UNIVERSITY REAL ESTATE & PROPERTY MANAGEMENT, LLC

_______________________________________________

 

817 19th Street                                                                                Rental Application

 Knoxville, TN 37916                                                                                           FEE:   $ 40.00

                 Office      (865) 673-6600

                 Fax          (865) 673-5982

 

 

How did you hear about us? ______________________________________________________________

For which property are you applying?_______________________________________________________

Names of future roommates, if any?  ________________________________________________________

 

PERSONAL INFORMATION

 (All persons over the age of 18 must file separate applications.)

 

Full Name: ____________________________________________    Cell Phone: (____)_______________

 

Social Security: ____________________________________          Date of Birth: ____________________

 

E-Mail Address: ________________________________________

 

RESIDENCE HISTORY

 

Present Address:   ________________________________________________________________________

 

City: _____________________________ State: ____________   Zip: _______________

 

Month and Year Moved In: ____________________________   Monthly Rent: ______________________

 

Landlord's Name: ________________________________________    Phone: (_____)__________________

 

Reason for Moving:   _____________________________________________________________________

 

EMPLOYMENT INFORMATION

(All students must have a Rental Responsibility Form signed by a Parent or Guardian.)

 

Your Status:

Full Time               Part Time            Student          Self Employed              Unemployed

 

Employer:   _____________________________________________________________________________

 

Employer's Address:   _____________________________________________________________________

 

City: ___________________________ State: _____________   Zip: ______________

 

Position Held: _________________________________ Salary: ___________________   Per: __________

 

Supervisor: ____________________________________________   Phone: (_____)___________________

 

If employed by above less than 6 months, give name and address of Previous Employer or School. ______________________________________________________________________________________

______________________________________________________________________________________

 

If there are other sources of income you would like us to consider, please list income, source and person we could contact for confirmation.  You do not have to reveal alimony, child support or spouse's annual income unless you want us to consider it in this application.

 

Amount $ _____________________ Per ______________________ Source ________________________

BANKING INFORMATION

 

Your Bank                                   City/State                                    Branch                                     Type of Account

__________________________________________________________________________________

 

OTHER INFORMATION

 

Driver's License Number: ____________________________   State: _______________________________

 

Vehicle (1) Make/Model: _____________________ Year: _______ Tag No: __________    State: ________

 

Have you ever:                        Filed for Bankruptcy?                                                                                    No          Yes

                                                 Been Evicted from Tenancy?                                                                     No          Yes

                                                 Willfully or intentionally refused to pay rent when due?                      No          Yes

                                               Accounts sent for collection?                                                                 No          Yes

 

In case of a personal emergency, notify:  _____________________________________________________

 

Address:      _____________________________________________________________________________

 

City: ___________________________ State: _____________   Zip: ______________

 

Relationship: ____________________________________           Phone: (_____)____________________

 

 

If management has any questions about this application, please give phone number where you can be located.

Day: __________________________________              Night: __________________________________

 

 

I recognize that this application is subject to acceptance or rejection.  I hereby state that the information set forth above is true and complete and authorize University Real Estate & Property Management, LLC to make inquiries to the Credit Bureau and to verify information and references given.

 

 

Signature of Applicant: _____________________________________________   Date: _______________