Application for Rental

PLEASE PRINT- APPLICATION MUST BE READABLE. All information must be completed. All blanks must be filled in.
Incomplete applications will not be considered. The decision to rent to you will depend in great part on your credit history
and references. Only clean, responsible people who pay rent on time need apply. A one year lease is required. The security
deposit is equal to one months rent.

How did you find out about us? Sign [___] KSL.com [___] Craigs List [___] Friend [___] Other_______________________

YOUR PERSONAL INFORMATION

Full Name____________________________________________________ Phone _________________________________

Email ________________________________________ Social Security Number ___________________________________

Current Drivers License #_______________________________________ State__ Birthday _____________________

Current Address __________________________________________________________________________________

How Long?..________ If renting, Apartment name/location_________________________ Phone (____)______________

Landlord/Manager name___________________________ Alternative Phone ______________________________________

Why are you leaving? _We are staying with them until we find a place to live___________ ____________________
Current Rent $______________

Desired date of occupancy; _____________; but willing to wait until home is ready to be occupied___________________

Previous Address __________________________________________________________________________________

How long?__________ If renting, Apt. name/location _________________________________Phone (___)_____________

Landlord/Mgrs name__________________________________ Alternative Phone (___)_________________________

Why did you leave? To provide better education for children at a better place and people; and Utah is an attractive place for
low cost of living, etc.______________________________ Rent Payment $_________________________________

EMPLOYMENT

Present Employer__________________________ Position___________________________ How long? _____________

Address______________________________________________________________ Phone (____)____________________

Gross Monthly Income before deductions $___________________ Other Income $____________ Source_______________

Former Employer___________________________________________________________ _ How long? _____________

Address________________________________________________ Phone (____)___________________

Why did you leave? Retired______

CREDIT REFERENCES
This may include store credit cards Rental stores, car loans, small loans etc.

Bank/Credit Union_________________ _____ Acct# _________________________ Branch_______________________

City ____________________________________ Approx. Balance $________________ How long? _________________

Other Active Credit Ref._________________ Account #_____________________________ Exp. Date______________

Type of Account_______________ Credit Limit_________ How long ___________ Are all payables current? ____________

Other Active Credit Ref. ______________ Account # _______________________ Exp. Date_____________________

Type of Account_________________ Credit Limit $________________ How long ____ Are all payables current? ________

BACKGROUND

Have you ever been evicted? _____ Have you ever had a foreclosure/repossession? _________

Have you ever filled for bankruptcy? ______ Have you had 2 or more late rental payments in the last year? ________

Have you ever been convicted of a crime, other than a traffic violation? ______________

Have you ever willfully withheld a rental payment? ________ Are you on the sex offender registry? ___________

Do you have any credit accounts that are currently being handled by a collection agency? ____________

Will you or do you smoke? _____________ Will you or do you have pets? _________________

Have you ever broken a lease? _____________ Do you own a vacuum cleaner ____________

Do you have the money for the first months rent and deposit? ________________

PERSONAL REFERENCES

(List 3 persons, OTHER THAN YOUR RELATIVES, that we may contact to verify your character.)

Name___________________________ Relationship_________________________ Phone ______________________

Address___________________________________City________________________ State _____________Zip _________

Name___________________________ Relationship________________________ Phone (____)___________________

Address__________________________________City____________________ State ____________Zip _______________

Name_____________________________ Relationship__________________ Phone (_____)________________________

Address__________________________________________ State _______Zip _______________________________

 EMERGENCY CONTACTS

In an emergency you may we contact- List 2 starting with nearest relative first.

Name__Ata_Toleafoa_______ Relationship__Friend____Phone (_808)_428-5065_______

Address_1981W_475S________City__Orem________ State __UT___Zip __84058_______

Name__Nicholas Tiafala_____ Relationship__Son_________________ Phone (808)_690-0798____

Address_1305 N Canyon Rd____City__Provo____ State _UT________Zip _84604________

OTHER OCCUPANTS

(Other persons, including children who will live in the dwelling unit)

Name_Amaron Tiafala__________ Age_17yrs_______ Name__Faagalo Tiafala_____ Age_54___

Name_Leagatele Toa___ Age_52___ Name__________________________________ Age________

Name_______________________________ Age________ Name__________________________________ Age________

THINGS NOT ALLOWED

No pets are allowed at any time on the premises without prior written approval of the landlord. Additional fees may be required.
NO EXCEPTIONS. No water beds allowed and no smoking within the premises.

Date of desired occupancy________________ Anticipated length of stay ______________________________

LIST ALL MOTOR VEHICLES, INCUDING RECREATIONAL TO BE KEPT AT THE PROPERTY

MAKE COLOR MODEL YEAR LICENSE PLATE# STATE MONTHLY PAYMENT

______ ________ ________ ________ __________________ ______ $__________________

______ ________ ________ ________ __________________ ______ $__________________

______ ________ ________ ________ __________________ ______ $__________________

A non-refundable application fee of $ 35 is required for processing this application, and is being paid herewith. Please make
the check out to Saratoga Ventures II LLC. The undersigned expressly agrees that if this application is approved applicant
herewith agrees to rent this property and will pay a $100 reservation fee. Applicant further agrees that if applicant is accepted
by Management and then decides not to move into the premises, then all monies paid herewith shall be retained as liquidated
damages since other prospective tenants may have been turned away and it may be necessary for Management to re-
advertise the property and evaluate other applicants. Processing of application shall be as timely as possible and the results
may be delivered via telephone, fax or mail. Once approved, applicant agrees to pay the balance of funds (first month rent and
security deposit) and complete the lease paperwork within 48 hours, otherwise management will assume that applicant has
decided not to go through with the rental and to forfeit the reservation fee and landlord will begin re-marketing the property

A PHOTO COPY OF YOUR DRIVERS LICENSE OR PICTURE ID CARD OR SOCIAL SECURITY CARD AND A COPY OF
 YOUR LATEST PAY CHECK MUST BE ATTACHED TO THE APPLICATION.

I declare that the application is complete, true and correct and I herewith give my permission for anyone contacted to release
the credit or personal information of the undersigned applicant to Management and/or their authorized agents, at any time, for
the purposes of entering into and continuing to offer or collect on any agreement, debt and/or credit extended. I further
authorize Management or their Authorized Agents to verify the application information including but not limited to obtaining
criminal records, contacting creditors, present or former landlords, employers and personal references, whether listed or not, at
the time of the application and at any time in the future, with regard to any agreement entered into with Management. Any false
information will constitute grounds for rejection of the application, or Management may at any time immediately terminate any
agreement entered into in reliance upon misinformation given on this application.

________________________________________________ _____________________________________________
Applicants Authorization - Signature Print Name

_____________________________________
Date

Application must be returned to the manager at:

Mail: Guy Pribyl

66 w 680 s. Orem, Utah 84058
Email: guyprib@gmail.com

A security deposit of one months rent is required. Landlord may work with tenant to pay monthly into a security
deposit account if they are unable to pay at the time of rental. This may be a determining factor when considering
applications for leasing.