Application Form

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Mail To: Att: Bill Bailey @ SeBro Realty 522 No 19th St Bessemer, AL 35020 (205) 533-5431

Dear Prospective Tenant,

Thank you for applying for rental property with us. The following policies and procedures have been developed to ensure that all prospective applicants are treated equally. Please take a moment to read the instructions below before completing the application.

Ø Management strictly adheres to all Fair Housing Laws.

Ø Gross monthly income for the household must be a minimum of 3 times the rent. Please include copies of the 2 most recent pay stubs with your application. If self-employed, please include a copy of last year’s tax return. We must be able to verify your income. All information is strictly CONFIDENTIAL.

Ø Please be sure to fill out the application completely. An incomplete application will delay the process. We must have phone numbers for your current and previous landlord as well as your employer. Please include a copy of a picture ID.

Ø The screening process usually takes 24 to 48 hours depending on how quickly landlords return calls requesting information. Each application is screened for credit history, leasing (rental) history, employment and/or income verification and criminal history.

Ø The application/screening fee is $45.00 for each applicant and must be paid at the time of application either by cash, cashier’s check, or money order. This fee is non-refundable. Once the screening process is complete, the Property Manager (agent) will present your application to the property owner for the final decision. The owner, not by the Property Management, makes the decision.

Ø A property is considered rented when the lease has been signed and rent paid. A property may continue to be shown even if an application has been received.

Ø For fastest processing please submit a complete application package. A complete package will include:

1. Fully completed application

2. Attached copy of photo ID

3. Proof of income

You can return via email, fax or in person to our office. Information to do so is found at the top of the 1^st page of the application. Thank you for your applying!

Date_______ ApplicationTaken By__________________

email Address:___________________________ Phone #_________________________

Name of Applicant__________________________________ Date of Birth____________

Social Security #_________________________ Driver License #________________

Name of Applicant__________________________________ Date of Birth____________

Social Security #_________________________ Driver License #________________

Present Address_________________________ City______________________

State___________ Zip_________________

Prior Address_______________________ City______________________

State___________ Zip_________________

How long have you lived at present address?_________________________

How long have you lived at prior address?___________________________

Name of Landlord_______________________________ Telephone________________________

Prior Landlord_________________________________ Telephone________________________

How many will be living in this unit?_________ Adults________ Children_________

Breed of Pets___________________ Number of pets_____________

Employer________________________ Occupation______________________

Current Salary___________ How Long _____________________

Contact Person________________________ Telephone____________________

Spouse Information

Name of Spouse__________________________ Date of Birth_________________

Telephone:_____________________________

Social Security No.______________________ Driver’s License No._____________________

Employer___________________________ Occupation____________________

Current Salary____________ How Long ____________

Contact Person______________________ Telephone_____________________

Bank Information

Bank Name_________________________ Branch____________________

Checking Account No._________________

Savings Account No.__________________

Personal/Credit References

Name Relationship Telephone

___________________ ___________________ ___________________

Credit Grantor Address Telephone

___________________ ___________________ ___________________

Other Information

Number of Vehicles ___________

Make/Model _____________ Year___________

Color:__________________ Tag No. ____________ State _________

Make/Model _____________ Year___________

Color:__________________ Tag No. ____________ State _________

Make/Model _____________ Year___________

Color:__________________ Tag No. ____________ State _________

HAVE YOU EVER

Filed for Bankruptcy Yes_________ No_________ If yes When_________

Been served an eviction notice or been asked

to vacate a property you were renting? Yes_________ No_________

Willfully or intentionally refused to pay rent when due? Yes_________ No_________

If yes, when? _________

Been sued for unlawful detainer? Yes_________ No_________

How were you referred to us? __________________________________________

Rental Unit Applied for _______________________________________________

Commencement Date_________ Term _________ Rent/Month_________

Acknowledgement

I/We, the undersigned, understand that Bill Bailey is the leasing agent and representative for the owner/landlord and that the leasing agent’s fees will be paid by the owner/landlord. The undersigned acknowledge that this written notice was received prior to the undersigned receiving a lease agreement.

Applicant’s Signature, Type your name__________________________________ Date _________

Consent to Obtain Credit/Employment Information

I/We authorize ____________________________ to investigate my/our credit qualifications and hereby release, in any manner, all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.

I/We declare under penalty of perjury that the information listed in this application is true and corr

Executed on this day of _________ 20 _________

in the city of __________________ , state of _________

Applicant’s Signature, ______________________________________ Date _________

Applicant’s Signature, __________________________________________ Date _________

CRIMINAL & CREDIT

FULL BACKGROUND CHECK

INQUIRY RELEASE FORM

Applicant:_________________________________________________

Address _________________________________________________

Social Security #:____________________ Telephone #:_________________

Applicant:_________________________________________________

Address _________________________________________________

Social Security #:____________________ Telephone #:_________________

Rental applied for:________________________________________________

I, Print Your Name __________________________________________________

hereby authorize prospective Landlord or Agent to verify any past records or lack thereof concerning my background with the ________________ Police Dept. and/or other law enforcement authorities.

I authorize Police / law enforcement agency to release any records that may exist to my prospective landlord for the purpose of screening me as a tenant for the premises located at the above listed address.

I authorize Landlord or Agent to inquire with my employers, financial institutions and any of the credit reporting bureaus available to verify my financial and credit status.

I understand that any false information I may have given may be grounds for denial of my application to rent. Furthermore, I hereby state that the information I have given on my application and verbally is true and correct under the penalty of perjury.

Applicant’s Signature, ______________________________________ Date _________

Applicant’s Signature, __________________________________________ Date _________

Applicant’s Signature:___________________________________

Date: ________________ 20___________

Comments________________________________________________________________________________________