Personal Information
Full Name____________________________________________

Any other names which you have used__________________________________________

Social Security #____________________ Current phone #______________________

Place and date of Birth___________________________

Driver's license #____________________________

Children or other persons who may be living at this address:
Name     Age     Relationship to you

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Do you have any pets?_____if yes, what type, size, and how many?

 
Has this pet(s) ever been known to show overly aggressive behavior and/or ever bitten anyone?   Yes   No (if yes, explain on back of page)

Who should we contact in case of an emergency?_______________________________

Phone #________________________Relationship______________________

Residential History
Current Address(where you are living now)_____________________________________

How long have you lived there?____________Current rent/mortgage payment__________

Reason for moving

 

Name of current Landlord/Mortgage Holder_____________________________________

Phone number of above person/company_____________________________

Previous Address (where you lived right before your current address)
___________________________________Dates lived there___________________

Reason for moving

 

Name of Landlord/Mortgage Holder at that address_____________________________

Phone # of above person/company___________________

If the above references amount to less than the past three years list additional references (with dates, names, phone #s) on the back of page, to total at least 3 years history.

Have you ever been evicted from a previous residence?   Yes  No
If yes, please explain on the back of the page.

Personal History
Have you ever been convicted of or pled guilty or no contest to any crime (other than minor traffic violations)?   Yes  No
If yes, please explain on the back of the page.

Do you, or any other person who will be living at this property use illegal drugs?   Yes  No
Do you, or any other person who will be living at this property engage in the distribution and/or sale of illegal drugs?  Yes No
Do you, or any other person who will be living at this property have any outstanding warrants for your/their arrest?   Yes  No

Employment
Current Employer (self employed? retired? We will need proof of income)

_______________________________________________________________________

Position__________________________How long there_____________

Monthly salary_____________ Phone# of business______________________

Previous employer_______________________________________________

Position__________________________How long there____________

Monthly salary______________ Phone# of business______________________

If you are moving to Payson, where will you be working here?

 

Any other source of income you would like us to consider in evaluating your ability to pay rent? (include amount)

 

Financial
Name of Bank______________________________City______________State_____

Type of acount(s)_______________________________________________

Total $ amount of monthly credit card payments____________
Total $ amount of vehicle loan(s)_____________

Other loans or monthly financial committments (include $ amounts)

 

Have you ever filed bankruptcy?______if so, when?_______

Vehicles

personal vehicles that will be parked on the property
make     model   year     license#

_________________________________________________________________________________

Will you be parking any commercial vehicle on the property?___________________________

if yes, give type of vehicle and license #_____________________________________

Please list at least 2 Personal References (not relatives) on the back of the page. Include name, phone #, how known/for how long

This link will take you back to the home page.

©2005 Prest Realty
any use of this application except applying to Prest Realty for a rental is prohibited.