Utah Rental Application Form
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APPLICATION TO RENT
Individual applications required from each adult occupant (All sections must be completed)

Date _________________

Last Name __________________________ First Name ____________________________ Date of Birth _______________
Social Security # ______________________ Driver’s License # _________________________ State _____________________
Home Phone _____________________ Work Phone_____________________ Alternate Phone______________________
1.

Present Address ____________________________________ City ____________________ State _________ Zip _________
Date In: __________ Date Out:__________ Owner/Manager Name _____________________ Phone ___________________
Reason for Leaving____________________________________________________________________________________

2.

Previous Address___________________________________ City ____________________ State _________ Zip _________
Date In: _________ Date Out:__________ Owner/Manager Name _____________________ Phone __________________