Town and Country Apartments

170 Town Lane  Suite 42

Montevallo, AL 35115

205-665-1850  Email: daleeads@aol.com

RENTAL APPLICATION

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).

* Please provide a photo copy of your driver’s license.