Loetta Richter
Stout and Associates Realty
1173 W 250 South
Blackridge Terrace 1
St. George, UT 84770
435-632-6558 Cell
435-673-6500 Office

Rental Application

There is a non-refundable fee of $35 per couple or $20 per single person (Cash Only)

After filling out this form payment must be brought to:
   1060 South Main Street
   Plaza Building A, Suite 200
   St. George, Utah

We cannot process your application without the fees.

Applicant
Full Name
Social Security #
Date of Birth	Mmm DD, YYYY
Drivers License #, State
Home Phone
Cell Phone
Co-Applicant
Full Name
Social Security #
Date of Birth	Mmm DD, YYYY
Drivers License #, State
Home Phone
Cell Phone
Any Other Occupants (Name, Age, Relationship)
1
2
3
4
5
6
Employment History
Applicant
Current Employer
Address
Phone Number
Supervisor
Gross Monthly Salary
Position
How Long?
Co-Applicant
Current Employer
Address
Phone Number
Supervisor
Gross Monthly Salary
Position
How Long?
Rental History (No Less Than Two Years)
Present Location
Address
Rent or Own?	Rent Own
Monthly Payment
From / To
Reason for Leaving
Landlord Name / Mortgage Co.
Phone Number
Previous Location 1
Address
Rent or Own	Rent Own
Monthly Payment
From / To
Landlord Name / Mortgage Co.
Phone Number
Previous Location 2
Address
Rent or Own	Rent Own
Monthly Payment
From / To
Landlord Name / Mortgage Co.
Phone Number
Previous Location 3
Address
Rent or Own	Rent Own
Monthly Payment
From / To
Landlord Name / Mortgage Co.
Phone Number
Banking Reference
Bank Name
Phone Number
Address
Account Number
Checking
Savings
Vehicles
Vehicle 1
Type
Year
License Number
Vehicle 2
Type
Year
License Number
RV's or Boats to be Parked on the Premises
Vehicle 1
Type
Year
License Number
Vehicle 2
Type
Year
License Number
Personal References
Reference 1
Name
Address
City, State, Zip Code
Phone Number
Relationship
Reference 2
Name
Address
City, State, Zip Code
Phone Number
Relationship
Other Information
Pets (Describe)
Water-Filled Furniture (Describe)
In the past have you been delinquent in paying your rent or other obligations? If yes, explain.
In the past, have you failed to perform any obligation of a rental agreement or have you been the defendant in an eviction lawsuit? If yes, explain.
Have you ever been charged or convicted of any crime? If yes, explain.
Applicant Signatures (Enter name and date to sign)
The information on this application is true and correct to the best of my (our) knowledge. I hereby authorize INVESTORS PROPERTY MANAGEMENT, LLC or it's agents to verify the above information and obtain either a consumer or investigative credit and criminal back ground check. I understand that the THIRTY FIVE dollar's per couple or TWENTY dollar's per single person application fee is non-refundable, and will not be applied to rent or deposit. NOT REFUNDABLE IF DENIED.
Applicant
Full Name (Signature)
Date	Mmm DD, YYYY
Co-Applicant
Full Name (Signature)
Date	Mmm DD, YYYY

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Rental Application

Applicant

Co-Applicant

Any Other Occupants (Name, Age, Relationship)

Employment History

Applicant

Co-Applicant

Rental History (No Less Than Two Years)

Present Location

Previous Location 1

Previous Location 2

Previous Location 3

Banking Reference

Vehicles

Vehicle 1

Vehicle 2

RV's or Boats to be Parked on the Premises

Vehicle 1

Vehicle 2

Personal References

Reference 1

Reference 2

Other Information

Applicant Signatures (Enter name and date to sign)

Applicant

Co-Applicant