RENTAL APPLICATION FOR STUDENT HOUSING

    Property Information:
    Property to rent: Desired Move-In Date
    Desired Bedroom Type (shared, private, master, etc):
    Are you applying to purchase a contract from a Tenant?:
    YesNo
    If yes, whose?

    Applicant's Info:
    First Name Last Name Birth Date Sex Age
    Present Address Apt # City State Zipcode
    SS#: Cell: Email:
    Driver's Lic. # State Marital Status (check one)
    SingleMarriedOther
    If "Other", please explain
    Rental History
    Current Landlord Address
    City State Phone
    How long at this address? (years & months): Rent:$ Were you ever late?
    Previous Landlord Address
    City State Phone
    How long at this address? (years & months): Rent:$ Were you ever late?
    Applicant Work History
    Current Employer Address
    City State Phone Dates Employed
    Type of Work Monthly Net Income $
    Previous Employer Address
    City State Phone Dates Employed
    Type of Work Monthly Net Income $
    Other Income
    Monthly Income

    Income Source:
    UnemploymentChild SupportAlimonySSIAFDCOther

    If Other, explain:
    Proposed Roommates

    List anyone you'd like to room with (all roommates will need to apply separately; roommate placement is not guaranteed):

    Name Email Cell Phone
    Name Email Cell Phone
    Name Email Cell Phone
    Name Email Cell Phone
    Vehicles

    List vehicle to be parked on the premises by applicant (including cars, trucks, motorcycles, etc.):

    Make Model Year Color Licence # State
    Make Model Year Color Licence # State
    Smoking
    Will you be smoking?
    YesNo
    If so, are you willing to smoke outside?
    YesNo
    By initialing below, I agree no smoking is allowed in or on the property, and I agree to be responsible for any smoking damage to the dwelling caused by me, my family, invitees, or guests. Damage shall include but not be limited to replacing any burned flooring or counter tops, repainting walls, and/or other costs, fines or charges as stated in the rental agreement between myself and the Landlord.
    Initials:
    Pets
    Will you have a pet?
    YesNo
    Kind Weight Breed Age
    By initialing below, I agree no pets are allowed in or on the property, and I agree to be responsible for any pet damage in the dwelling that occurs during my occupancy. Damage shall include but not be limited to replacing all carpeting and pad in the entire unit.
    Initials:
    Applicant Bank Info
    Bank Name City Phone
    Checking Account No. Approx. Balance $
    Savings Account No. Approx. Balance $
    Current Debts

    (Everyone you make payments to):

    1 Company (creditor): Balance (Amount you owe): Monthly Payment:
    2 Company (creditor): Balance (Amount you owe): Monthly Payment:
    3 Company (creditor): Balance (Amount you owe): Monthly Payment:
    4 Company (creditor): Balance (Amount you owe): Monthly Payment:
    5 Company (creditor): Balance (Amount you owe): Monthly Payment:
    Other Questions
    Why are you leaving your current residence?
    Have you ever been evicted?
    YesNo
    If Yes, explain:
    Have you ever broken a rental agreement or lease contract?
    YesNo
    If Yes, explain:
    Have you been given any eviction notice(s) or sued for non-payment of rent or damages to rental property?
    YesNo
    If Yes, explain:
    Have you ever been charged with or convicted of a felony or any drug related offense?
    YesNo
    If Yes, explain:
    Have you ever filed bankruptcy?
    YesNo
    If Yes, what month and year?: Is it now discharged?
    YesNo
    When was (or when will) it be discharged?:
    How did you find us?
    Just stopped byWebsiteVacancy SignFriendReal Estate AgentOther
    Please provide referral name or explanation:
    What features do you particularly like here:
    Emergency Contacts
    Option #1 Name Phone Relationship
    Address Apt City State Zip
    Option #2 Name Phone Relationship
    Address Apt City State Zip
    Correct Information

    You must sign this to complete application

    The Applicant represents all of the above statements to be true and complete, and hereby authorizes verification to be made of above information, references, credit history and criminal background. The Applicant acknowledges that false information herein constitutes a material breach of any rental agreement entered based on this application and authorizes the Landlord to evict or deny possession to the Applicant. False information provided on this document may also constitute a criminal offense under the laws of the state of Utah and be cause for eviction, denial of tenancy or prosecution.

    At the time a security deposit is paid by the Applicant to the Landlord or the Landlord’s representative to show the Applicant's intent to secure and/or hold a specific rental property, the Applicant understands and agrees to the following: (1) the payment and receipt of the security deposit does not guarantee the approval of any application or that the Applicant is guaranteed tenancy; (2) if the Landlord's approval is not given, the security deposit will be refunded to the Applicant, and (3) if the application is approved by the Landlord or the Landlord's representative, any security deposit paid becomes NON-REFUNDABLE if for any reason, at the fault of the Applicant, the Applicant fails to execute the landlord's Lease Agreement.

    Applicant agrees to pay a $30 non-refundable application processing fee. Application will only be processed by management if a space is available for applicant.

    Applicant Name: Dated:
    Please attach a drivers License or Photo ID:
    Applicant Signature:

    Office Address:
    334 East Center St.
    Provo, UT 84606
    Phone (801) 607-1680
    Fax (801) 377-4343
    Applications are accepted after hours via fax or in the drop box.