Rental Application Form Page 2

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Employment Information for ___________________________:
4.
_________________________________________________________________________________________________
Present Employer
Address
Phone Number
_________________________________________________________________________________________________
Title/Occupation
Monthly Salary/Weekly Gross Wages
Length of Employment
5.
_________________________________________________________________________________________________
Previous Employer
Address
Phone Number
_________________________________________________________________________________________________
Title/Occupation
Monthly Salary/Weekly Gross Wages
Length of Employment
6.
_________________________________________________________________________________________________
Previous Employer
Address
Phone Number
_________________________________________________________________________________________________
Title/Occupation
Monthly Salary/Weekly Gross Wages
Length of Employment
Landlord Information:
1.
_________________________________________________________________________________________________
Present Landlord
Phone Number
________________________________________________________________________________________________
Current Address
How Long (Dates)
2.
_________________________________________________________________________________________________
Previous Landlord
Phone Number
_________________________________________________________________________________________________
Previous Address
How Long (Dates)
Automobile Information:
1.
_________________________________________________________________________________________________
Make of Automobile
Year/Color
License Plate #
2.
_________________________________________________________________________________________________
Make of Automobile
Year/Color
License Plate #
3.
_________________________________________________________________________________________________
Make of Automobile
Year/Color
License Plate #
Supplemental Income:
Do you pay alimony or child support?
YES/NO
Monthly Payment Amt.? $
Savings Account Bank:
Account #:
Branch:
Checking Account Bank:
Account #:
Branch:
Major Credit Card:
Account #:
Mo. Payment: $
Credit Reference:
Account #:
Emergency Information:
In case of emergency, name a person to notify that you want responsible for your personal property.
_____________________________________________________________________________________________________
Name
Address
Home & Work Phone#
Relationship
Personal References:
_____________________________________________________________________________________________________
Name
Address
Home & Work Phone#
Relationship
_____________________________________________________________________________________________________
Name
Address
Home & Work Phone#
Relationship
All our units are NON-SMOKING
**Every potential tenant over the age of 18 years old MUST complete an application**
My HomeTown Properties, LLC▪P.O. Box 575752▪Salt Lake City, UT ▪84157
3

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