Town and Country Apartments
170 Town Lane Suite 42
Montevallo, AL 35115
205-665-1850 Email: daleeads@aol.com
RENTAL APPLICATION Move In Date: _____/_____/__________
Neatly PRINT all information below. All applicants over the age of 21 must complete and sign their own application.
Applicants Full Name:_______________________________________________________
Phone: ____/____/________ DOB____/____/_____
Social Security #______________________________
Drivers License #_______________________________________
State________Exp.____/____/________
Email ___________________________________________________________
Current Address_______________________________City___________________State________Zip______
Current Landlords Name____________________________ Landlords Phone # ___/___/________
How long at this address _______ Reason for leaving__________________________________
Previous Address________________________City___________________State_____Zip________
Previous Landlords Name______________________________ Phone#____-______-___________
How long at this address____ Reason for leaving________________________________________
__________________________________________________________________________________
Auto Yr______ Make____________ Model__________________
License Plate #_____________________________ State: ______________
Present Employer____________________________Position________________________________
Monthly Income $___________ Supervisors Name: ______________________________________
Phone #______-______-___________How long at job_______
Other income/source________________________________________________________________
Employers Address________________________________________City___________________State_______
Have you ever been party to an eviction? Yes No
Have you ever been convicted of a felony? Yes No
Name of Bank_____________________________________Branch______________
Type of Account_______________/ ____________________
Personal References:
Name____________________ Yrs. Known____Relationship____________Phone #____________
Name____________________Yrs. Known____Relationship____________Phone #____________
Name____________________Yrs. Known____Relationship____________Phone #____________
Total number of adults_____Total number of children living with you under the age of 18, ____
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.
Signature____________________________________________________Date____/____/________
The application fee is a non-refundable sum of $50.00 dollars to pay for tenant screening service. Make checks or money order to Town and Country Apartments (WE DO NOT ACCEPT CASH).
WE DO NOT ACCEPT PETS
* Please provide a photo copy of your driver’s license. A Credit Score of 600 is the minimum acceptable score.
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