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: ______________________________________________________________________
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NAME OF CO-APPLICANT: _______________________________________________________________
CURRENT ADDRESS: ____________________________________________________________________
STREET CITY STATE ZIP
PHONE#:(HM)____________________(WK)_____________________(CELL)______________________
EMAIL ADDRESS: ______________________________________________________________________
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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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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:___________
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: _______________________________________________