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AGENT:__________________PAID:____________________$35 PER APPLICANTALL ADULTS MUST COMPLETE APPLICATIONOnce application is approved, the full amount of deposit will be due within 24 hours to hold the property. By paying deposit and placing a property on hold you are committing to lease the property. It will no longer be advertised. If you change your mind for any reason and do not rent the property, you forfeit your deposit. caroline.rutledge@*EQUAL HOUSING OPPORTUNITY*DATE:PROPERTY:I represent that the below information is true and correct. I represent that I am a United States citizen, or I am a lawful resident of the United States. I understand this is a rental application,and completing it does not guarantee I will be approved to rent. I authorize the landlord or manager to verify the information on this application and to obtain a credit report andbackground report on me.INITIALI give you permission to share this application, or information obtained by you in processingthis application, with persons or companies affiliated with the landlord, property manager, or owner of property.INITIALAfter executing a lease with Landlord/Property Manager, if any facts stated in rental application prove to be untrue, the Landlord shall have the right to terminate the residency immediately and to collect from me any damages resulting therefrom. INITIALIn order for us to service our account or collect any amounts you may owe, we may contact you by telephone at any telephone number associated with your account, including wireless telephone numbers, which could result in charges to you. We may also contact you by sending text messages or e-mails, using any e-mail address you provide to us. Methods of contact may include using pre-recorded/artificial voice messages and/or use of an automatic dialing device, as applicable.INITIALSIGNATUREDATESIGNATUREDATEFull Legal NameSocial Security NumberDriver's License NumberThe best phone number to reach meemail addressDate of Birth(mo/day/year)My current address (select one) Tenant Owner Live with parents Live with other$ Monthly rent/paymentI have lived here sinceI am moving becauseIf tenant, NAME AND CONTACT OF LANDLORD*In the past 24 months, have you receiveda Notice of Default from a landlord?*In the past 5 years, has a landlordterminated your lease rights, whether by notice or by lawsuit?If "yes" to either question above, please explain:Full Legal NameSocial Security NumberDriver's License NumberThe best phone number to reach meemail addressDate of Birth(mo/day/year)My current address (select one) Tenant Owner Live with parents Live with other$ Monthly rent/paymentI have lived here sinceI am moving becauseIf tenant, NAME AND CONTACT OF LANDLORD*In the past 24 months, have you receiveda Notice of Default from a landlord?*In the past 5 years, has a landlordterminated your lease rights, whether by notice or by lawsuit?If "yes" to either question above, please explain:Are you currently active duty military?Do you have plans to enter military?Current EmployerWork Address Job DescriptionHow long with this employer?Average monthly income from this employerIf less than 2 years, previous employerPrevious employer's contact informationAny self employment incomeAdditional sources of income that you rely on to pay your billsIs any portion of your income from illegal activities? yes noDo you own or plan to purchase a water bed yes noDo you own or plan to purchase an above ground pool yes noDo you own or plan to purchase a trampoline yes noAre you currently active duty military?Do you have plans to enter military?Current EmployerWork AddressJob DescriptionHow long with this employer?Average monthly income from this employerIf less than 2 years, previous employerPrevious employer's contact informationAny self employment incomeAdditional sources of income that you rely on to pay your billsIs any portion of your income from illegal activities? yes noDo you own or plan to purchase a water bed yes noDo you own or plan to purchase an above ground pool yes noDo you own or plan to purchase a trampoline yes noWill you require any visual smoke detector for the deaf or hearing impaired? yes noHow do you usually pay rent?check money order cashHave you:filed bankruptcy within the last 5 years yes nobeen the defendant in any collection lawsuits within the last 5 years yes nohad any credit cards cancelled in the last 24 months yes noare you awaiting trial or disposition for a felony or a sex offense yes noif "yes" explain Do you have any felony convictions that have not been pardoned yes noif "yes" explain Do you have any unpardoned misdemeanor or sex offense convictions yes noif "yes" explain Are you required to register as a sex offender? yes noWill you require any visual smoke detector for the deaf or hearing impaired? yes noHow do you usually pay rent?check money order cashHave you:filed bankruptcy within the last 5 years yes nobeen the defendant in any collection lawsuits within the last 5 years yes nohad any credit cards cancelled in the last 24 months yes noare you awaiting trial or disposition for a felony or a sex offense yes noif "yes" explain Do you have any felony convictions that have not been pardoned yes noif "yes" explain Do you have any unpardoned misdemeanor or sex offense convictions yes noif "yes" explain Are you required to register as a sex offender? yes noCOMPLETING THIS SECTION DOES NOT GUARANTEE PETS WILL BE APPROVEDDo you own a pet? yes noIS THIS A SERVICE DOG OR EMOTIONAL SUPPORT ANIMAL? yes noIf a Service Dog:Is this a service animal that is required because of a disability? yes noWhat work or tasks has the animal been trained to perform?If an Emotional Support Animal:Does the person seeking to use and live with the animal have a disability? yes noDoes the person making the request have a disability-related need for an assistance animal? yes noDo you have documentation by a health care professional? yes noName, Breed, age, and approx weight of each animalName of animal that is a disability related service animalName of animal that typically lives outsideName of animal that typically lives insideName of animal(s) that have not been spayed or neuteredDOCUMENTATION FOR A SERVICE OR EMOTIONAL SUPPORT ANIMAL THAT IS PURCHASED ONLINE IS ILLEGAL IN ALABAMA AND WILL NOT BE CONSIDERED APPROPRIATE DOCUMENTATION. ALABAMA STATE LAW PROVIDES FOR MISDEMENAOR CRIMINAL PENALTIES IF AN INDIVIDUAL KNOWINGLY AND INTENTIONALLY MISREPRESENTS AN ANIMAL AS AN ASSISTANCE OR SERVICE ANIMAL IN HOUSING OR MISREPRESENTS THEIR ENTITLEMENT TO AN ASSISTANCE OR SERVICE ANIMAL. Are all animals current on required shots yes noHave any of listed animals ever injured someone yes noHave you ever lost a deposit or had to pay damages as a result of one of these animals? yes noExplainOCCUPANTS IN THE HOMEAll adults (19 years or older, 18 if married) will be required to complete rental application. All adults will appear on lease as jointly responsible.List NAMES, AGES, AND RELATIONSHIP of all people who will be living in the property. The age of minors is for accountability and safety purposes. It will not be used in approving/denying application.Occupants: NAMES, AGES, AND RELATIONSHIP Are all residents citizens or legal residents of the United States yes noDo any of the residents have unpardoned felony convictions yes noAre any of the residents required to register as a sex offender yes noDo any of the residents have unpardoned misdemeanor sex convictions yes noNAME ADDRESS & PHONE # OF 3 REFERENCESEmergency Contact: (name, phone, relationship)If I am disabled, hospitalized, jailed, or deceased, you can provide a key to:List all automobiles, campers, vans, trailers, trucks, boats, commercial and/or other recreational vehicles to be kept on the premises:MAKE, MODEL, YR, COLOR, STATE, TAG #Are you able to communicate effectively in English? yes noIf "no", my primary language is:If "no", the following person in my household can interpret: ................
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