Rental Application | Tucson's Real Estate Broker

Name of Applicant*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Social Security Number*
Phone*
Email
Current Address*
Street Address City State ZIP Code
Current or most recent landlord
Name Phone
List all others residing in proposed rent agreement
Name & Birthday Name & Birthday Name & Birthday
Does anyone in your household smoke?*
- Yes
- No
Do you have pets?*
All pets are subject to landlord approval and may require a pet deposit.
What is your history? Please uncheck all that do not apply.
- I've been bankrupt in the past
- I've been evicted in the past
- I have a criminal history
- I have had judgements against me
Current Employment
Job Title Salary Length at Job
Name of Employer
Address of Employer
Street Address City State ZIP Code
Supervisor's Phone Number
Personal References
Name & Phone Name & Phone Name & Phone
Signature*
By signing above I authorize HomeLink Professional Realty Network, Tim Sheaffer, their agents and assignees to obtain both credit and criminal background checks. I also certify that all information listed on this application is true and accurate.

Tim Sheaffer

Associate Broker

Some Facts:

⋅ M.A. Leadership | B.S. Psychology
⋅ Interviewed over 40 CEO's in 2011
⋅ Lives in Tucson, AZ
⋅ Licensed Real Estate Broker
⋅ Licensed REALTOR®
⋅ Married 19 years | 4 kids
⋅ Professional Negotiator

Name & Birthday	Name & Birthday	Name & Birthday

Name & Phone	Name & Phone	Name & Phone