OFFICE USE ONLY

DATE:

PROP. APPL. FOR:

MON. RENT AMT. $:

APT. #:

PRORATED RENT AMT. $:

SD AMT. $:

APPOX MOVE-IN DT:

APPOX MOVE-OUT DT:

RENTAL APPLICATION

INDIVIDUAL APPLICATIONS ARE REQUIRED FROM EACH UNMARRIED OCCUPANT 18 YEARS OF AGE OR OLDER. ALL SECTIONS OF APPLICATION MUST BE COMPLETED.

LAST NAME                           FIRST NAME                       MIDDLE NAME,      MR./MS./JR./SR.

SOCIAL SECURITY #

OTHER NAMES USED IN THE LAST TEN YEARS

HOME PHONE #
(       )

DATE OF BIRTH

DRIVERS LIC. OR ID#

EXP. DATE

STATE

MILITARY
YES (  )   NO (  )

WORK PHONE #
(       )

SPOUSE LAST NAME               FIRST NAME                       MIDDLE NAME,      MR./MS./JR./SR.

SOCIAL SECURITY #

OTHER NAMES USED IN THE LAST TEN YEARS

HOME PHONE #
(       )

DATE OF BIRTH

DRIVERS LIC. OR ID#

EXP. DATE

STATE

MILITARY
YES (  )   NO (  )

WORK PHONE #
(       )

1.

PRESENT STREET ADDRESS                           CITY                           STATE               ZIP CODE            

MOVE-IN DATE

RENT AMOUNT
$

OWNER/MGR. NAME

OWNER/MGR. PHONE #
(       )

REASON FOR MOVING? HAS A 30-DAY NOTICE BEEN GIVEN? YES (  )   NO (  )

2.

PREVIOUS STREET ADDRESS                           CITY                           STATE               ZIP CODE

MOVE-IN/OUT DATE

RENT AMOUNT
$

OWNER/MGR. NAME

OWNER/MGR. PHONE #
(       )

REASON FOR MOVING?

PROPOSED OCCUPANTS-
LIST ALL IN ADDITION
TO YOURSELF

NAME                                         AGES

NAME                                         AGES

1.

PRESENT OCCUPATION OR SOURCE OF INCOME

EMPLOYER NAME                        

HOW LONG WITH THIS EMPLOYER?

SUPERVISOR PHONE #
(       )

EMPLOYER ADDRESS

NAME OF YOUR SUPERVISOR

MO. GROSS INCOME
$

CITY, STATE, ZIP CODE

2.

PRIOR OCCUPATION OR SOURCE OF INCOME

EMPLOYER NAME

HOW LONG WITH THIS EMPLOYER?

SUPERVISOR PHONE #
(       )

EMPLOYER ADDRESS

NAME OF YOUR SUPERVISOR

MONTHLY INCOME
$

CITY, STATE, ZIP CODE

.

.

.

IF THERE ARE OTHER SOURCES OF INCOME YOU WOULD LIKE US TO CONSIDER, PLEASE LIST INCOME, SOURCE AND PERSON WHO WE COULD CONTACT FOR CONFIRMATION.     SPOUSE'S INCOME YES (  )   NO (  )

AMOUNT
$           PER

CHECK ONE:
(  )WKLY  (  )MTHLY

SOURCE            

PERSON TO CONTACT

PHONE #                
(       )

1.

VEHICLE MAKE

MODEL      

YEAR

LICENSE PLATE #

2.

2nd VEHICLE MAKE

MODEL      

YEAR

LICENSE PLATE #

HAVE YOU EVER:

FILED FOR BANKRUPTCY?

(  )YES   (  )NO  _______ YEAR

BEEN EVICTED FROM TENANCY?

(  )YES   (  )NO  _______ YEAR

WILLFULLY OR INTENTIONALLY REFUSED TO PAY RENT WHEN DUE?

(  )YES   (  )NO  _______ YEAR

HAVE YOU EVER BEEN CONVICTED OF A FELONY?

(  )YES   (  )NO  _______ YEAR

WILL YOU HAVE PETS?

( )YES   ( ) NO

DO YOU SMOKE? 

( )YES   ( ) NO

WILL YOU HAVE LIQUID FILLED

 FURNITURE? ( )YES   ( ) NO

ARE YOU A US CITIZEN? 

( )YES   ( ) NO                 

NAME OF BANK

BRANCH OR ADDRESS

ACCOUNT NUMBER

CHECKING #

SAVINGS #

1.

NEAREST RELATIVE

PHONE #            
(       )

ADDRESS, CITY, STATE, ZIP CODE                    

2.

PERSONAL REFERENCE

PHONE #            
(       )

ADDRESS, CITY, STATE, ZIP CODE                    

3.

PERSONAL REFERENCE

PHONE #            
(       )

ADDRESS, CITY, STATE, ZIP CODE                    

I UNDERSTAND THAT JEM PROPERTY MANAGEMENT, LLC. WILL RETAIN THIS APPLICATION WHETHER OR NOT IT IS APPROVED. APPLICANT REPRESENTS THAT EVERYTHING STATED IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF THEIR KNOWLEDGE AND HEREBY AUTHORIZES VERIFICATION OF THE ANSWERS STATED, BUT NOT LIMITED TO, THE OBTAINING OF A CREDIT REPORT AND AGREES TO PROVIDE ADDITIONAL CREDIT REFERENCES UPON REQUEST. APPLICANT CONSENTS TO ALLOW OWNER/MANAGER TO DISCLOSE TENANCY INFORMATION TO PREVIOUS OR PRESENT OWNERS/MANAGERS.

RENT AMOUNT IS SUBJECT TO CHANGE WITHOUT NOTICE. AFTER 72 HOURS OF RECEIPT OF RENTAL DEPOSIT, MANAGEMENT HAS THE RIGHT TO RETAIN RENTAL DEPOSIT FOR UNSPECIFIED DAMAGES, SUCH AS LOSS OF RENT, ADVERTISING, ETC.

APPLICANT ALSO ATTESTS THAT ALL OCCUPANTS ARE LEGAL TO RESIDE IN THE UNITED STATES.

UPON APPROVAL OF THIS APPLICATION, APPLICANT AGREES TO SIGN A RENTAL AGREEMENT AND TO PAY ALL SUMS DUE, BEFORE OCCUPANCY. RENT IN THE AMOUNT OF $__________ PER MONTH, DEPOSIT(S) TOTALING $___________, AND A NON-REFUNDABLE APPLICATION FEE OF $__________. 

 

DATE ___________________ SIGNATURE ______________________________________________

DATE ___________________ SIGNATURE ______________________________________________

 

 

FOR OFFICE USE ONLY

PROCESSING FEE PAID:  (  )

DATE COMPLETED:

APPROVED:  (  )

APPROVAL LTR. SENT:

INCOME VERIFIED:  (  )

DATE COMPLETED:

DENIED:  (  )

DENIAL LTR. SENT:

RENTAL REF. COMPLETED:  (  )

DATE COMPLETED:

 

COMMENTS:

509 West 200 North * Cedar City, Utah  84720 * 435-586-4415