Avalon Residential – Rental Application

Thank you

Your application has been received. We'll be in touch shortly.

Applicant Personal Information

First Name *

Middle Name

Last Name *

Birth Date *

Social Security # *

Driver's License # *

Any Other Names You've Used In The Past

Home Phone

Cell Phone *

Email Address *

All Other Proposed Occupants

Name	Birth Date	Relationship to Applicant

Employment History

Current Employment

Employed By *

Address

Employer's Phone

Occupation

Name of Supervisor

Monthly Gross Pay

From (Date)

To (Date)

Previous Employment

Employed By

Address

Employer's Phone

Occupation

Name of Supervisor

Monthly Gross Pay

From (Date)

To (Date)

Prior Employment

Employed By

Address

Employer's Phone

Occupation

Name of Supervisor

Monthly Gross Pay

From (Date)

To (Date)

Credit History

Account Type	Bank/Institution Name	Balance on Deposit or Balance Owed
Savings Account
Checking Account
Credit Card
Auto Loan

Vehicles

Include vehicles belonging to other proposed occupants

Make	Model	Color	Year	License Plate

References & Emergency Contacts

Doctor

Name

Street Address

City

State

Zip

Phone Number

Lawyer

Name

Street Address

City

State

Zip

Phone Number

Nearest Relative Living Elsewhere

Name *

Street Address *

City *

State *

Zip *

Phone Number *

General Information

Have you ever been served a late rent notice?

Yes

Please explain:

Do any of the people who would be living in the apartment smoke?

Yes

How long do you think you would be renting from us?

Have you ever filed for bankruptcy?

Yes

When?

When would you be able to move in?

Have you ever been convicted of a felony?

Yes

Please explain:

Have you ever been served an eviction notice?

Yes

When?

How many pets do you have?

Type	Breed	Approx. Weight	Age

Have you had any reoccurring problems with your current apartment or landlord?

Yes

Please explain:

Why are you moving from your current address?

List any verifiable sources and amounts of income you wish to have considered (optional)

Financial difficulty reference: Name, address, & phone # of someone who would loan you money

Have you been a party to a lawsuit in the past?

Yes

Please explain why:

Comments on negative findings in credit or criminal background checks

How did you hear about this apartment?

Referrals: Name and number of anybody else looking for an apartment

Agreement & Authorization

I hereby authorize Avalon Residential to verify all statements made in this application and to obtain a credit report, criminal background check, and rental history as part of the application review process. I understand that false information provided on this application may result in denial or termination of tenancy.

I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any false information or omission may disqualify this application or be grounds for termination of residency if discovered at a later date.

I understand that submission of this application does not guarantee approval or acceptance, and that the landlord reserves the right to reject any application based on the results of credit, criminal, and rental history checks.

Signature (type your full legal name) *

Date *

Rental Application

Thank you

Applicant Personal Information

Rental/Residence History

Current Residence

Previous Residence

Prior Residence

Employment History

Current Employment

Previous Employment

Prior Employment

Credit History

Vehicles

References & Emergency Contacts

Doctor

Lawyer

Nearest Relative Living Elsewhere

General Information

Agreement & Authorization