Your Complex Name
John Doe 888 674 9181 P
Your Address 888 674 9180 F
Your City,UT,84604 support@rentingauthority.com

Move In Info

Room Type: __________________________________________________________
Deposit : _________________________ Rent: ___________________
Contract: _________________________ Move in date: ___________________

Applicant Info

First Name: _________________________ Last Name: ___________________
SSN: _______-_______-_________ Birth Day: _____/______/______
Phone: (__________)_____________ Cell Phone: (_______)__________
License: _________________________ Smoke?: Yes ______ No _____

Co-Applicant Info

First Name: _________________________ Last Name: ___________________
SSN: _______-_______-_________ Birth Day: _____/______/______
Phone: (__________)_____________ Cell Phone: (_______)__________
License: _________________________ Smoke?: Yes ______ No _____

Others who will be living in this Apartment

Name: __________________________ Relationship: _____________ Age: ______
Name: __________________________ Relationship: _____________ Age: ______
Name: __________________________ Relationship: _____________ Age: ______
Name: __________________________ Relationship: _____________ Age: ______
Name: __________________________ Relationship: _____________ Age: ______

 

 

 


Current Address

Address: __________________________________________________________
City:                ________________________ State:  _________ Zip: _________
Manager: ________________________ Phone: (_____)_______________
Start Date: _____/______/___________ End Date: ______/_______/_______
Leave Reason: _________________________________________________________

Past Rental History

Address: __________________________________________________________
City:                ________________________ State:  _________ Zip: _________
Manager: ________________________ Phone: (_____)_______________
Start Date: _____/______/___________ End Date: ______/_______/_______
Leave Reason: _________________________________________________________

Employment History

Company: __________________________________________________________
Manager: ________________________ Phone: (_____)______________
Address: __________________________________________________________
City:                ________________________ State:  _________ Zip: ________
Emp Length: ________________________ Monthly Pay: ____________________

Co-Applicant Employment History

Company: __________________________________________________________
Manager: ________________________ Phone: (_____)______________
Address: __________________________________________________________
City:                ________________________ State:  _________ Zip: ________
Emp Length: ________________________ Monthly Pay: ____________________

Additional Income

Income Source: _______________________ Amount: ____________________
Verify with: _______________________ Phone: (____)______________

 


Banking Information

Bank: ___________________ Acct #: _____________ Amount: ______
Bank: ___________________ Acct #: _____________ Amount: ______
Bank: ___________________ Acct #: _____________ Amount: ______
Bank: ___________________ Acct #: _____________ Amount: ______

Personal References

Name: _________________ Relationship: __________ Phone: (___)_______
Name: _________________ Relationship: __________ Phone: (___)_______
Name: _________________ Relationship: __________ Phone: (___)_______

Automobile Information

Make: ___________________
Model:
_____________ Plate #: ________
Make: ___________________
Model:
_____________ Plate #: ________

Pet Information

Type: ___________________
Breed:
_____________ Weight: ________
Type: ___________________
Breed:
_____________ Weight: ________
Type: ___________________
Breed:
_____________ Weight: ________

Additional Information

Have you ever been convicted of a crime? Describe and Date each one: ______________________________________________________
______________________________________________________
______________________________________________________

Have you ever been evicted, declared bankruptcy or had a judgement? Describe and Date each one: ______________________________________________________
______________________________________________________
______________________________________________________

 

 


_____ I agree to the following statement I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction.

_____ I agree to the following statement I understand that the information provided might be used by Landlord to determine whether to accept this application. I authorize Landlord to verify all the information given in this application, including past rental information, personal references and employment information provided. I authorize the Landlord to obtain a current credit and criminal background check.

_____ I agree to the following statement I understand that this application is not a rental agreement and that this application does not create any obligation on the Landlord

The undersigned represent that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction.

Print Name: ___________________ Signature: _____________ Date: ___/___/____

Print Name:
___________________
Signature:
_____________
Date:
___/___/____


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