Tenancy Application & Credit Release

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KEITH JACKSON REALTY, LLC
3707 E. Southern Ave, Suite 1022 Mesa, AZ 85206
Call or Text - 480-788-7608
Email - keithjacksonaz@gmail.com

As a supplement to this Application, you will be required to furnish:
1. An employment and salary verification letter from current employer(s);
2. Copy of State Photo ID;
3. Copy of last 2 bank statements;
4. Copy of last 2 pay stubs; and
5. $35.00 (per applicant) payable on-line at http://keithjacksonrealty.com/property-management/payment-center/

Kindly Scroll Down and complete the Application. Thanks.

How did you hear about us? *

(Sign, Google, Zillow, Craigslist, Refered by Friend, etc.)

Desired Residential Address *

Street Address, City, State, Zipcode

APPLICANT’S Name *

FIRST, Middle, LAST

APPLICANT’S SS # *

Format.: 000-00-0000

Birthdate *

Applicant's Home Address *

Current Official Residence (Please include ZIPcode)

Duration *

How long has Applicant resided there so far?

Best Way to Reach You *

Do you prefer email, text message or email? Please put down your cell phone and/or email so we can contact you if we have any other questions

Please list the type of animal(s) you have along with their breed and size *

Contact Address *

from Previous Alternative List

How Many Persons will reside here? *

Names and relationship of all persons who will reside in the apartment, and if children, please state number and their approximate ages:

Applicant Employer *

Company Name and Address

Applicant's Current Job Title *

Main Job

Applicant's Current Salary *

Main Job only

Applicant's OTHER Current Salary

Combined Supplemental Jobs (if any)

Applicant Employer's Contact Person

Supervisor

Current Landlord *

Name of Landlord or Management Co

Current Rent *

Previous Residence

Duration

How long did Applican reside there?

Previous Rent

Personal Reference- 1 *

Name , Phone #, Relationship

Personal Reference- 2 *

Name , Phone #, Relationship

Business Reference- 1 *

Name , Phone #, Relationship

Business Reference- 2 *

Name , Phone #, Relationship

Building Acquaintances

Name of all residents in the building known by the applicant: (if any)

Move-In Date? *

If your application is selected when would you be wanting to move in?

Have You ever been convicted of a crime? *

Yes

Have You ever been evicted? *

Yes

Have You ever declared Bankrupt? *

Yes

re: Misrepresentation *

Do you agree that any misrepresentation or omission of information is grounds for eviction; and represent that the information provided in this application is true, complete and accurate to the best of your knowledge?

Yes

re: Background Check *

Do you understand that the information provided by you might be used by the landlord and/or his agent(s) to determine whether or not to approve this application?INFORMATION AND COLLECTION AUTHORIZATION Keith Jackson Realty, LLC has a policy of screening all prospective purchasers or renters for the purpose of collecting relevant information which includes a credit profile search, and may include interviews with the Applicant, the Applicant’s references, neighbors, past and present employers, and other references. The fee for this service is $50.00 per applicant and is to be paid by the Applicant. The fee for this service is not refundable under any circumstances, even if the purchase or renter of the apartment is denied on the basis of the report or if the Applicant decides not to tender the application or continue with the process of purchasing or renting the apartment. If the application is not approved as a result of this collection of information, the Applicant may contact Keith Jackson Realty, LLC to provide the name of the collection agency, who at the Applicant’s request, will discuss their collection of information with the Applicant.Keith Jackson Realty, LLC will not provide any copies of the report. In such event, the legal obligation of Keith Jackson Realty, LLC to the Applicant ends at the point that Keith Jackson Realty, LLC supplies the address of the collection reporting agency.

Yes

re: Authorization *

Do you authorize the landlord and/or his agent(s) to verify all the information given in this application, including past rental information, personal references and employment information provided as well as to obtain a current credit and criminal background check?

Yes

re: Obligations *

Do you understand that this application is not a Rental Agreement and that this application does not create any obligation by the landlord and/or his agent(s) in that regard?

Yes

All properties managed by Keith Jackson Realty maintain a strict NO SMOKING Policy. If your application is selected do you agree that you will NOT SMOKE INSIDE OR OUTSIDE of the rental property? *

Yes

Required

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