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    General Information

    Complex & Apt #

    Rental Start

    How did you find us?

    Group Name (if applicable):

    Your Information

    Last Name

    First Name

    Date of Birth (mm/dd/yyyy)

    Social Security # (required either now or at signing)

    Driver's License #

    State Issued

    Permanent Phone

    Cell Phone

    Other/Work Phone

    Email Address

    Permanent Address (parents, etc.)




    School Information

    College Attending

    Student ID #

    Rental History

    Previous Address 1




    Date Moved In

    Date Moved Out

    Owner/Manager Name


    Reason For Leaving

    Previous Address 2




    Date In

    Date Out

    Owner/Manager Name


    Reason For Leaving

    Other Questions

    YesNo - Have you ever been evicted from any tenancy?
    YesNo - Have you ever caused more than $150 in damage to a rental property?
    YesNo - Have you ever been convicted of a felony? Or a criminal conviction?
    YesNo - Have you had any credit problems during the past two years?
    YesNo - Are you under the age of 18 at the time of executing this contract?
    YesNo - Are you planning to leave for any contractually approved reason during the term of your contract?
    YesNo - Will someone else be paying your rent/rental expenses?

    If you answered yes to any of the above, please explain here:

    YesNo - Are you buying the contract of another tenant?

    (If yes above) Name of tenant you are replacing


    Acknowledge Terms

    You will be required to sign the BYU student-landlord rental agreement for your contract. Have you read and will you agree to the terms of the Rental Agreement?

    Have you read and do you agree to live according to the BYU Honor Code?

    Do you give us permission to contact previous landlords and to perform a background check in our tenant screening process?

    Please sign in the box below (using your mouse or finger):