Utah Rental Application

Utah Rental
Application Form
[Note: Each adult applicant must fill out a separate
application.]
Full Name of Applicant: Phone
No.:
Social Security No.: Driver’s License No.:
State:
Birth Date: Number of adults in your family? Number of children?
Pets?
Applicant's e-mail
address:
Present Address: City: State:
Zip:
How long at present address? Landlord: Phone
No.:
Reason for
moving:
Previous Address: City: State:
Zip:
How long at previous address? Landlord: Phone
No.:
Reason for
moving:
Employer: Position:
Supervisor:
Phone
No.: How long? Monthly gross
income:
Name of
Bank:
Checking Account No. Savings Account
No.
In Case of Emergency Please Notify: Name:
Relationship:
Address: Phone
No.:
Automobile No. 1 Make: Model: Year: License
No.:
Automobile No. 2 Make: Model: Year: License
No.:
Have you ever: Been evicted? Been convicted of a felony? Declared
bankruptcy?
Been sued by a landlord? Broken a rental agreement or
lease?
I represent that the information contained in this application is true and complete to the best of my knowledge. I hereby auth orize,
verification, or reverification of any information contained in this application to be made at any time by the property owner, its agents,
successors, and assigns, either directly or through a credit reporting agency from any source named in this application. The property
owner will rely on information in this application, and I have a continuing obligation to amend and/or supplement this information
should it change at any time either before or during my tenancy. This application will be incorporated by reference as a part of my
rental agreement, and any false statement will be grounds for immediate termination of tenancy.
Signature of
Applicant:____________________________________________________
Date:____________________
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Utah Rental Application PDF

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