ADOBE REALTY PROPERTY MANAGEMENT Rental Application

(435) 644-2232 Office Phone (435) 644-2215 Office Fax

adoberealtykanab.com Property Preference: 1. ___________ _ 2. _________ _

Desired Occupancy Date:: __ ' __ J' ___ Desired Term: _____ ,Monthly Price Range:$ ____ _

APPLICANT INFORMATION

Name: _____________ ss# __ DOB: __ '_' __ Current Address: ____________________________ _

Length at Current Address: _______ ,E-Mail: _______________ _

Current Phone#: Cell Phone #: __________ _ Driver's License Number: State :. ___ _ _ Landlords Name: Phone#: _________ _ Reason for Leaving: __________________________ _ Former Address: _ _________________ _________ _

Name of Former Landlord : ____________ Phone#:. _______ __ _

APPLICANT EMPLOYMENT INFORMATION Employer:. __________________ _ Phone#: _______ _ Employer's Address: _______________________ _ OccupationlPosition :. __________ _ Supervisor: ___________ _

Length of Employment ______ Monthly Income:$, ____ _

Additional Income' $ Source' .. ========== "Applicant need not disclose aIirnorrj', diiI suppiit or sep<Milte maintenance inCOme or itS souroe, iiiIiiSS 8JIiliCiiI1 Wi$IiiS lID bii iXi'iSidered tor !he PUI'?QSe d!he application b" tenancy.

CO·APPLICANT INFORMATION Name :. ________ _____ SS# __ DOB: __ ' __ '_ Current Address: _____ _______________________ _

Length at Current Address: _______ E-Mail :. ___________ ____ _ Current Phone#: Cell Phone #' .. __________ _ Driver's License Number: State: ___ _

CO-APPLICANT EMPLOYMENT INFORMATION Employer: _________ _________ _ Phone#:: ________ _ Employer's Address:. _______________________ _

Occupation'Position: __________ _ Supervisor: ___________ _

Length of Employment.: ______ Monthly Income:$' ____ _

Additional Income' $ Source: ... '""""iO"ii.,.,..., .... """ ...... "'" °Appkaot need not disclose aIirniliiY. diiId suppon or separate maintenance inCOme or itS scun::e, iiiIi!SS apjIIiCiilt WiSheS ilObe COOSidemd lor ihIllUl)OSe of !he appication lor tenancy.

List all persons who will occupy the rental premises: Name Relalionship DOB

_1_1-_1_1-

_'_1-_ 1_'-

PERSONAL REFERENCES (NO FAMILY MEMBERS)

SS# Smoke ??? - -------

- -------

YIN YIN YIN YIN

Name: Phone#: _ ________ _ Name: Phone#: _ ________ _

CREDIT INFORMATION Do you have any judgmenls andlor colleclions? Have you ever filed for bankruplcy? Have you every been evicled? Is there anything which may cause your inability 10 pay? Have you ever been sued or evicted for nonpayment of rent? Have you ever been subjecl 10 a foreclosure?

DYES DNO DYES DNO DYES DNO DYES DNO DYES DNO DYES DNO

If you answered yes 10 any of Ihe above, please explain in delail: _________________ _

BANKING INFORMATION Bank:: _________________ ~Account#: _________ _

Do you have renlers insurance? DYES DNO

Do you have pels? DYES DNO How many? ___ Type?, ______ Size? _____ _

In case of emergency, notify: Name: Phone#: ______ _

FEESIDEPOSITS

Applicant will submit an application fee in the amount of $.00 for the purpose of being considered as a tenant. The application fee is non-refundable, w

Each applicant certifies information provided in this application is true and accurate to the best of their knowledge. The Owner of the premises and the CAomer's Agent have each applicant's permission to obtain credit history and criminal background information, and verify any information provided. Each applicant also authorizes any current or prior landlords or their agents to release information about each applicanllo the Owner and Agent. If any applicant withhold or gives false information, this application is considered void and the owner may terminate the lease agreement.

You must acquire renters insurance for your own household goods. Neither the agent nor owner of the property is respoosible for damages to your personal property.

Agent must receive full Security Deposit in certified funds within 24 hours after application approval. Property will remain on the manc:el until deposit is received in certified funds along with !he signed lease.

Each applicanl understands thallhe agent represents the Owner of the premises.

Applicant Signalure.: _________________ Dale:, _______ _ Co-Applicant Signature: Dale:, ________ _