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Genck Family Rentals

Rentals in Southern Utah

Home
Rental Application
FAQ

Home
Rental Application
FAQ

Rental Application

First

Middle

Last

Email

Phone

Birth Date

Gender

Female

Male

Relationship status

Married (or moving in when married)

In a relationship & living with partner

In a relationship not living with partner

Single

Room Type

Married (full apartment)

Private room

Share room

Spouse/Partner's Full Name

Spouse/Partner's Date of Birth

Spouse/Partner Gender

Female

Male

Spouse/Partner Email

Spouse/Partner Phone

If the private room is full, would you be willing to get a shared room instead?

Yes

No

Present Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country

Present Landlord Name

Landlord Phone

Employer/Income source

Estimated combined monthly income

Estimated monthly income

Employer's Phone

References

Reason for moving

When would you like to move in?

Do you own a pet?

Yes

No

Pet details

Do you smoke/vape?

Yes

No

Have you ever been evicted?

Yes

No

Have you ever been convicted of a felony?

Yes

No

Have you ever been sued by a landlord?

Yes

No

Have you ever broken a rental agreement/contract?

Yes

No

Is there a parent or friend who would be willing to co-sign on the contract in the case of poor credit or rental history?

Yes

No

I am currently under contract at other housing

Only check this box if you currently have a contract at another location for the same time you are applying for housing with us.

If you are under contract, please explain:

Is there anyone else that is applying that you would like to room with?

Why should we consider you for living in our home?

Agreement

I Agree and understand that by checking this box I have digitally signed this form