R E N T A L    A P P L I C A T I O N

 

Distinctive, Inc.                                      PROPERTY MANAGER(Agent):
7618 MEMORIAL PKWY. SW                                   
HUNTSVILLE, AL 35802            (PLEASE PRINT)     FAX#(256)425-0309

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ADDRESS OF PROPERTY APPLIED FOR             OCCUPANCY DATE         DATE APPLIED

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NAME OF APPLICANT: __________________________________________________________________

CURRENT ADDRESS: ____________________________________________________________________

                       STREET                   CITY                STATE   ZIP

PHONE#:(HM)____________________(WK)_____________________(CELL)______________________

EMAIL ADDRESS: ______________________________________________________________________

SOC.SEC. #: _____________________ DR.LIC. #: __________________ DATE OF BIRTH___________

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NAME OF CO-APPLICANT: _______________________________________________________________

CURRENT ADDRESS: ____________________________________________________________________

                       STREET                   CITY                STATE   ZIP

PHONE#:(HM)____________________(WK)_____________________(CELL)______________________

EMAIL ADDRESS: ______________________________________________________________________

SOC.SEC. #: _____________________ DR.LIC. #: __________________ DATE OF BIRTH___________

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ADDITIONAL OCCUPANTS:

NAME _________________________ AGE ______ RELATIONSHIP _____________________________ 

NAME _________________________ AGE ______ RELATIONSHIP _____________________________ 

NAME _________________________ AGE ______ RELATIONSHIP _____________________________ 

NAME _________________________ AGE ______ RELATIONSHIP _____________________________ 

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PETS: HOW MANY & TYPE OF PET (S): ___________________________________________________

(INFO. MUST BE DISCLOSED PRIOR TO LEASING PROPERTY & IS SUBJECT TO APPROVAL BY AGENT. PET FEE WILL BE REQUIRED UPON APPROVAL.)

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PREVIOUS RENTAL HISTORY

CURRENT ADDRESS: ___________________________________________FROM: ________ TO: ________

REASON FOR LEAVING: ______________________________________________ RENT AMT: _________

LANDLORD'S NAME: ___________________________________________ PHONE #: ______________

 

ADDRESS: ___________________________________________________FROM: ________ TO: ________

REASON FOR LEAVING: ______________________________________________ RENT AMT: _________

LANDLORD'S NAME: ___________________________________________ PHONE #: ______________

 

ADDRESS: ___________________________________________________FROM: ________ TO: ________

REASON FOR LEAVING: ______________________________________________ RENT AMT: _________

LANDLORD'S NAME: ___________________________________________ PHONE #: ______________

 

ADDRESS: ___________________________________________________FROM: ________ TO: ________

REASON FOR LEAVING: ______________________________________________ RENT AMT: _________

LANDLORD'S NAME: ___________________________________________ PHONE #: ______________

 

                                                                                                                       No          Yes              if yes, you MUST answer the following:

Have you or any member of your household ever been evicted?           __           __            From where?____________________________

                                                                                                                                                           When?___________ Why?_________________

Have you or any member of your household ever been evicted              __           __           From where?____________________________

from housing for drug-related criminal activity?                                                                           When?_________________________________

 

CRIMINAL HISTORY

You must answer the following questions completely and truthfully. If any of the answers are false, misleading or incomplete, your

application may be rejected, OR , if move-in has occurred, you may be evicted.

                                                                                                                         No           Yes            If yes, you MUST answer the following:

*Have you or any member of your household ever been convicted         __           __           Who?___________________ When?_________

of drug-related activity?                                                                                                                      Details:_________________________________

*Have you or any member of your household ever been convicted         __           __           Who?___________________ When?_________

of violent criminal activity?                                                                                                                 Details:_________________________________

*Are you or any member of your household a current illegal user of        __           __           Who?__________________________________

or addicted to a controlled substance?                                                                                           Details:_________________________________

*Have you or any member of your household ever been convicted         __           __           Who?___________________ When?_________

of the illegal manufacture or distribution of a controlled substance?                                        Details:_________________________________

*Have you or any member of your household ever been on parole         __           __           Who?___________________ When?_________

or are now on parole?                                                                                                                        Details:_________________________________

*Have you or any member of your household currently or in the               __           __           Who?___________________ When?_________

past used illegal drugs?                                                                                                                     Details:_________________________________

