Start Date 1-Year

RESIDENTIAL RENTAL APPLICATION

(* per applicant) Non-Refundable Fee: $35

THE PROPERTY – Condo @ Pearl Condominiums

Type: Condominium

Square Feet: 1022

Bedrooms: 2

Rent Amount: 1,500.00/Month

Address: 42 N 500 W #303, Washington, Colorado, 84780

Pets? NO

Smoking Allowed? NO

Parking? Yes, in the following areas: 1 Covered Carport Space

TENANCY

Type/Length: 1-year

Start Date:

LANDLORD'S DETAILS

Name: Kimberly Henderson, Ivins, UT

Telephone: 970-***-****

E-Mail: *****************@*****.***

Will there be a manager acting on behalf of the Landlord? Yes

Manager's Name: Isaac Henderson, St George, UT

Telephone: 970-***-****

E-Mail: *****************@*****.***

APPLICANT DETAILS

Full Name: DOB:

Driver’s License No. Phone:

E-Mail:

Other Occupants? Yes No

If Yes, Describe:

Pets? NO PETS PERMITTED IN UNIT

Vehicles? Yes No

If Yes, Describe:

Ever Been Convicted of a Crime? Yes No

If Yes, Describe:

Ever Filed for Bankruptcy? Yes No

If Yes, Describe:

Ever Been Evicted? Yes No

If Yes, Describe:

CURRENT EMPLOYMENT

Company: Occupation/Title:

How Long? Gross Income: $ (From Prior Year Tax Filing)

Street Address:

City: State: Supervisor:

PREVIOUS EMPLOYMENT

Company: Occupation/Title:

How Long? Gross Income: $ )

Street Address:

City: State: Supervisor:

CURRENT RESIDENCE

Type (Apt, Home, Condo): Square Feet (SF): SF

Bedrooms: Rent Amount: $ /Month

Street Address:

City: State: Zip:

How long at this Address? Current Lease Expiration Date:

Desire for Moving?

CURRENT LANDLORD

Name:

Address:

Phone: E-Mail:

PREVIOUS RESIDENCE

Type (Apt, Home, Condo): Square Feet (SF): SF

Bedrooms: Rent Amount: $ /Month

Street Address:

City: State: Zip:

Start Date: End Date:

PREVIOUS LANDLORD

Name:

Address:

Phone: E-Mail:

PREVIOUS RESIDENCE

Type (Apt, Home, Condo): Square Feet (SF): SF

Bedrooms: Rent Amount: $ /Month

Street Address:

City: State: Zip:

Start Date: End Date:

PREVIOUS LANDLORD

Name:

Address:

Phone: E-Mail:

PERSONAL REFERENCES

Full Name: Relationship:

E-Mail: Phone:

Full Name: Relationship:

E-Mail: Phone:

Full Name: Relationship:

E-Mail: Phone:

ADDITIONAL DETAILS (IF ANY)

I hereby certify that I am at least 18 years of age. Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous property owners, employers, and personal references. Applicant hereby authorizes owner/agent to obtain any and all Unlawful Detainer, Credit Reports, Tele checks, and/or Criminal Background Reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.

Applicant’s Signature Date

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