Owners Profile Sheet Rental Property Address: Owner s Last Name: Owner s First Name: Home Number: ( ) Work Number: ( ) Cell Number: ( ) Fax Number: ( ) Email Address: Home Address: Name of Spouse: Is Spouse a Co-Owner? ( ) Yes ( ) No Work Number: ( ) Cell Number: ( ) Email Address: Co-Owner(s) other then Spouse: Ownership Split (List Name and %): %: / %: Co-Owner(s) Home Number: ( ) Work Number: ( ) Cell Number: ( ) Fax Number: ( ) Home Address: Disbursement Checks Payable to: Is Property in a Trust? ( ) Yes ( ) No Trust Name: Is Property in a Business Name? ( ) Yes ( ) No Business Name: Emergency Contacts Name: Home Number: ( ) Cell Number: ( ) Does Property have an HOA? ( ) Yes ( ) No If Yes Please Provide APMI with an Electronic Copy of the CC&Rs HOA Name: HOA Address: HOA Management Company: HOA Manager Name: HOA Number: ( ) HOA Fee: $ Fee is Paid: ( ) Monthly ( ) Quarterly ( ) Semi-Annually ( ) Annually HOA Fee Includes: 1 of 14
Owners Profile Sheet Home Owners Insurance Name: Insurance Agent: Phone Number: ( ) Policy Number: Does Property have a Home Warranty? ( ) Yes ( ) No HW Name: Phone Number: ( ) Fax Number: ( ) Policy Number: Effective Date: Expiration Date: Does Property have an Alarm? ( ) Yes ( ) No If Yes can Tenant Place Alarm Services in their Name? ( ) Yes ( ) No Alarm Company Name: Alarm Companies Phone Number: ( ) Current Alarm Code: Alarm Service Fee: $ Is Fee Paid ( ) Monthly ( ) Quarterly ( ) Semi-Annually ( ) Annually We need 4 House Keys, Two mail Box Keys and 2 Garage Door openers along with any other keys such as the gate or pool keys. # House key # Mail Box Key Mail Box # Location: # Pool Keys # Gate Code # Garage Door Openers KEYS: Arizona property Management and Investments will need keys to begin caring for your property. The property needs to be keyed with new locks. I will mail the key. I have provided keys to APMI agent. Name: I need to meet with the property manager to deliver the key. Please meet a local party to receive the key. Name: Relationship: Contact #: 2 of 14
PROPERTY INFORMATION: Address: Neighborhood/Subdivision HOA: Date Available: / / RENT: Security Deposit: Cleaning Deposit: Pet deposit: Current Tenant Information: Monthly Rent: $ Name: Name: Home Phone: ( ) - Work Phone: ( ) - UNIT INFORMATION: Smoking: Yes No Notes: Pets: Yes No Notes: Section 8: Yes No Utilities: Are Utilities On: Yes No Electric: Tenant Owner Electric Company: Gas: Tenant Owner Gas Company: W/S/T: Tenant Owner Water Company: AMENITIES: Bedrooms: Main Level Upper Bathrooms: Main Level Upper Basement Year Built: Square Ft.: Type: House Duplex Apt. Condo Other: Parking: Garage Carport Off Street Cable TV: Wired/Dish/Satellite: Furnished: Yes No Fireplace: Yes No Fenced: Yes No Patio/Deck: Yes No Disposal Yes No Dishwasher: Yes No Microwave: Yes No Electric Heat: Yes No Gas Heat: Yes No Air Conditioning: Yes No #. Of Units: Ceiling Fans: Yes No Where: Fridge: Yes No Range: Yes No Gas Electric Shed/Storage: Yes No Sprinklers: Yes No Laundry Room: Yes No Hook-ups: Yes No Washer: Yes No Dryer: Yes No Gas Electric Pool: Yes No Security Alarm: Yes No Code: 3 of 14
MOLD DISCLOSURE / LEAD-BASED PAINT ADDENDUM Please complete the following questionnaire regarding the condition of the property. Because of the potential health concerns, these questions require you disclose any known concerns regarding mold and lead-based paint. MOLD 1. Has the property ever been flooded? Yes No 2. Are you aware of any water damage at the property? Yes No 3. Are you aware of any water leaks of any kind? Yes No 4. Are you aware of any past mold growth on the property? Yes No 5. Are you aware of any present mold growth on the property? Yes No If you answered yes to any of the questions above regarding mold, please explain and provide details of the current status: LEAD-BASED PAINT AND/OR LEAD-BASED PAINT HAZARDS Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Before renting pre-1978 housing, Owner must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling so Tenant can be properly notified. Owner s Disclosure (a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below): (i) Known lead-based paint and/or lead-based paint hazards are present in the housing (explain). (ii) Owner has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. (b) Records and reports available to the Lessor (check (i) or (ii) below): (i) Owner has provided the lessee with all available records and reports pertaining to leadbased paint and/or lead-based paint hazards in the housing (list documents below). (ii) Owner has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Owner Signature Date Owner Signature Date 4 of 14
