Property Information:
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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? |
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Applicant's Info:
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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
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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
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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
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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
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Bank Name * |
City * |
Phone * |
Checking Approx. Balance $ |
Savings 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
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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 hear about us? *
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Name of the friend who referred you:
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Please provide referral name or explanation: |
What features do you particularly like here: |
Emergency Contacts
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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 $50 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: *
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Office Address:
257 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.
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