Jensen Property Management - Mesquite, Nevada - St. George, Utah

St. George Rentals

Hurricane Rentals

Visitors Since March 14th, 2006

On-Line Rental Application

Mesquite Area Rental Application. Please provide the requested information below to process your application in a timely manner. By submitting this online application, you hereby authorize Jensen Property Management & Leasing to obtain your credit report from a major credit bureau, contact your employers, references and current and previous landlords. All information provided must be accurate and complete.

Desired Rental Address and Reference #:
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First Name (Legal):
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Last Name (Legal):
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Telephone #:
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Cellular #:
Date of Birth:
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Social Security #:
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Co-Applicant's Full Legal Name:
Co-Applicant's Social Security #:
Co-Applicant's Date of Birth:
List Dependents by Name and Age:
List Pets by Kind and Number:
Emergency Contact w/Phone #:
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Applicants Email Address:
Current Address:
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City/State/Zip:
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Current Landlord w/Phone Number:
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Reason For Moving:
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Previous Landlord w/Phone Number:
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Next Previous Address w/move in & move out dates AND reason for moving:
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Next Previous Landlord w/Phone Numbers:
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Applicant's Employer w/Phone#:
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Total Household Monthly Employment Income:
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Non-Employment Income & Sources:
List Nearest Realtive w/Phone #:
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Your Driver's License State & Number:
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Vehicle Make Model & Year:
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2nd Vehicle Make Model & Year:
3rd Vehicle Make Model & Year:
Your Bank's Name:
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Type of Account:

Account Number/s:
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Have You Declared Bankruptcy?

If so when?
Have you ever been evicted?
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If so describe circumstances:
Ever Willfully refused to pay rent?
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If so descrive circumstances:
Are money judgements pending against you?
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If so describe circumstances:
Ever convicted of drug/alcohol offense:
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If so describe circumstances:
Ever sold or used illegal drugs?
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If so explain circumstances:
Please list additional information that may assist in the evaluation of your application:

YOU MUST CHECK THIS BOX TO PROCESS YOUR APPLICATION. PLEASE READ CAREFULLY BEFORE SUBMITTING YOUR APPLICATION ONLINE. I am aware that a credit check will be made on my behalf. I am also aware that there is a $35 charge (per adult) for this credit check. We are unable to supply you with a copy of this report due to regulations. I further understand that all properties are rented in "As Is" condition unless otherwise agreed upon by the Property Manager in writing. All applications are subject to owner approval. In considering this application from you management will rely on the information you have supplied. It is important that the application is accurate and complete. By signing this application you represent and warrant the accuracy of the information and you authorize the management company to verify any references that you have listed and to run a credit report.
Security code:
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