Apply – a Dalrose and Nanced LLC. Company

8455 W. SAHARA AVE. LAS VEGAS NV, USA

702-873-6600

info@stonepremier.com

a Dalrose and Nanced LLC. Company

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Stone Premier Properties-Premier Properties for a Premium Destination

Stone Premier Properties Rental Agreement

First and Last Name *

First

Last

Former Last Name

Maiden Name, if any

Cell Phone (1234567890) no dashes or spaces

Home Phone (1234567890) no dashes or spaces

Work Phone (1234567890) no dashes or spaces

Email *

Gender (Dropdown)

Marital Status (Dropdown)

Head of Household (Dropdown)

Date of Birth: (MMDDYYYY) No Dashes

Photo ID Drivers License #

State of Issue:

Social Security Number:(123456789) No Dashes

Have you ever been convicted, pleaded guilty, no-contest, received probation, deferred adjucation, court ordered supervision, or pretrial diversion, for a felony, sex related crime, or misdemeanor assault against another person?

No
Yes

If so, please elaborate:

Rental History- Choose those that apply:

Have you been evicted?
Have you been sued for rent?
Have you been sued for property damages?
Have broken or currently are breaking a lease?

Current Residence: (Address/Unit, City, State, ZIP)

Current Move-in Date (MMDDYYYY):

Current Rent Amount:

Reason for Leaving:

Manager Contact Phone#:

Manager Contact Fax:

Manager Contact Email

Property Manager/Mortgage Name:

Prior Residence: (Address/Unit, City, State, ZIP)

Prior Manager Contact Phone#:

Prior Manager Contact Email

Current Employer Name/Address: (Address/Unit, City, State, ZIP)

Current Supervisor Name, Telephone #, Email Address

Job Type

Job Title

Start Date: (MMDDYYYY) No Dashes

Estimated Annual Income:

Additional Income:

Prior Employer Name/Address: (Address/Unit, City, State, ZIP)

Prior Job Type:

Prior Job Title:

Prior Start Date: (MMDDYYYY) No Dashes

Previous Estimated Annual Income:

Emergency Contact Name/Address: (Address/Unit, City, State, ZIP)

Emergency Contact Relationship:

Emergency Contact Telephone #, Cell Phone#, Email Address

In the event of serious illness, death or other circumstances that would make you unavailable, the emergency contact can remove your property from your unit or the common areas? *

Yes
No

Vehicle (Make, Model, Owned by, Year, Color, Year)

Vehicle Plate #:

Pets (Type, Owned by, Color, Breed, Size, Name):

Regarding your pet(s):

Has pet owner ever been cited for a pet biting a person or animal?
Has pet owner ever been given notice for pet nuisance or aggressiveness?
Has pet owner been sued for property damaged caused by pets?

Other Occupant (Name, Relationship, Birthdate, SSN):

Other Occupant (Name, Relationship, Birthdate, SSN):

Email

8455 W. SAHARA AVE. LAS VEGAS NV, USA 89117

info@stonepremier.com

(702) 873-6600

© 2025 a Dalrose and Nanced LLC. Company. Stone Premier Properties

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a Dalrose and Nanced LLC. Company

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