By filling out your name, you agree that this is your/agent electronic signature

Pursuant to ARS 33-1806.01 & ARS 33-1260.01 completion of this form is required for any
homeowners who rent out their home. This form must be completed at the start or renewal
of a lease. – and a $25.00 registration must be paid within fifteen (15) days of the start of
the lease.

Owner’s Name

Owner’s Current Address

Rental Property Address

Renter’s Name

Renter’s Phone Number:

Renter’s Phone Type (Landline, Cell, etc.):

Renter’s E-Mail Address:

Renter’s Vehicle Make and Model:

License Plate Number:

State Of License Plate:

Start Date of Renter’s Lease

End Date of Renter’s Lease

PLEASE NOTE: Each homeowner who rents a residential property in Maricopa County must register that property with the County’s Office of Tax Assessor. For your convenience, we are providing links to the Assessor’s web page where registration questions can be answered – and registration forms can be accessed:
https://mcassessor.maricopa.gov/faq/rental_registration/
https://mcassessor.maricopa.gov/page/residential_property/forms/

I will send, via US Mail or Zelle payment (PLEASE include Owner’s Lot Number), the $25
rental fee to Briarwood VI HOA

I will provide copies of the CC&R’s, By-Laws and Rules and Regulations to the renters. I understand that I am responsible to make sure the renters abide by the HOA documents.

Owner or Agent Name:

Owner/Agent Contact Phone:

Owner/agent Contact Email: