Alabama Rental Application Form Page 2

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CREDIT INFORMATION 
Please list all your financial obligations 
Name of Bank or Savings & Loan 
Branch or Address 
Account No. 
Balance 
Checking 
Savings 
Credit Accounts 
Account No. 
Address/City 
Phone 
Balance 
Due Monthly 
GENERAL INFORMATION 
Check answer that applies 
§  Do you smoke? 
YES 
NO 
§  Do you have any pets? 
YES 
NO 
§  Have you ever filed for bankruptcy? 
YES 
NO 
§  Do you have any musical instruments? 
YES 
NO 
§  Do you have any water­filled furniture or do you intend to use 
YES 
NO 
water filled furniture in the apartment? 
§  Have you ever been convicted for selling, possessing, 
YES 
NO 
distributing or manufacturing illegal drugs or convicted of any 
other crime? 
§  Have you ever been evicted for non­payment of rent or any 
YES 
NO 
other reason? 
Please explain any “yes” answers to the above questions: 
________________________________________________________________________________________ 
________________________________________________________________________________________ 
________________________________________________________________________________________ 
________________________________________________________________________________________ 
Why are you leaving your current residence?____________________________________________________ 
________________________________________________________________________________________ 
The applicant hereby applies to rent/lease Apartment #_________at___________________________ 
________________________________for $__________ per month, and upon owner’s approval agrees to 
enter into a Rental Agreement and/or Lease and pay all rent and security deposits required before 
occupancy. 
An application fee of $__________ is hereby submitted for the cost of processing this application, to obtain 
credit history and other background information. 
Applicant  represents  that  all  information  given  on  this  application  is  true  and  correct.  Applicant  hereby 
authorizes  verification  of  all  references  and  facts,  including  but  not  limited  to current  and  previous  landlords 
and employers, and personal references. Applicant hereby authorizes owner/agent to obtain Unlawful Detainer, 
Credit  Reports,  Telechecks,  and/or  criminal  background  reports.  Applicant  agrees  to  furnish  additional  credit 
and/or  personal  references  upon  request.  Applicant  understands  that  incomplete  or  incorrect  information 
provided  in  the  application  may  cause  a  delay  in  processing  which  may  result  in  denial  of  tenancy.  Applicant 
hereby  waives  any  claim  and  releases  from  liability  any  person  providing  or  obtaining  said  verification  or 
additional information. 
Applicant:________________________________________Date:____________________________ 
(Signature required)

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