Direct Deposit Arizona Property Management & Investments offers direct deposit of Owner Funds to your Owner s account. By taking advantage of direct deposit, you eliminate "lost or delayed" checks from the post office and allow access to your funds sooner. DIRECT DEPOSIT ENROLLMENT AND AUTHORIZATION FORM I (we) hereby authorize Arizona Property Management & Investments to initiate credit entries to my CHECKING/SAVINGS (circle one) account indicated at the depository named below. Depository name(s): Branch: City: State Zip: IF THIS IS A CHECKING ACCOUNT PLEASE ATTACH A CANCELED OR VOIDED CHECK TO THIS FORM. IF THIS IS A SAVINGS ACCOUNT PLEASE PROVIDE: Account Bank Routing #: This authorization is to remain in full force and effect until Arizona Property Management & Investments has received written notification from me/us of its termination in such time and in such manner as to afford Arizona Property Management & Investments a reasonable opportunity to act on it. Owner Signature Owner Signature Date Date Please attach a VOIDED check (No deposit slips please) 5 of 14
This form is for US Citizens and US Residents only. If you are a Foreign Investor, please contact Anthony Cardona at 888-777-6664 ext 110 and we will send you the required forms. Form W-9 Rev. May 2007 Request for Taxpayer Identification Number and Certification Completed form should be given to the requesting department or the department you are currently doing business with. Name ( List legal name, if joint names, list first & circle the name of the person whose TIN you enter in Part I-See Specific Instruction on page 2) Business name, if different from above. (See Specific Instruction on page 2) Check the appropriate box: Individual/Sole proprietor Corporation Partnership Other ----------------------------------------------- Legal Address: number, street, and apt. or suite no. Remittance Address: if different from legal address number, street, and apt. or suite no. Please print or type City, state and ZIP code Phone # ( ) Fax # ( ) Email address: Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instruction on page 2. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 2. Note: If the account is in more than one name, see the chart on page 2 for guidelines on whose number to enter. Part II Certification City, state and ZIP code Social security number _ - - OR - _ Employer identification number CA 019013 Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Services (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am an U.S. person (including an U.S. resident alien). Certification instructions: You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. Sign Here Authorized Signature Date 6 of 14
Owner s Preferred Venders List Should you choose to use your Own Vendors, please provide Arizona Property Management & Investments with the Contact Information for those Vendors: Landscaping: Pool Service Pest Control General Handyman Services: Contractors: Optional Feess: There is a $10 optional charge per occurrence to the Owner for paying the following bills on behalf of the Owner: HOA, Utilities, Home Insurance, Home Warranty and Property Taxes. Please initial next to the bills you would like us to pay on your behalf: HOA $ monthly $ Quarterly $ Annually $ Utilities Electric Water Garbage Gas Cable Home Insurance Home Warranty Property Taxes 7 of 14
Additional Properties When attached, this Multiple Property Addendum shall be a material part of the Management Agreement between ( Owner ) and Arizona Property Management and Investments ( Manager ). Please list the address for each property and if the property has a current tenant or is available for new renters. Address City State Zip Status Owner Signature Owner Signature Date Date 8 of 14