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Holloway & Associates A Professional Real Estate & Property Management Firm 4833 Sparkman Drive Apt. A Huntsville, AL 35810 (256)852-3350 Office (256)852-3270 Fax
Application for Residency (Please print clearly)
Property Address: ________________________________ Application Received By:___________ Date:___________
Applicant Full Name(Last, First, Middle) _______________________________________ Social Security # _________________ Date of Birth ____________________________________ Marital Status ____________________________________ Cars (color/make/lic#/st/yr) _____________________________________ Phone ______________________________
Co-Applicant Full Name(Last, First, Middle) _______________________________________ Social Security # _________________ Date of Birth _____________________________________ Marital Status ___________________________________ Cars (color/make/lic#/st/yr) _____________________________________ Phone ______________________________
Applicant Information Applicant Have you ever been evicted or foreclosed on a property? Yes____ No ____ If Yes, When? Explain ___________________________________________________________________________
_______________________________________________________________________________________________
Present Address Street __________________________________________________________________________ Apt # ___________ City ________________________________ State ___________ Zip_________ Other Phone # ___________________ Rent or Own________________ Dates __________________________________ Mo. Payment __________________ Landlord/Lender ___________________________________ Street _________________________________________ City________________________________ State ____________ Zip _________ Phone_________________________
Previous Address Street __________________________________________________________________________ Apt # ___________ City ________________________________ State ___________ Zip_________ Other Phone # ___________________ Rent or Own________________ Dates __________________________________ Mo. Payment __________________ Landlord/Lender ___________________________________ Street _________________________________________ City________________________________ State ____________ Zip _________ Phone_________________________
Co-Applicant Have you ever been evicted or foreclosed on a property? Yes____ No ____ If Yes, When? Explain ___________________________________________________________________________
_______________________________________________________________________________________________
Present Address Street __________________________________________________________________________ Apt # ___________ City ________________________________ State ___________ Zip_________ Other Phone # ___________________ Rent or Own________________ Dates __________________________________ Mo. Payment __________________ Landlord/Lender ___________________________________ Street _________________________________________ City________________________________ State ____________ Zip _________ Phone_________________________
Previous Address Street __________________________________________________________________________ Apt # ___________ City ________________________________ State ___________ Zip_________ Other Phone # ___________________ Rent or Own________________ Dates __________________________________ Mo. Payment __________________ Landlord/Lender ___________________________________ Street _________________________________________ City________________________________ State ____________ Zip _________ Phone_________________________
Others to Reside in the Property
Applicant Current Employer Name ________________________________________ Street _____________________________________________ City________________________________ State ___________ Zip ___________ Phone________________________ Employment Dates ____________________________ Position _______________ Net Mo. Income _______________
Co-Applicant Current Employer Name ________________________________________ Street _____________________________________________ City________________________________ State ___________ Zip ___________ Phone________________________ Employment Dates ____________________________ Position _______________ Net Mo. Income _______________
Bank References
Other Income
Relative/Emergency Contact
Pet Information (Where Applicable) Type ___________________________ Breed ___________________ Height___________ Weight _______________ Note: Keeping of any unauthorized pets is grounds for immediate eviction.
Once applicant is approved, signs the lease and pays the security deposit, security deposit becomes non-refundable. If Lessee/Co-signor changes their mind and does not move into the property, security deposit will be held for holding property off rental market and/or damages.
I/We, the undersigned, authorize Holloway & Associates, to investigate my/our credit qualifications, information, references, and background, and hereby release, in any manner, all of the information obtained by you. I/We further agree to 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 correct.
Executed on this _________ day of ____________________________, 20_____, in the city of __________________, State of ________________________.
__________________________________________ __________________________________________ Applicant’s Signature Date Co-Applicant’s Signature Date
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