Sedona Sun Properties

Move In Date Move Out Date Reason for leaving

Street Address City State/Zip

Manager/Owners Name Manager’s Phone Number

Move In Date Move Out Date Reason for leaving

Full Name Age Birth Date

Social Security # Driver’s License #

Full Name Age Birth Date

Social Security # Driver’s License #

Full Name Age Birth Date

Social Security # Driver’s License #

Full Name Age Birth Date

Social Security # Driver’s License #

Current Employer Occupation How Long?

Address City State / Province

Supervisor’s Name Supervisor’s Phone Number Current Monthly Gross Income

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Previous Employer Occupation How Long?

Address City State / Province

Previous Supervisor’s Name Previous Supervisor’s Phone Number Monthly Gross Income

Name of Bank Type of Bank Account

Address City State and Zip Code

Creditor Name Phone Number Monthly Payment *

Creditor Name Phone Number Monthly Payment *

Creditor Name Phone Number Monthly Payment *

Emergency Contact 1 Emergency Contact 2
Address Address
City City
State/Zip Code State/Zip Code
Phone Number Phone Number

Have you ever been convicted/accused
of a crime against persons or property,
or drug/alcohol related crime? Have you ever filed a petition in Bankruptcy? Have you ever been evicted?

Do you smoke? Do you have any pets? If Yes, what breed?

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By selecting "I Accept" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and Sedona Sun Properties. You are also confirming that you are authorized to enter into this Agreement.