Apartment Rental Application, Orleans Place Apartment Homes

The Orleans Place Apartment Homes 3901 Michael Blvd, Mobile AL 36609 USA

Phone (251) 342-4441, Fax (251) 342-4480

APPLICATION FOR APARTMENT

The information requested below provides the basis for our selection of good neighbors for you and all residents.

Name_____________________________________DOB____________________

Social Security#______________________

Name_____________________________________DOB____________________

Social Security#______________________

NAMES OF OTHER OCCUPANTS

Name Relationship Date of Birth

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

RENTAL REFERENCES

Present Address (&Apt. Name)______________________________________________________________________________________________

Present Landlord and Phone #_____________________________________________Rent Amt.__________________________________________

Length of stay_____________ Reason for leaving_______________________________________________________________________________

NAMES AND ADDRESSES OF PAST LANDLORDS

Have you ever been evicted?_________ If yes, Explain___________________________________________________________________________

EMPLOYMENT / INCOME

Employer:__________________________________________________Position:______________________________________________________

Address:___________________________________________________Phone#_______________________________________________________

Dates employed:_____________________________________________Monthly Salary:________________________________________________

Will your income be increased through assistance from relatives, friends or other? ________ Please explain: ________________________________

________________________________________________________________________________________________________________________

SPOUSE / ROOMATE EMPLOYER

Employer:__________________________________________________Position:______________________________________________________

Address:___________________________________________________Phone#:_______________________________________________________

Dates employed:____________________________________________Monthly Salary:_________________________________________________

Do you own a waterbed?________________ Do you own a pet?____________ If yes, type/weight____________________

CREDIT REFERENCES

Bank______________________________

Address __________________________________Acct#_____________________

Retail_____________________________

Address __________________________________Acct#_____________________

Retail_____________________________

Address __________________________________Acct#_____________________

CHARACTER REFERENCES

Name Phone Number Work Number

LIST ALL VEHICLES TO BE PARKED ON PREMISES (CARS, MOTORCYCLES, BOATS, ETC.)

Make_________________________________________Year___________ Color__________Lic.#_______________________

Make_________________________________________Year___________ Color__________Lic.#_______________________ Make_________________________________________Year___________ Color__________Lic.#_______________________

Drivers license#________________________________ State__________

Have you or any other occupant ever: 1) been convicted of a felony?_______ 2) Convicted of any violent or sex related crime? _______

3) Evicted or asked to move? ________ 4) Sued for unpaid rent? _________ 5) Broken a rental agreement? _______

If yes, explain____________________________________________________________________________________________________________

Have you ever been convicted of the illegal use, manufacture, or distribution of a controlled substance?_____________

If yes, explain____________________________________________________________________________________________________________

In case of emergency notify: ________________________________ Address_______________________________________

Relationship____________________________ Phone #________________________________

Applicant represents that all of the above statements are true and correct, and hereby authorizes verification of above information, references, credit and criminal checks through Fountainbleu Management Company. Applicant acknowledges that false information herein may constitute grounds for rejection of this application, termination of right of occupancy, and, or forfeiture of deposits if occupancy has taken place. If accepted, this application shall become part of the Lease Agreement.

_________________________________________________ _________________

Applicant's Signature Date

_________________________________________________ _________________

Co-applicant's Signature Date

Application Accepted by:____________________________________ Date:____________________ Time:_____________

Apt. Size:______________________ Rent Amt.____________________ Deposit Amt._______________

Approved___________________________________ Rejected___________________________ Date__________________

The Orleans Place Apartment Homes 3901 Michael Blvd, Mobile AL 36609 USA

Phone (251) 342-4441, Fax (251) 342-4480