8700 EAST NORTHSIGHT BLVD., SUITE #200 SCOTTSDALE, ARIZONA 85260-3669 PHONE 800-243-1782 FAX 480-951-9722
APARTMENT SUPPLEMENTAL APPLICATION
(Include Acord application)
Applicant’s Name: _____________________________ Location Address: _____________________
Mailing Address: _____________________________ _____________________
_____________________________ _____________________
APARTMENTS:
On-site manager? Yes No Hours available: __________
Are units available for daily or weekly rental? Yes No
Age of Building: _________ # of Buildings: ________ # of Stories: ________ # of Families: _______ % Occupied: ________%
Is there an elevator on premises? Yes No Is an elevator maintenance agreement in force? Yes No
Construction – last updated: __________________________ Roof: ____________________ Wiring: _________________________
If over 10 years, provide details: __________________________________________________________________________________
If aluminum wiring, have all outlets been pigtailed and checked by a licensed electrical contractor within the past 5 years? Yes No
Number of years owned: ___________
Condition of Property: Good Average Poor
Surrounding Area: Improving Stable Declining
Occupancy: _______% Student Housing ______% Subsidized ______% Elderly
FIRE/SAFETY INFORMATION:
Are space heaters utilized or are tenants permitted to have space heaters? Yes No
Hallways/stairwells open or closed: __________ # of Exits: __________
Fire doors and panic hardware? Yes No
Is there a central station? Yes No If yes, is it monitored to desk? Yes No
Are heat/smoke detectors in each unit? Yes No Are heat/smoke detectors: Hard Wired Battery
How often are detectors tested? __________ How often are batteries replaced? __________
Are carbon monoxide detectors in each unit? Yes No
Is risk sprinklered? Yes No
If yes, describe which areas: ____________________________________________________________________________________
Is property compliant with all city/state housing codes? Yes No
SWIMMING POOL INFORMATION: CHECK HERE IF NOT APPLICABLE.
Are lifeguards employed by you or subcontracted? Yes No If yes, are certificates of insurance provided? Yes No
Number of pools: ________
Are pools fenced from all units? Yes No If yes, what is the height of the fence? __________
Is there a diving board or slide? Yes No If yes, what is the height of the board? __________
Are there depth markers? Yes No Shepard’s hook/ring nearby? Yes No
Self-closing gate? Yes No Any structures within 10 feet of edge of pool? Yes No
Are warning signs and rules posted in a clearly visible area? Yes No
SECURITY:
Are sliding glass doors equipped with additional locks? Yes No
Do entry doors have peepholes and keyless deadbolts? Yes No
Are there any security guards on premises? Yes No
If yes, please provide full details including whether armed or unarmed, off-duty police, independent firm (which provides certificates?) or
employees and if there is any non-cash compensation: __________________________________________________________________
Are there fences and/or gates surrounding the property? Yes No
Are criminal checks done on employees? Yes No
Are criminal checks done on prospective tenants? Yes No
Have there been any previous incidents of physical or sexual assault? Yes No
8700 EAST NORTHSIGHT BLVD., SUITE #200 SCOTTSDALE, ARIZONA 85260-3669 PHONE 800-243-1782 FAX 480-951-9722
OTHER:
Confirm
that lease/rental agreement makes no warranties with regard to security and that leasing agents/employees are instructed to
advise potential and current tenants to dial 9-1-1. Yes No
Any of the following? Please describe all yes answers in detail below.
Baseball Fields
Yes No
Clubhouse
Yes No
Restaurants
Yes No
Basketball Courts
Yes No
Convenience Store
Yes No
Saunas/Spas
Yes No
Racquetball Courts
Yes No
Exercise Facility
Yes No
Security Guards
Yes No
Tennis/Volley Ball Courts
Yes No
Lakes
Yes No
Laundry Room
Yes No
Bathing Beaches
Yes No
Lifeguards
Yes No
Special Events
Yes No
Bike/Horse Trails
Yes No
Parks
Yes No
Streets/Roads
Yes No
Boat Docks/Slips
Yes No
Playgrounds
Yes No
Other: ________________
Yes No
If yes to any above, please describe: _________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
MAINTENANCE:
Is janitorial, lawn care, or snow removal performed by outside contractors or employees? Yes No
If outside contractors, is a certificate of insurance provided? Yes No
Attach schedule if multiple properties/locations.
Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance
containing false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a
fraudulent insurance act, which is a crime. This application does not bind any of the parties to complete the insurance transaction.
_______________________________ ______________________________
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Applicant’s Signature
Producer’s
Signature
Date