Fassio Farm Duplex

Which Property Are You Applying to Rent?

5256 W 3830 S (Upper) $2400/mo

I understand that the prices listed are for 12 month+ leases and that Coast 2 Coast Property Management may offer leases with shorter lengths and different terms if I am interested in them

Yes
No

How did you originally hear about this appartment for rent?

Craigslist
KSL
Rentler
Facebook
Institute
Coast 2 Coast Property Management Facebook Page
Referral
Other

Last Name

First Name

Date of Birth MM/DD/YYY

Drivers License #

State your Drivers License was Issued in

Email Address

Home Phone #

Work Phone #

Cell Phone #

List the full name and date of birth of everyone who will be occupying this property:

Present Address

City

State

Zip Code

Date Moved in to the above address

Date Moved Out of the above address

Name of your Current Landlord

Current Landlord Phone #

Rent (Per Month) $

Reason for Leaving

Previous Address including City, State and Zip Code (The one before your present address)

Name of your Previous Landlord

Previous Landlord Phone #

Previous Address Rent (per month) $

Date Moved Into your Previous Address

Date Moved out of your Previous Address

Reason for Moving Out of your Previous Address

Present Occupation

Employer Name

How long have you worked here?

Name of your Supervisor

Supervisor Phone #

Employer Address

Current Gross Monthly Income (if income is receiveded from additional sources other than that listed above, please indicate that as well)

Prior Occupation

Prior Employer Name

How long did you work here?

Name of your prior supervisor

Prior Supervisor Phone #

Prior employer address

List All Financial Obligations (Creditors name, Address, Phone #, Monthly Payment)

Personal References (Name, Address, Phone #, Years Known, and Occupation)

What date would you like to move in?

How long do you plan to stay in the unit you will be renting

How do you feel about pets?

Do you have any pets or animals?

Yes
No

If Yes, what type?

Do you have any allergies to animals?

Do you drink alcoholic beverages?

Do you smoke? (even if occasionally)

Yes
No

Do you vape? (even if occassionally)

Yes
No

What kind of place are you looking for? What features are important to you?

Is your income verifiable? (paycheck stubs, etc)

Yes
No

If approved, will you be able to pay all move-in costs at the time of the move-in? This includes first month rent and the full deposit.

Yes
No

If you move in, rent is collected electronically. Do you have a checking account that can be used to pay rent?

Yes
No

We run a credit check on all applicants. Is your credit good?

Yes
No

If Not, please explain your situation

If you have been convicted of a crime in the past, what was the crime, date of the crime, and date of the conviction?

Since the age of 18, what states have you lived in?

How many cars, trucks, motorcycles, trailers, or other vehicles will you keep at the property?

1
2
3+

What is the license plate, make, and model of each vehicle?

Does your vehicle currently leak any fluids?

Yes
No

Do you plan to keep a water bed, aquarium, water cooler, fountain, or other water feature in the residence?

Do you have a piano or other musical instrument?

Yes
No

Do you maintain a clean and uncluttered home? How do you maintain that?

What are your thoughts about the peace and quiet of a home? What do you do to achieve that?

Have you ever filed bankruptcy?

Yes
No

Have you ever been evicted?

Yes
No