Bullhead City Property Management & Sales




1788 Highway 95, Suite 14
Bullhead City, AZ  86442

Across from the Safeway Market
in the Dakota Plaza

928-704-2727  OFFICE  
​928-704-2726 FAX

[email protected]

​Pay Rent Online


Debra Martin, Designated Broker

Online Tenant Application

Printable Rental Application
Screening Criteria

This online form is provided to expedite the application process. In addition to  this application, you will need to sign and fill out an authorization form to release information and authorize a credit and background check, which you can obtain on this wesite or at our office.  A printable application is also available on this site or at our office, for your convenience. 

ALL ADULTS (18 yrs of age or older) MUST COMPLETE an application if they plan to occupy a property.  NO EXCEPTIONS!  There is a non-refundable application fee of $30 per adult.  Before we process an application, we must receive the application fee(s), application and authorization form(s) in our office.  For more information about our Tenant Screening Criteria click on the provided link above. 
Property Address applying for:
Current Address (Street. City. State, Zip Code) and # of months
How Long at this Address?
Social Security Number
Drivers License Number
Birth Date
Name Applicant
Landlord or Property Management Company and their Phone Number
Previous Address if less than 2 years at current address (Street, City, State, Zip Code) and # of months
Employer Address (Street, City, State, Zip Code) and Phne Number
Employee Title
Length of time employed
Emergency Contact Name / Relationship (Other than Co-Applicant) and Contact Number
Have you ever had a bankruptcy? If yes, what year?
Have you ever been evicted? Yes or No
Name and Breed of all Pets
Names and Ages of All Occupants
Names Other C0-Applicants Applying with you
Vehicle #1 (Year, Make, Model, Color)
Vehicle #2 (Year, Make, Model, Color)

By submitting this form, you agree that the information provided is true and correct and further authorization to Bullhead City Propery Management & Sales to verify the  information including, but not limited to obtaining a credit report and verification of my/our employment status/history.