All The Fields Marked With (*) Are Required.
For Phone Fields: Format (###) ###-####
Date Fields: Format ##/##/####

  Application to Rent or Lease
Name: * Unit:    
Address:*   SSN:*    
City, State, Zip:*       DL#:*    
Phone:*     DOB:*    
Cell Phone:*     Email:*    
  General Information
Other Occupants?
Number:*     Relationship:*   Smoker?
Animals?
Number:*     Type:*      
Car Make:
Year:   Make: Model:
License Plate No:    
   
 
All The Fields Marked With (*) Are Required.
For Phone Fields: Format (###) ###-####
Date Fields: Format ##/##/####

  Employment Information
If employed less than two years, Please give employment information for prior employer.     
 
Present Occupation:*   Business Phone:*    
Employer:*   Supervisor:*  
Self Employed dba: Title:*  
Business Address: From:*    
Monthly Gross Income:*     To:  
Prior Occupation: Business Phone :
Employer: Supervisor:
Self Employed dba: Title:*
Business Address: From:
Monthly Gross Income: To:
 
   
All The Fields Marked With (*) Are Required.
For Phone Fields: Format (###) ###-####
Date Fields: Format ##/##/####

  References
  Housing
Current Address:*   From:*    
Landlord/Agent:*   To:  
Address:*   Phone:*    
Previous Address: From:  
Landlord/Agent: To:  
Address: Phone:
 
  Personal
Name:*   Phone:*    
Address:*   Length of Acquaintance:*  
Nearest Relative:*   Phone:*    
Address:*   Relationship:*  
 
Within 10 years have you filed a petition for bankruptcy? *  
Have you ever willfully and intentionally refused to pay ANY rent when due? *  
Have you ever been convicted of a misdemeanor or felony other than a traffic or parking violation?*  
Are you a current illegal abuser or addict of a controlled substance?*  
Have you ever been convicted of the illegal manufacture or distribution of a controlled substance?*  
If yes to any of the above, please indicate date of occurrence:
 
The undersigned application hereby consent to allow ALLRED PROPERTIES ("OWNER"), itself or through a designated agent or employee, to obtain a consumer report and criminal record information on me and to obtain and verify credit and employment information for the purpose of determining whether to lease/rent a property to me. I also agree and understand that the owner and its agents and employees may obtain additional consumer reports and criminal record reports on me in the future to update or review my account. Upon my request, owner will tell me whether consumer reports or criminal record reports were requested and the names and addresses of any consumer reporting agency that provided such reports. I also agree to pay the owner a non-refundable screening fee of $25.
 
Applicant Signature:*  
Type your name to sign this contract electronically.