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Online Application

Step 1 of 9

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Applicant Information
Individual applications require from each adult occupant. All sections must be completed.
Name
First Last
Date of Birth
Date Format: MM slash DD slash YYYY
Social Security Number
Driver's License
State Issued
State
Cell Phone
Work Phone
Alt Phone
Email

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Emergency Contact
Name
First Last
Relationship
Phone

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Current Residence
Address
Street Address City State / Province / Region ZIP / Postal Code
Date In
Date Format: MM slash DD slash YYYY
Date Out
Date Format: MM slash DD slash YYYY
Owner/Manager Name
Phone
Reason for Leaving

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Previous Residence
Check if previous address does not apply
- N/A
Address
Street Address City State ZIP Code
Reason for Leaving
Phone
Owner/Manager Name
Date In
Date Format: MM slash DD slash YYYY
Date Out
Date Format: MM slash DD slash YYYY

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Property Requested
Which property are you interested in?
Anticipated Move-In Date
Date Format: MM slash DD slash YYYY
Occupant Information
Click the + symbol to add more rows. Add age, name, DOB (Date of Birth), SSN (Social Security Number if over 18), and DL # (Drivers License Number).
Age Name DOB SSN DL #
Do you have a pet/pets?
Pet Application
Pet or Pets Information
Click the + symbol if you have more than one.
Name Type Breed Age Weight Color
Housebroken?
Current on shots and vaccinations as suggested by veterinarian?
Have any of your pet/s been reported to authorities (police, animal control, etc) for any incident for any reason?
Please describe the incident or incidents.
Describe any special training or certifications
Comments or questions
Vet Name
First Last
Phone
Please read and accept
Animals may not be in the common areas of the community unless on a leash or an approved device based on the animal’s certification. The animal owners are responsible for cleaning up after the animal and for any damage done by the animal. Animals may not disturb the peaceful and quiet enjoyment of other tenants.
- I accept

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Financial & Employment Information
Employer Name
Gross Yearly Income
proof on income is required.
Employer Address
Street Address City State ZIP Code
Occupation/Title
Months Employed
Supervisor Name
First Last
Supervisor Phone
Name of Bank
Bank Address
Street Address City State ZIP Code
Financial Obligations
Please list financial obligations and monthly payments.

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Prior Occupation
Check if prior employment does not apply
- N/A
Employer Name
How long?
Name of Supervisor
Phone
Address
Street Address City State ZIP Code

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Criminal Record and Habits
Have you or any person anticipated to occupy the premises:
- been convicted of any criminal offense (misdemeanor or felony)
- been arrested, accused, detained, convicted, or otherwise involved in any sex related crime
- have any outstanding warrants
- been part of a plea agreement relating to any criminal activity
- been listed on a sex offender registry
- have any pending case or action related to criminal activity
- been arrested or have any other criminal record not previously disclosed
- ever been on probation or parole
- consulted with a bankruptcy attorney
- filed bankruptcy
- been evicted
If yes to any of the above, please explain:
Do you or any person anticipated to occupy the premises smoke?

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Agree and Submit
Please Read and Accept
Upon approval of this application, applicant agrees to sign a rental or lease agreement within 3 days of approval, and to pay all sums due, including deposits, before occupancy. If applicant fails to sign rental agreement in above stated time the landlord reserves the right to deny this application.

An application fee of $35 is non-refundable (an additional fee may be required for alias’ or aka’s). A Deposit is required and can be refundable according to state and local laws.
All applications will be reviewed in the order received and judged based on the owner’s rental criteria. Owner does not discriminate on the basis of race, color, religion, sex, national origin, disability, familial status or source of income. Criminal history will be evaluated on an individualized basis. Applicant represents that all of the above statements are true and correct and hereby authorizes verification of the above items including but not limited, rental history, criminal reports, employment verification, and obtaining of credit reports and agrees to furnish additional credit references on request. Applicant also attests that all occupants of the apartment will be legal to reside in the United States.
I understand that entering my name in the box below constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
- I accept
Digital Signature
Please type your name in the field below to serve as your digital signature.

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Meet Our Team

Heather Hoang

Leasing & Real Estate Sales Agent
Email Heather | (435) 714-8181

Kimberly Drury

Owner-Leasing & Real Estate Sales Agent
Email Kim | (435)640-6025

Lara Lusher

Leasing & Real Estate Sales Agent
Email Lara | (435) 565-4625

Age	Name	DOB	SSN	DL #

Name	Type	Breed	Age	Weight	Color

Step 1 of 9

Applicant Information

Emergency Contact

Current Residence

Previous Residence

Property Requested

Pet Application

Financial & Employment Information

Prior Occupation

Criminal Record and Habits

Agree and Submit

Meet Our Team

Heather Hoang

Kimberly Drury

Lara Lusher