Rental Application

Discover your perfect stay at La Mesa Village — a peaceful, private retreat designed for comfort and convenience. Whether you’re here for a short-term visit or a long-term escape, our cozy units offer the ideal blend of tranquility and modern living.

Applicant & Lease Information

Date Requested:

Unit Type:

Unit #:

Lease Term:

Application Name:

Social Security #:

Co-Signer Name:

Social Security #:

Driver’s License #:

State:

Home Telephone # ( )

Work #

Email:

Occupants:

Indicate the number of persons to occupy the apartment: (Include yourself)

Name

Relationship

Social Security #

Driver’s License/State

Birthdate

Residency

Current Address:

City:

State:

Zip:

How Long:

Monthly Payment:

Landlord or Mortgage Company:

Phone # ( )

Reason for Leaving:

Residency

Previous Address:

City:

State:

Zip:

How Long:

Monthly Payment:

Landlord or Mortgage Company:

Phone # ( )

Reason for Leaving:

Have you ever been evicted or asked
to terminate a lease?

answer

Yes No

Have you ever been convicted
of a crime?

answer

Yes No

If so please explain:

Employment

Current:

Employer:

Address:

Phone #

Position:

How Long:

Gross Monthly Salary:

Immediate Supervisor:

Employer:

Address:

Phone #

Position:

How Long:

Gross Monthly Salary:

Immediate Supervisor:

INSURANCE INFORMATION

AZ Management & Investment LLC does not provide insurance on your personal property.

Do you have an insurance policy that will cover any loss or damage to your personal property?

answer

Yes No

If yes, please provide name of the Agency:

Phone:

Address:

Policy #:

Financial

Name of Bank:

Address:

Vehicle

Number of Automobiles:

Motorcycles:

Parking Permit No.:

Make:

Model:

Year:

Color:

License Plate:

State:

02 :

Make:

Model:

Year:

Color:

License Plate:

State:

Pets:

answer

Yes No

If you have any pets please complete the following:

Type of Pet:

Age:

Color:

Size / Weight:

Emergency

Person(s) to notify in case of emergency: (other than co-resident)

Name:

Address:

City:

State:

Zip:

Phone:

Relationship:

Rental Application Terms & Consent

Agreement

Applicants hereby represent that all the above statements are true and correct and are made to induce Owner to lease rent apartment and applicant(s) hereby authorizes verifications of references given, including credit and bank balances, employment and rental information. If we accept the Unit ( ) we have no right to occupy the apartment until the application is approved and a rental or lease agreement is entered into. Any false statements made above shall be sufficient cause for Owner to cancel and terminate any agreement made with Applicant(s). Owner reserves the right to reject applicants. If applicant declines to enter into execution of the Lease or Lease Agreement or the event of rejection using said application fees will not be refunded to applicants. Applicant also agrees to pay application fee and security deposit if rental is approved. In the event the applicant wishes to cancel after rental is accepted this will serve as applicant’s written cancellation if received within 5 business days from the date and time indicated below. If owner for any reason cannot deliver possession of the premises to applicant (s) at the commencement of the term all deposits/fees less application fee shall be refunded to applicant(s).