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