Rental Application
Rental Application
Rental Application
Rental Application
Centerpointe Invesments L.L.C.
67 South Higley Rd. Suite 103-195, Gilbert, AZ 85296
Application is hereby made to rent the premises generally described as 21 South 500 East Pleasant
Grove UT 84062 For a term of 12 Months. Starting on the of 2010 . For which
monthly rental rate shall be $850.00 plus all utilities payable in advance. A security deposit in the
amount of $600.00 along with the first months rent of $850.00 shall be due prior to occupancy of the
premises.
The security deposit of $600.00 is made with the understanding that if this application is accepted
and the applicant fails to execute a lease before the beginning date specified above, or to pay the
balance due as first months rent, said security deposit will be forfeited as liquidated damages.
It is also understood that if this application is not accepted, or if the premises are not ready for
occupancy by the above starting date, said security deposit shall be refunded to the applicant
forthwith, upon the applicant’s request.
Applicant:
Name: Phone:
Present Address: How Long:
Employer:
Employer Address:
Employer:
Employer Address:
Reference:
Previous Landlord: Phone:
The information provided in this application is deemed to be correct and true to the best of my
knowledge. This information may be used by Centerpointe Investments L.L.C. in determining the
outcome of this application. THIS IS NOT AN AGREEMENT TO RENT AND BY SIGNING BELOW
APPLICANTS ARE UNDER NO OBLIGATION TO RENT THE PROPERTY. APPLICANTS ONLY
AGREE THAT THE INFORMATION IS CORRECT TO THE BEST OF THEIR KNOWLEDGE.
X
Applicant Signature Date
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Co-Applicant Signature Date