*Have you or any member of your household subject to registration       __           __           Who?___________________ When?_________

under a state sex offender registration program                                                                           Details:_________________________________

 

 

 

         SOURCES OF INCOME FOR APPLICANT (FROM EMPLOYER, AGENCY OR PERSON)

 

NAME & ADDRESS OF SOURCE:___________________________________________________________

NAME OF CONTACT TO VERIFY INCOME:__________________________ PHONE #:________________

INCOME:____________PER______(HR,WEEK,MONTH,YEAR)             AVERAGE ANNUAL INCOME:__________

 

NAME & ADDRESS OF SOURCE:___________________________________________________________

NAME OF CONTACT TO VERIFY INCOME:__________________________ PHONE #:________________

INCOME:____________PER______(HR,WEEK,MONTH,YEAR)             AVERAGE ANNUAL INCOME:__________

 

        SOURCES OF INCOME FOR CO-APPLICANT (FROM EMPLOYER, AGENCY OR PERSON)

 

NAME & ADDRESS OF SOURCE:___________________________________________________________

NAME OF CONTACT TO VERIFY INCOME:__________________________ PHONE #:________________

INCOME:____________PER______(HR,WEEK,MONTH,YEAR)             AVERAGE ANNUAL INCOME:__________

 

NAME & ADDRESS OF SOURCE:___________________________________________________________

NAME OF CONTACT TO VERIFY INCOME:__________________________ PHONE #:________________

INCOME:____________PER______(HR,WEEK,MONTH,YEAR)             AVERAGE ANNUAL INCOME:__________

 

     AUTOMOBILES & OTHER VEHICLES

OWNER NAME:______________MAKE/MODEL:________________YEAR:_____COLOR:_________TAG#:__________

OWNER NAME:______________MAKE/MODEL:________________YEAR:_____COLOR:_________TAG#:__________

OWNER NAME:______________MAKE/MODEL:________________YEAR:_____COLOR:_________TAG#:__________

 

                           BANKING & CREDIT REFERENCES

NAME OF APPLICANT’S BANK:_____________________ BRANCH:___________ ACCT.#:___________

NAME OF CO-APPLICANT’S BANK:__________________ BRANCH:___________ ACCT.#:___________

CREDIT REFERENCE:_____________________ ACCT.#:___________________ MO.PMT:___________

CREDIT REFERENCE:_____________________ ACCT.#:___________________ MO.PMT:___________

 

      PERSONAL REFERENCES-NOT RELATED TO YOU

NAME:_____________________ADDRESS:______________________________PHONE:______________

NAME:_____________________ADDRESS:______________________________PHONE:______________

NAME:_____________________ADDRESS:______________________________PHONE:______________

 

    EMERGENCY CONTACT

NAME:_____________________ADDRESS:______________________________PHONE:______________

NAME:_____________________ADDRESS:______________________________PHONE:______________

 

       APPLICANT/CO-APPLICANT CERTIFICATION

 

I certify that all information given in this application is true, complete and accurate.

 

I authorize Management to make any and all inquiries to verify this information either directly or through information exchanged now or later with rental

and credit screening services, previous and current landlords, law enforcement agencies, including the Sexual Offender Registries or other sources for verification confirmation which may be released to appropriate Federal, State or local agencies.

 

Please read carefully before you sign and make sure all questions have been answered. By signing this application, you acknowledge that you have

read & agree with the four certification statements listed above. You also acknowledge and agree that the application fee is non-refundable even if you

are not approved. You also acknowledge and agree that any deposit paid to hold a unit for you will be refunded to you if you are not approved; however,

if you are approved, but decide not to lease a unit, your deposit will not be refunded.

 

Signature: __________________________________________________ Date: _________________

 

Signature: __________________________________________________ Date: _________________

 

    NON-REFUNDABLE APPLICATION FEE OF $60.00 (CASH ONLY) PER

   APPLICANT REQUIRED PRIOR TO PROCESSING OF THIS APPLICATION.

 

    (Do not write below this line)

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APPLICATION APPROVED_____ or DENIED______   ____________ / ________________________

                                                DATE                AGENT SIGNATURE

 

TERMS: ___yr/mo.lease/$______mo.rent/$______deposit/$_____pet fee &/or $_____pet dep.

 

Move-in date: ___________ Misc.terms: _______________________________________________