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Personal Information:
Last Name:
First:
Middle:
Gender: :
D.O.B:
Last 4 digits ofSS#:
 Cell Phone:
E-mail:

Address:
Street:
City:
State: Zip:

Parent/Guardian Information:
Name:
Street:
City:
State: Zip:
Phone:    

Other:
I want a:
Shared room with roomate and washer/dryer  ($995.00/sem)
Shared room with roomate. No washer/dryer ($945.00/sem)
Giant shared room with roomate in our largest apartment. No washer & dryer. ($995.00/sem)
Private room (No washer/dryer) ($995.00/sem)
Private room on the Park. No washer/dryer. ($1,125.00/sem)

Private room on the Park. No washer/dryer. (larger units with kitchen table and chairs rather than bars w/stools) ($1,175.00/sem)
Private room on the Park with washer/dryer. (larger units with kitchen table and chairs rather than bars w/stools) ($1,300.00/sem)
Private room with washer/dryer. (larger units with kitchen table and chairs rather than bars w/stools) ($1,275.00/sem)
I wish to start occupancy in the:
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).:
I prefer the following individuals (other than roomate)
to live in my apartment:
1)
2)
3)
4)
(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?
Tell us about your likes and dislikes.
How did you find out about us?


APARTMENT RULES:

  1. ABSOLUTELY NO SMOKING, ALCOHOLIC BEVERAGES, DRUGS, OR FIREARMS. IF YOU PLAN ON SMOKING, USING DRUGS, OR DRINKING, DO NOT APPLY TO LIVE HERE.

  2. No overnight guests. (Guest must be out by 12:00 midnight Sunday-Thursday, and 1:30 am Fridays and Saturdays).

  3. Rent is due at time of move-in or first day of school each semester, whichever comes first. Advance arrangements covering rent must be made if you are on a scholarship. If you want to pay in installments your parents mustlive in Utah and must sign a credit card and parent guaranty agreement.

  4. Cost of any damages caused by student will be paid by student.

  5. No pets.

  6. 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.

  7. Bicycle racks are provided for each building. No bicycles are permitted in the Apartments.

  8. Residents may not use tape (or self-adhesive products) on the walls.

  9. 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

  10. Additional rules are contained in your lease agreement

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 show up and pay rent by the first day of school, 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. Mail your deposit to:

Park Place Apartments
30 North 400 East
Ephraim City, UT 84627
(435) 283-6143

By pressing submit, you agree to abide by the above rules, to send a deposit check within 10 days, and to sign a lease for the time period and rental amount set forth above upon your arrival. Should you cancel your application, your deposit will only be refunded as long as the cancellation notice is received in writing or by email by June 1st if your are applying for Fall semester or by Oct. 1st if you are applying for Spring semester. I understand that Park Place may reject this application for any reason it deems proper.

Check here if you want to pay in installments. If so, CLICK HERE TO DOWNLOAD a parent credit card authorization and guaranty agreement to be signed and notarized--not available if your parents live out of state or do not qualify financially. Otherwise your entire rent is due on when you move in. No exceptions. An additional charge of $50 per semester applies if you choose to pay in installments.

Date: