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 435-586-4415
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OFFICE USE ONLY
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DATE:
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PROP. APPL. FOR:
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MON. RENT AMT. $:
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APT. #:
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PRORATED RENT AMT. $:
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SD AMT. $:
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APPOX MOVE-IN DT:
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APPOX MOVE-OUT DT:
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RENTAL APPLICATION
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INDIVIDUAL APPLICATIONS ARE REQUIRED FROM EACH UNMARRIED OCCUPANT 18 YEARS OF AGE OR OLDER. ALL SECTIONS OF APPLICATION MUST BE COMPLETED.
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LAST NAME FIRST NAME MIDDLE NAME, MR./MS./JR./SR.
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SOCIAL SECURITY #
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OTHER NAMES USED IN THE LAST TEN YEARS
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MAY WE SEND YOU TEXT MESSAGES? YES ( ) NO ( ) |
HOME PHONE #
( )
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DATE OF BIRTH
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DRIVERS LIC. OR ID#
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EXP. DATE
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STATE
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MILITARY
YES ( ) NO ( )
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CELL PHONE #
( )
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SPOUSE LAST NAME FIRST NAME MIDDLE NAME, MR./MS./JR./SR.
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SOCIAL SECURITY #
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OTHER NAMES USED IN THE LAST TEN YEARS
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MAY WE SEND YOU TEXT MESSAGES? YES ( ) NO ( ) |
HOME PHONE #
( )
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DATE OF BIRTH
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DRIVERS LIC. OR ID#
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EXP. DATE
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STATE
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MILITARY
YES ( ) NO ( )
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CELL PHONE #
( )
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1.
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PRESENT STREET ADDRESS CITY STATE ZIP CODE
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MOVE-IN DATE
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RENT AMOUNT
$
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OWNER/MGR. NAME
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OWNER/MGR. PHONE #
( )
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REASON FOR MOVING? HAS A 30-DAY NOTICE BEEN GIVEN? YES ( ) NO ( )
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2.
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PREVIOUS STREET ADDRESS CITY STATE ZIP CODE
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MOVE-IN/OUT DATE
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RENT AMOUNT
$
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OWNER/MGR. NAME
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OWNER/MGR. PHONE #
( )
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REASON FOR MOVING?
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PROPOSED OCCUPANTS-
LIST ALL IN ADDITION
TO YOURSELF
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NAME AGES
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NAME AGES
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1.
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PRESENT OCCUPATION OR SOURCE OF INCOME
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EMPLOYER NAME
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HOW LONG WITH THIS EMPLOYER?
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SUPERVISOR PHONE #
( )
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EMPLOYER ADDRESS
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NAME OF YOUR SUPERVISOR
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MO. GROSS INCOME
$
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CITY, STATE, ZIP CODE
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2.
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PRIOR OCCUPATION OR SOURCE OF INCOME
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EMPLOYER NAME
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HOW LONG WITH THIS EMPLOYER?
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SUPERVISOR PHONE #
( )
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EMPLOYER ADDRESS
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NAME OF YOUR SUPERVISOR
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MONTHLY INCOME
$
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CITY, STATE, ZIP CODE
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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 ( )
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AMOUNT
$ PER
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CHECK ONE:
( )WKLY ( )MTHLY
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SOURCE
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PERSON TO CONTACT
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PHONE #
( )
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1.
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VEHICLE MAKE
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MODEL
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YEAR
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LICENSE PLATE #
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2.
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2nd VEHICLE MAKE
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MODEL
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YEAR
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LICENSE PLATE #
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HAVE YOU EVER:
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FILED FOR BANKRUPTCY?
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( )YES ( )NO _______ YEAR
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BEEN EVICTED FROM TENANCY?
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( )YES ( )NO _______ YEAR
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WILLFULLY OR INTENTIONALLY REFUSED TO PAY RENT WHEN DUE?
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( )YES ( )NO _______ YEAR
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HAVE YOU EVER BEEN CONVICTED OF A FELONY?
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( )YES ( )NO _______ YEAR
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WILL YOU HAVE PETS?
( )YES ( ) NO
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DO YOU SMOKE?
( )YES ( ) NO
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WILL YOU HAVE LIQUID FILLED
FURNITURE? ( )YES ( ) NO
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ARE YOU A US CITIZEN?
( )YES ( ) NO
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NAME OF BANK
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BRANCH OR ADDRESS
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ACCOUNT NUMBER
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CHECKING #
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SAVINGS #
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1.
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NEAREST RELATIVE
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PHONE #
( )
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ADDRESS, CITY, STATE, ZIP CODE
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2.
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PERSONAL REFERENCE
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PHONE #
( )
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ADDRESS, CITY, STATE, ZIP CODE
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3.
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PERSONAL REFERENCE
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PHONE #
( )
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ADDRESS, CITY, STATE, ZIP CODE
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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.
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 ____________________________________EMAIL_____________________________
DATE ___________________ SIGNATURE ____________________________________EMAIL_____________________________
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FOR OFFICE USE ONLY
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PROCESSING FEE PAID: ( )
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DATE COMPLETED:
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APPROVED: ( )
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APPROVAL LTR. SENT:
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INCOME VERIFIED: ( )
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DATE COMPLETED:
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DENIED: ( )
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DENIAL LTR. SENT:
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RENTAL REF. COMPLETED: ( )
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DATE COMPLETED:
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COMMENTS:
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330 West 200 North * Cedar City, Utah 84721 * 435-586-4415
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