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Rental Application

Thank you for considering Tri-State Realty Rentals for your rental needs! To be considered for renting, please complete the following:

  1. Click the image at right to download the Rental Application at right.
  2. Complete and attach the Rental Application below.
  3. Pay the application fee below using your Credit or Debit Card via PayPal.

Rental Application Form

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APPLICATION FOR OCCUPANCY

TRI STATE REALTY RENTALS
3870 Frontage Road
Bullhead City, AZ 86442

 


 

APPLICANT PERSONAL INFORMATION

Use the "Tab" key to quickly jump from one cell to the next.

Enter the Address of Rental Property you are Applying For
Please enter your first name.
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Please select your date of birth.
Please select your relationship status
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Invalid email address.
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Please select the state you reside in
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How did you hear about us?
How did you hear about us?
Please select what type of credit card this is
Desired date you'd like to move in
Desired Length of Lease*
Desired Length of Lease




Please select the desired amount of time you'd like to lease the property for
Please upload a valid, enlarged copy of your current driver’s license or government issued photo ID.
Please select the state on your drivers license
Please select Driver's License Expiration date

 


 

EMPLOYMENT & BANK REFERENCES

Minimum one year verified employment required.

Please list the name of your current employer.
How long have you been employed by this company?
Please select your start date with this employer.
Please enter your department and position at this company.
Approximate Monthly Gross Income
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Please select the state of your employer
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If you have been with your current employer less than one year, please complete the following:

Please list the name of your previous employer.
How long have you been employed by this company?
Please select your end date with this employer.
Please upload your 2 most recent paystubs or proof of income as jpeg, jpg, or PDF format under 5,000kb
Please upload your 2 most recent paystubs or proof of income as jpeg, jpg, or PDF format under 5,000kb
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Please select the state of your employer
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Please list the name of your current bank
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Other Income indicate source and amount
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RESIDENT HISTORY

Minimum one year required

 


 

PERSONAL REFERENCES

 


 

DEPOSIT TO HOLD AGREEMENT

I hereby authorize and instruct Owner/Broker/Property Manager to investigate the information supplied by me and to conduct inquiries concerning my income, credit and character for the purpose of verifying and qualifying for this rental and any renewals thereof. I further authorize the release of any and all information available from any reference, former owners, and credit reporting services, department of motor vehicles, and governmental agencies. I hereby release and hold harmless all parties from liability for any damages that may result from furnishing this information to its owners, its agents and others. NOTE: Copy of actual credit report will not be provided to applicant by Owner/Broker/Property Manager.

Applicant acknowledges that Owner/Broker/Property Manager may not be able to complete a comprehensive evaluation of this information prior to move-in. Owner/Broker/Property Manager reserves the right to verify application information after move-in and may convert the proposed Lease Agreement to a month-to-month term or declare the lease irreparably breached and seek immediate eviction if false or misleading information is contained in this Application. Applicant agrees to the terms of this Deposit to Hold Agreement. This application is preliminary only and does not obligate owner or owner’s representatives to execute a lease or deliver possession of the proposed Property. Owner/Broker/Property Manager comply with federal, state and local fair housing laws and regulations.

Unless otherwise agreed, I understand that the Brokerage, its Broker, its Agents, and employees are agents of and represent the Owner in leasing this property.

Customer Acceptance of Agreement*
Customer Acceptance of Agreement
You must select that you agree to the Terms & Conditions presented in this Work Authorization

By signing below, I acknowledge and accept the qualifying criteria and policies of the Owner/Broker/Property Manager by which my
application will be approved.
This application must be signed by applicant

Please type in your name so we know who to contact regarding this job
Please use cursor or finger to sign

 


 

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