Rental Application Form

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Rental Application
Cell: (801)835-5592
Fax: (801)747-5208
______/______/______
______
______/______/______
___________________________
Date Application Received
Prospective Property Address
Requested Move-In Date
Personal Information:
______/______/______
___________________________
______-________-______
Name of Applicant
SSN
Date of Birth
______
______
___________________________
Initial if over 18 years of age
Drivers License #
State Issued
_______________________________________________________________________________________________
Present Address:
City,
State
Zip Code
Own
Rent
(Please circle)
Monthly Payment or Rent: $
Why moving? ___________________________________________________________________________________
______________________________ ________________________________ _____________________________
Home Phone
Work Phone w/extension
Alternate Cell Phone
_____________________________
_____________________________
_____________________________
Cell Phone
E-mail Address
E-mail Address
Have you ever been involved in a foreclosure for any reason? YES / NO If yes, explain _______________________
Have you ever been evicted for any reason? YES / NO
If yes, explain ___________________________________
Have you ever been convicted of a felony? YES / NO
If yes, explain ___________________________________
______/______/______
Have you ever filed bankruptcy?
YES / NO
Date:
Are you in the military now/in the past? YES / NO
Do you plan to enlist?
YES / NO
Do you have pets?
YES / NO
Describe:
Does anyone in the household smoke?
YES / NO
Occupant Information:
Name
Date of Birth
SSN
Relationship
Employment Information for ___________________________:
1.
_________________________________________________________________________________________________
Present Employer
Address
Phone Number
_________________________________________________________________________________________________
Title/Occupation
Monthly Salary/Weekly Gross Wages
Length of Employment
2.
_________________________________________________________________________________________________
Previous Employer
Address
Phone Number
_________________________________________________________________________________________________
Title/Occupation
Monthly Salary/Weekly Gross Wages
Length of Employment
3.
_________________________________________________________________________________________________
Previous Employer
Address
Phone Number
_________________________________________________________________________________________________
Title/Occupation
Monthly Salary/Weekly Gross Wages
Length of Employment
My HomeTown Properties, LLC▪P.O. Box 575752▪Salt Lake City, UT ▪84157
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