Paradise Property Management
P.O. Box 123
Anytown, UT 12345
(435)740-1111

Lease/Rental Application

Personal Information:
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
Date of Birth
Social Security Number
Is there someone you would like to room with?
Employment Information
Employer:
Superviser phone:
How long employed:
Permanent Home Information
Name of Parent or Guardian
Home Address
Home Phone
 
Previous Rental Information
Landlord:
Landlord's phone:
How long at previous address:
 
Terms and Conditions
The following conditions are to be met without any exceptions.
Requirements:
I understand that there is no smoking allowed on the premises
I understand that no pets are allowed
I understand that there is to be no alcohol on the premises
 
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I AUTHORIZE verification of the information contained in this application for tenant screening as may be necessary in arriving at a tenant decision including the obtaining of a credit report. I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.  I consent to allow the Owner/Agent to disclose tenancy information to previous or subsequent Owners/Agents.
Electronic signature:
Confirm signature:
I agree
Desired move-in date:
 
 If your application is not approved, your deposit will be returned.  If your application is approved, it will be held and refunded contingent upon the terms of the agreement and the condition of the property at the end of your lease/rental term. If you leave before the end of the contract, your entire deposit will be forfeited and you will be required to pay the remainder of the contract unless other arrangements have been made with the landlord.   (Your bank statement may show "Instant Payments" or "Rental Fees" on processed payments.)

Acceptance of the application will be contingent on receiving all completed paperwork,
the deposit and a positive response from your previous landlord.
 
Deposit:   $200.00   Item Subtotal:  
$200.00
Total:
$200.00
Payment Information:
Processing Fee Rates:
Cards:3% plus $0.55 ($1.55 min)
(1.5% surcharge for foreign cards)
eCheck:$0.55
Method of Payment:
  Credit/Debit Card
  eCheck
 Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
 Change Payment Method
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