AZNORTH Investments, Inc. Credit Verification Application
Mail the completed application to: AZNORTH Investments, Inc. 2410 E Rt. 66 Flagstaff, AZ 86004	Please include your application fee of $25 Payable to AZNORTH

Name:______________________________________ Birthdate:______________ SSN:___-___-_____ Address:______________________________________________________________________________ City:__________________________________________ State:_________________ Zip:__________ Previous Address:_____________________________________________________________________ City:__________________________________________ State:_________________ Zip:__________ Employer:_____________________________________________ Phone:_________________________ Contact:______________________________________________ Previous Employer:____________________________________ Phone:_________________________ Contact:______________________________________________ Address Being Applied For:____________________________________________________________ Applicant acknowledges that all information listed on the application is true and accurrate. Applicant hereby authorizes verification of all information including credit check and credit history reports by AZNORTH Development, Inc. and Credit Data Southwest. Any false information listed shall constitute grounds for rejection of this application, termination of the agreement and right of occupancy and forfeiture of deposits. Applicant understands that the $25 processing fee for verifying this application is not refundable. X________________________________________ Date:________________ Signature