Trillium Residential
Centrado
(480) 894-1200
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Centrado
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Centrado
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Rental Application
Applicant's Name
Applicant's Birthdate
Applicant's Driver's License #
Marital Status
Single
Married
Divorced
Separated
Widowed
Spouse's Name
Spouse's Birthdate
Spouse's Driver's License #
Residence History
Present Address
Present Home Phone
Present Status
Own
Rent
Present Monthly Payment
Move In Date
Move Out Date
Landlord / Mortgage Co / Apartment Community
Previous Address
Previous Home Phone
Previous Status
Own
Rent
Previous Monthly Payment
Move In Date
Move Out Date
Previous Landlord / Mortgage Co / Apartment Community
Spouse's Address (If Different)
Employment History
Present Employer
Employer Name
Phone
Supervisor Name
Supervisor Phone
Address
Position
Monthly Gross Income
Length of Employment
Spouse Present Employer
Supervisor Name
Supervisor Phone
Address
Position
Monthly Gross Income
Length of Employment
Previous Employer
Employer Name
Phone
Supervisor Name
Supervisor Phone
Address
Position
Monthly Gross Income
Length of Employment
Additional Income
Additional income such as child support, alimony, or separate maintenance need not be disclosed unless such additional income is to be included for qualification hereunder.
Income Source
Amount of $
Amount per
Month
Week
Year
Personal Data
Emergency Contact Name
Emergency Contact Phone
Is the emergency contact authorized to remove and/or store all contents of dwelling/mailbox in the event of serious illness or death of resident?
Authorized
Not Authorized
Personal Reference Name
Personal Reference Phone
Personal Reference Address
Have you or your spouse ever been evicted?
Yes
No
Have you or your spouse ever broken a rental agreement?
Yes
No
Have you or your spouse ever been convicted of a felony?
Yes
No
Have you or your spouse ever been convicted of a drug-related crime?
Yes
No
Will you or the other occupants have a pet?
Yes
No
If so, what kind, breed, and age is it?
List all other occupants who will not sign the lease. State how they are related including birthdates.
List all automobiles to be parked on the premises. Include make, model, year, license number, state, and color.
How did you hear of this apartment community?
Why are you leaving your present residence?
Type your full name below to sign and represent that all the above statements are true and complete, and you hereby authorize verification of such information. False information given above shall entitle owner to (1) Reject this application, (2) Retain application fee(s) and deposit(s) as liquidated damages for owner's time and expenses of processing this application and (3) Terminate resident's right of occupancy. False information may also constitute a serious criminal offense under the laws of the state. Applicant authorizes Trillium Residential to access a credit report for credit evaluation.
Type your full name below to sign:
Applicant's spouse, if applicable, type your name below to sign:
Required fields
Resident
Central
