| Victoria L. Evans, L.L.C. RENTAL APPLICATION 2110 Bellwood Dr. Northport, AL 35476 Telephone: (205) 366-0338 Fax: (205) 366-0338 (call before faxing) We specialize in old, nicely restored houses in Tuscaloosa and Northport. We only have a few properties, so we want the BEST renters... Want references on us as good landlords? Just ask! ;-) We take good care of our properties and tenants, so we ask for a detailed application. Thanks for understanding! If you have seen a property that you would like to lease, please print out this form, fill it out completely, and mail or hand deliver to us. All applications must be accompanied by an application fee of $35 per married couple, or $25 per adult unmarried individual. If you are approved, the fee will go toward your security deposit. If you are approved and decide not to rent, the application fee is non-refundable. If you are not approved due to false information on or lack of completion of the application, the fee is also non-refundable. If we have no vacancy at the time your application is completed, your application fee will be refunded. Address or description of Rental Property:______________________________________________________ Applicant Name: Last_____________________________ First__________________________ MI __________ Date of Birth: ______________Dr. Lic. # ___________________ SS# ____________________ *PLEASE NOTE: ONLY MARRIED COUPLES MAY USE THE SAME FORM. Roommates or unmarried couples must submit separate applications.* Spouse Name: Last____________________________ First________________________ MI___________ Date of Birth:______________ Dr. Lic. #______________________ SS# ________________ Home Phone:______________ Work Phone:_________________ Spouse Phone:____________ List Names, Ages and Relationship of other proposed residents: CURRENT ADDRESS PERMANENT/PARENT ADDRESS Street Address__________________________ ____________________________________ City __________________________________ ____________________________________ State/Zip______________________________ ____________________________________ Did you Rent or Own?___________________ ____________________________________ Rent per Month ________________________ ____________________________________ How Long?___________________________ ____________________________________ From / / to / / From / / to / / Landlord/Manager Name Parent Name ____________________________________ ____________________________________ Landlord/Manager Phone # Parent Phone # (s) ____________________________________ ____________________________________ Present Occupation Prior Occupation Spouse's Occupation Occupation_________________ __________________________ ___________________ Employer Name_____________ __________________________ __________________ Bus. Address _______________ __________________________ __________________ Business Phone ________________ __________________________ __________________ Type of Business ______________ ________________________ _____________________ Position_______________________________ Supervisor_____________________________ How Long?_____________________________ Monthly Gross Income ____________________ Other Income (List monthly amount and source):______________________________________ If student, Full time or part?___________ What college?______________________________ Graduate or undergrad? ______________ Major or degree sought?______________________ Proposed completion date of degree?________________ BANK NAME ADDRESS/LOCATION ACCOUNT # Checking Account_______________________________________________________________ Savings Account________________________________________________________________ Other_________________________________________________________________________ Credit References: Name/Type_______________________________ ________________________________ Account Number_________________________ ________________________________ Monthly Pymt Amt._______________________ ________________________________ Have you ever had credit under another name?________ If so, other name: _________________ Name and phone # of close friend or relative in case of emergency :________________________ Car Make:________________ Model:__________ Year: ________ Color:__________ Lic #_______________ 2nd Car Make:___________ Model:___________ Year:________ Color:__________ Lic #_____________ Do you have a pet? ________ If yes, #, types and sizes: ___________________________________________ Do you own: Piano/Organ?________ Waterbed?________ Aquarium?__________ Free Weights?________ Have you ever: Been evicted?________ Reason?______________________________________ Ever refused to pay rent, all or part?________ Reason?_________________________________ Filed bankruptcy? _____________ Year?_____________ Used illegal drugs? _______________ Been arrested?__________ When?___________ Convicted?_____________ When?_________ Been involved in any lawsuit(s)?_________ When?___________ Explain reason(s): IN COMPLIANCE with the Fair Credit Reporting Act we are informing you that information as to your character, general reputation and mode of living is verified. You, as the prospective tenant, represent that the facts set forth in this application are true and complete, and you agree that a complete investigation of all the facts on this application will not constitute an invasion of privacy. You hereby authorize and extend the privilege to Victoria L. Evans, L.L.C. (or agent) to obtain consumer credit reports and/or character reports as necessary, to verify past and present employment, earnings records, bank accounts, landlord references, etc. to determine ability to pay rent, and consistency in paying debts owed and taking care of past rental property. Any misrepresentations or omissions will be sufficient cause for voiding of this application or later default.. SIGNED:______________________________________ DATE:___________________ SIGNED:______________________________________ DATE:___________________ |
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