Rental Application

Paige Properties Of Mountain Home 21 North Star Circle, Mtn. Home, AR 72653 Phone & Fax: (870) 424-7888
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What Are Are Looking To Rent?
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If you can't move within 30 days, it's likely our vacancies will have changed drastically, and you may not be able to move in where you'd like.
Are you interested in our Utilities Included Package for another $200/month?
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Applicant #1 Information -

All questions in this section apply to Applicant #1. Please note that it does not matter who is Applicant #1 or #2
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If You Were Living With A Family Member Or Friend, List The Head Of The Household
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Is There A Spouse or Co-Applicant Applying With You?
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Applicant #2 Information -

All questions in this section apply to Applicant #2. Please note that it does not matter who is Applicant #1 or #2
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If You Were Living With A Family Member Or Friend, List The Head Of The Household
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All Occupant Information

Include yourself, children, relatives and any other co-residents (spouses, significant others, roommates) when filling out this section.

Name, Age, Relationship

List the name, age, and relationship of ALL PERSONS to be occupying the premises
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Are There More Residents You Need To List?
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Vehicles

List All The Vehicles To Be Parked On The Premises By Applicant, Co-Applicant, Or Children Including Cars, Trucks, Motorcycles, Trailers, Boats, Etc.

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Do You Have More Than 2 Vehicles?
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Will You Or Other Occupants Have A Pet?
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Background History

Have You Or Any Other Occupants Ever Been Evicted?
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Have You Or Any Other Occupants Ever Broken A Lease Or Rental Agreement?
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Have You Or Any Other Occupants Ever Been Sued For Non-Payment Of Rent Or Damages To A Rental Property?
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Have You Or Any Other Occupants Ever Been Arrested?
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Have You Or Any Other Occupants Ever Been Convicted Of A Felony?
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Emergency Information

Nearest Living Relative

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List Nearest Friend

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In Case Of Emergency Please Contact:

This Contact Should Be Someone Other Than 911
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I declare that the foregoing information is true and correct, I authorize Paige Properties management permission to obtain it's verification by phone, mail, internet, or consumer credit report now, and at any time in the future for whatever reason deemed necessary by Paige Properties or the agents thereof. I understand that falsified information on this application is grounds for rejection and/or eviction if a lease is in effect.

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There Will Be A $25.00 Service Fee PER APPLICANT On All Applicants Taken

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Rental Application

How Did You Hear About Us?
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What Are Are Looking To Rent?
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How soon are you looking to move?
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Are you interested in our Utilities Included Package for another $200/month?
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Applicant #1 Information -

All questions in this section apply to Applicant #1. Please note that it does not matter who is Applicant #1 or #2
Name
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Phone
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Social Security Number
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Social Security Number
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Date Of Birth
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Email
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Marital Status
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Present Address
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How Long Have You Lived There?
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Why Are You Leaving?
Landlord's Name:
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Landlord's Phone
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Employer
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Employment Address
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Occupation
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How Long Have You Worked There?
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How Much Is Your Monthly Income?
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Your Bank's Name
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Your Bank's City
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Checking Account Number
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Savings Account Number
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Is There A Spouse or Co-Applicant Applying With You?
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Applicant #2 Information -

All questions in this section apply to Applicant #2. Please note that it does not matter who is Applicant #1 or #2
Name
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Phone
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Social Security Number
{binding displayValue}
Social Security Number
{binding displayValue}
Date Of Birth
{binding displayValue}
Email
{binding displayValue}
Marital Status
{binding displayValue}
Present Address
How Long Have You Lived There?
{binding displayValue}
Why Are You Leaving?
Landlord's Name:
{binding displayValue}
Landlord's Phone
{binding displayValue}
Employer
{binding displayValue}
Employment Address
{binding displayValue}
Occupation
{binding displayValue}
How Long Have You Worked There?
{binding displayValue}
How Much Is Your Monthly Income?
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Your Bank's Name
{binding displayValue}
Your Bank's City
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Checking Account Number
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Savings Account Number
{binding displayValue}
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All Occupant Information

Include yourself, children, relatives and any other co-residents (spouses, significant others, roommates) when filling out this section.

Name, Age, Relationship

List the name, age, and relationship of ALL PERSONS to be occupying the premises
Name
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Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Are There More Residents You Need To List?
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Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
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Vehicles

List All The Vehicles To Be Parked On The Premises By Applicant, Co-Applicant, Or Children Including Cars, Trucks, Motorcycles, Trailers, Boats, Etc.

Vehicle Type
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Year
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License Number
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State
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Color
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Vehicle Type
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Year
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License Number
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State
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Color
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Do You Have More Than 2 Vehicles?
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Vehicle Type
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Year
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License Number
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State
{binding displayValue}
Color
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Vehicle Type
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Year
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License Number
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State
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Color
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Applicant #1 Driver's License Number
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Applicant #2 Driver's License Number
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Will You Or Other Occupants Have A Pet?
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What Type Of Pet Is It?
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How Old Is Your Pet?
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Background History

Have You Or Any Other Occupants Ever Been Evicted?
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If Yes, Who And Why?
Have You Or Any Other Occupants Ever Broken A Lease Or Rental Agreement?
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If Yes, Who And Why?
Have You Or Any Other Occupants Ever Been Sued For Non-Payment Of Rent Or Damages To A Rental Property?
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If Yes, Who And Why?
Have You Or Any Other Occupants Ever Been Arrested?
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If Yes, Who And Why?
Have You Or Any Other Occupants Ever Been Convicted Of A Felony?
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Who Was Convicted?
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What Was The Felony For?
When Was The Conviction?
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Emergency Information

Nearest Living Relative

Name 1
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Relationship To Applicant Or Co-Applicant
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Address 1
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Phone 1
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Name 2
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Relationship To Applicant Or Co-Applicant
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Address 2
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Phone 1
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List Nearest Friend

Name
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Phone
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Address
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In Case Of Emergency Please Contact:

This Contact Should Be Someone Other Than 911
Name
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Relationship To Applicant or Co-Applicant
{binding displayValue}
Address
{binding displayValue}
Phone
{binding displayValue}
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I declare that the foregoing information is true and correct, I authorize Paige Properties management permission to obtain it's verification by phone, mail, internet, or consumer credit report now, and at any time in the future for whatever reason deemed necessary by Paige Properties or the agents thereof. I understand that falsified information on this application is grounds for rejection and/or eviction if a lease is in effect.

Applicant #1 Signature
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Applicant #2 Signature
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Date Of Signing
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There Will Be A $25.00 Service Fee PER APPLICANT On All Applicants Taken

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Rental Application

Paige Properties Of Mountain Home 21 North Star Circle, Mtn. Home, AR 72653 Phone & Fax: (870) 424-7888
How Did You Hear About Us?
{binding displayValue}
What Are Are Looking To Rent?
{binding displayValue}
How soon are you looking to move?
{binding displayValue}
Are you interested in our Utilities Included Package for another $200/month?
{binding displayValue}

Applicant #1 Information -

All questions in this section apply to Applicant #1. Please note that it does not matter who is Applicant #1 or #2
Name
{binding displayValue}
Phone
{binding displayValue}
Social Security Number
{binding displayValue}
Social Security Number
{binding displayValue}
Date Of Birth
{binding displayValue}
Email
{binding displayValue}
Marital Status
{binding displayValue}
Present Address
{binding displayValue}
How Long Have You Lived There?
{binding displayValue}
Why Are You Leaving?
Landlord's Name:
{binding displayValue}
Landlord's Phone
{binding displayValue}
Employer
{binding displayValue}
Employment Address
{binding displayValue}
Occupation
{binding displayValue}
How Long Have You Worked There?
{binding displayValue}
How Much Is Your Monthly Income?
{binding displayValue}
Your Bank's Name
{binding displayValue}
Your Bank's City
{binding displayValue}
Checking Account Number
{binding displayValue}
Savings Account Number
{binding displayValue}
{ binding firstError.message }
Is There A Spouse or Co-Applicant Applying With You?
{binding displayValue}

Applicant #2 Information -

All questions in this section apply to Applicant #2. Please note that it does not matter who is Applicant #1 or #2
Name
{binding displayValue}
Phone
{binding displayValue}
Social Security Number
{binding displayValue}
Social Security Number
{binding displayValue}
Date Of Birth
{binding displayValue}
Email
{binding displayValue}
Marital Status
{binding displayValue}
Present Address
How Long Have You Lived There?
{binding displayValue}
Why Are You Leaving?
Landlord's Name:
{binding displayValue}
Landlord's Phone
{binding displayValue}
Employer
{binding displayValue}
Employment Address
{binding displayValue}
Occupation
{binding displayValue}
How Long Have You Worked There?
{binding displayValue}
How Much Is Your Monthly Income?
{binding displayValue}
Your Bank's Name
{binding displayValue}
Your Bank's City
{binding displayValue}
Checking Account Number
{binding displayValue}
Savings Account Number
{binding displayValue}
{ binding firstError.message }

All Occupant Information

Include yourself, children, relatives and any other co-residents (spouses, significant others, roommates) when filling out this section.

Name, Age, Relationship

List the name, age, and relationship of ALL PERSONS to be occupying the premises
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Are There More Residents You Need To List?
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
Name
{binding displayValue}
Date Of Birth
{binding displayValue}
Relationship
{binding displayValue}
{ binding firstError.message }

Vehicles

List All The Vehicles To Be Parked On The Premises By Applicant, Co-Applicant, Or Children Including Cars, Trucks, Motorcycles, Trailers, Boats, Etc.

Vehicle Type
{binding displayValue}
Year
{binding displayValue}
License Number
{binding displayValue}
State
{binding displayValue}
Color
{binding displayValue}
Vehicle Type
{binding displayValue}
Year
{binding displayValue}
License Number
{binding displayValue}
State
{binding displayValue}
Color
{binding displayValue}
Do You Have More Than 2 Vehicles?
{binding displayValue}
Vehicle Type
{binding displayValue}
Year
{binding displayValue}
License Number
{binding displayValue}
State
{binding displayValue}
Color
{binding displayValue}
Vehicle Type
{binding displayValue}
Year
{binding displayValue}
License Number
{binding displayValue}
State
{binding displayValue}
Color
{binding displayValue}
Applicant #1 Driver's License Number
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Applicant #2 Driver's License Number
{binding displayValue}
{ binding firstError.message }
Will You Or Other Occupants Have A Pet?
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What Type Of Pet Is It?
{binding displayValue}
How Old Is Your Pet?
{binding displayValue}

Background History

Have You Or Any Other Occupants Ever Been Evicted?
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If Yes, Who And Why?
Have You Or Any Other Occupants Ever Broken A Lease Or Rental Agreement?
{binding displayValue}
If Yes, Who And Why?
Have You Or Any Other Occupants Ever Been Sued For Non-Payment Of Rent Or Damages To A Rental Property?
{binding displayValue}
If Yes, Who And Why?
Have You Or Any Other Occupants Ever Been Arrested?
{binding displayValue}
If Yes, Who And Why?
Have You Or Any Other Occupants Ever Been Convicted Of A Felony?
{binding displayValue}
Who Was Convicted?
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What Was The Felony For?
When Was The Conviction?
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Emergency Information

Nearest Living Relative

Name 1
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Relationship To Applicant Or Co-Applicant
{binding displayValue}
Address 1
{binding displayValue}
Phone 1
{binding displayValue}
Name 2
{binding displayValue}
Relationship To Applicant Or Co-Applicant
{binding displayValue}
Address 2
{binding displayValue}
Phone 1
{binding displayValue}
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List Nearest Friend

Name
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Phone
{binding displayValue}
Address
{binding displayValue}
{ binding firstError.message }

In Case Of Emergency Please Contact:

This Contact Should Be Someone Other Than 911
Name
{binding displayValue}
Relationship To Applicant or Co-Applicant
{binding displayValue}
Address
{binding displayValue}
Phone
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

I declare that the foregoing information is true and correct, I authorize Paige Properties management permission to obtain it's verification by phone, mail, internet, or consumer credit report now, and at any time in the future for whatever reason deemed necessary by Paige Properties or the agents thereof. I understand that falsified information on this application is grounds for rejection and/or eviction if a lease is in effect.

Applicant #1 Signature
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Applicant #2 Signature
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Date Of Signing
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There Will Be A $25.00 Service Fee PER APPLICANT On All Applicants Taken

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