Residental Application

THAMES, JACKSON, HARRIS CO 251-433-3961 FAX 251-431-6829

Each adult resident please submit a separate application.

	Yes	No
Only Applicant	Yes	No

Date *

I would like to rent this address:

First Name *

Middle Name

Last Name *

Birth Date *

Cell Number

Home Number

Best Number *

Email Address

Present Address *

City *

State *

Zip *

Moved in Mo / Yr *

Reason for Moving: *

Landlords Contact Information: Business or Individual, Address/Phones/Fax. Business Contact Person *

Previous Address

Moved in Mo / Yr

City

State

Zip Code

Landlords Contact Information: Business or Individual, Address/Phones/Fax. Business Contact Person

Birth Date *

Type of Official ID *

State Issued *

Expiration Date *

Main employment or source of income: *

Address Street, City, Zip

Phone

Gross Monthly Income *

Other employment or source of income:

Reference & Emergency Contact - (Someone outside of your household)
Name, Address, Phone & Relationship : *

Please answer all: *

Have you ever been arrested for drug possession?
Have you ever been convicted of a felony?
Have you ever filed bankruptcy?
Have you ever been evicted or moved owing rent?
Have you ever broken a rental agreement?
Will you park boats or RVs on the property?
Will you park work vehicles or over-sized vehicles on the property?

Names & Ages of all who will reside in property: *

Make & Models of Vehicles to be parked on property: *

Thank you for submitting your application with us. In order to complete this we will need a $25 non-refundable application fee and your social security number. We will also need copies of ID's and proof of income. We will contact you for this information. Please call 251-433-3961 if you have any questions.

Notice: Unless agreed otherwise in writing, the Property remains on the market until a lease is signed. We may continue to show the Property to other prospective tenants and accept another offer.

We may do a criminal background check and search public records. Applicant understands that providing false or inaccurate information is grounds for rejection and a breach of any lease.

THIS APPLICATION WILL BECOME A PART OF THE LEASE.

I authorize Thames, Jackson, Harris Co. to run my credit, contact whoever is necessary to verify the information provided, and share this information with the property owner(s): *

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