewer Caldwell retains the right to require the entire amount of the security deposit to be paid by the applicant(s) within 24 hours of acceptance to hold the property off the market.
Should the applicant(s) withdraw after acceptance or fail to take occupancy for any reason, the portions of the security deposit will be retained as damages for the number of days the property was withheld off the market. This amount may include application fees and a management fee of $195.00
If the application is denied, all monies will be refunded to the applicant(s) with the exception of the application fee.
Under no conditions is the application fee refundable.
I/we declare that the forgoing information on this application is true and correct. I/we furthermore authorize Brewer Caldwell Property Management Inc. to investigate the information supplied on this application and to conduct inquiries concerning my/our credit history, employment, income, mode of living, rental history and character for the purpose of verification and qualification for the aforementioned rental property. I/we fully understand that the falsifying of any information on this application is grounds for denial.
*
Signed:
*
Dated:
Signed:
Dated:
Enter the security code you see below:
