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Personal Information: |
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| First: |
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| Middle: |
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| Gender:
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D.O.B: |
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| Social Security #: |
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| Home
Phone: |
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Cell
Phone: |
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| E-mail:
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| Have you ever been convicted of a crime:
No
Yes
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| If yes, please explain:
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| Have you ever been charged with a crime:
No
Yes
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| If yes, please explain:
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Address: |
| Street:
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| City:
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| State:
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Zip: |
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Parent/Guardian Information: |
| Name:
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Street: |
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| City:
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| State:
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Zip:
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| Phone: |
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Other: (Note: All rents include utilities.)
Read FAQ
No. 3 about utility allotment. |
I
want a:
Shared room with roommate. No washer/dryer ($1270/sem) |
I
want a:
Shared room with roommate and washer/dryer ($1370/sem) |
I
want a:
Giant shared room with roommate in our largest apartment. No washer & dryer (With your own walk in closet) ($1380/sem) |
I
want a:
Private room, not on park (No washer/dryer) ($1390/sem) |
I
want a:
Private room on the Park w/bar and stool seating. (No washer/dryer) ($1470/sem) |
I
want a:
Private room on the Park. (No washer/dryer) (larger units with kitchen table and chairs rather than bars w/stools) ($1515/sem) |
I
want a:
Private room with washer/dryer. (larger units with kitchen table and chairs rather than bar w/stools, black appliances, Building O, not on park) ($1575/sem) |
I
want a:
Private room on the Park with washer/dryer. (larger units with kitchen table and chairs vs. bars w/stools, black appliances) ($1595/sem) |
I
want a:
Private room with washer/dryer (larger units w/kitchen table/chairs vs. bars w/stools, black appliances, upgraded furniture/flooring.) (NEWEST UNITS Buildings P, J and K NOT on park, with granite counter tops. ($1625/sem) |
I
want a:
Shared room all to yourself without washer and dryer ($1775/sem) |
I
want a:
Shared Room all to yourself with washer and dryer ($1825/sem) |
| I
wish to start occupancy in the:
Year:
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I
prefer the following individual as my roomate (If
you have requested a private room, this will be
the person you share a connected bathroom with).:
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I
prefer the following individuals (other than roomate)
to live in my apartment: |
1)
2)
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3)
4)
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| (Roomate
and apartment assignments are at discretion of Landlord.) |
What
are you looking for in a roomate or others who
are living in your apartment?
When
roomate assignments are made, you
will receive an email with phone numbers and email
addresses for your roommates. If you do
not want us to share this information
with your roommates please click this box:
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Tell
us about your likes and dislikes. Also, if you were
referred here by someone, please list their name
here.
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How
did you find out about us?
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-
ABSOLUTELY
NO SMOKING, ALCOHOLIC BEVERAGES, DRUGS,
OR FIREARMS. IF YOU PLAN ON SMOKING, USING
DRUGS, OR DRINKING, DO NOT APPLY
TO LIVE HERE.
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No
overnight guests. (Guest must be out by
12:00 midnight Sunday-Thursday, and 1:30
am Fridays and Saturdays).
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Fall
rent is due at time of move-in or August
1st, (whichever comes first). Spring semester
rent is due by December 1st. Call for arrangements
with scholarship or student aid. If you
want to pay in installments your parents
must live in Utah (unless you are on financial
aid) and must sign a credit card and parent
guaranty agreement.
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Cost
of any damages caused by student will be
paid by student.
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- No
paintball or soft air pellet guns. Anyone caught
with such a device will receive a $100 fine.
Anyone who reports a tenant who is using such
a device will receive a $50 reward.
- Bicycle
racks are provided for each building. No bicycles
are permitted in the Apartments.
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Residents
may not use tape (or self-adhesive products)
on the walls.
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Those
signing up for the fall agree to stay also
for spring semester. If
you leave Spring semester you must either
pay the rent or find a substitute tenant.
We will discount the contracts to make them
easier to sell for those leaving to serve
religious missions
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Additional
rules are contained in your lease agreement
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| By
submitting this application and sending in your
deposit of $250.00 a place will be reserved for
you for up to 10 days, as long as there is still
space available. To keep your reservation you
must pay semester rent (or your first installment)
by Austust 1st, or call or email to make arrangements
if you will be late. Otherwise, your place may
be given to another. If you ask for a type of
room that is filled up you will be given another
room assignment. Call and pay your deposit with
a Credit Card or mail your deposit to:
Park Place Apartments
30 North 400 East
Ephraim City, UT 84627
(435) 283-6143
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