Rental Application

$25.00 Application Fee

We require an Application be submitted for each person 21 or older that will be residing in the residence whether temporary or permanent.

*** EVERYONE 21 and older MUST submit a Complete Application

Date *

How did you hear about us? *

Internet
Realtor
Paper Advertisement
Other

Which one of our Agents spoke to you about this property? *

Paul Powers
Annette Greer
Tony Smitherman
Other

Which Property are you applying for? *

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PRIMARY APPLICANT - INFORMATION

Primary Applicant Name *

First

Last

Social Security # *

Birth Date *

Drivers License # *

State Drivers License was issued in *

Cell Phone *

Home Phone *

Work Phone *

Email Address *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Name of Employer *

Your Title or Position *

Supervisor's Name *

Employer's Phone Number *

Your Monthly Income *

How long at your current job? *

(Please Specify Months or Years)

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PRIMARY APPLICANT - REFERENCE

Contact Information for Reference over 21 NOT LIVING WITH YOU: *

First

Last

Relation to you? *

Cell Phone *

Home Phone *

Email Address *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

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SECONDARY APPLICANT - INFORMATION

Secondary Applicant Name

First

Last

Social Security #

Birth Date

Drivers License #

State Drivers License was issued in

Cell Phone

Home Phone

Work Phone

Email Address

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

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Name of Employer

Your Title or Position

Supervisor's Name

Employer's Phone Number

Your Monthly Income

How long at your current job?

(Please Specify Months or Years)

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SECONDARY APPLICANT - REFERENCE

Contact information for Reference over 21 NOT LIVING WITH YOU:

First

Last

Relation to you?

Cell Phone

Home Phone

Email Address

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

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Do you: *

Own
Rent
Live with family

Name of Landlord (If Applicable)

Landlord's Phone Number (If Applicable)

How long at your current address? *

(Please Specify Months or Years)

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

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OCCUPANTS - Adults

Will any residents be smoking inside the home? *

RESIDENCE INFORMATION

NUMBER OF ADULTS OVER 21 THAT WILL BE LIVING AT THE PROPERTY: *

(REQUIRED WHETHER SHORT TERM OR LONG TERM)

*** EVERYONE 21 and older MUST submit a Complete Application

Adult # 1 - Name *

First

Last

Adult # 1 - Cell Phone *

Adult # 1 - Email Address *

Adult # 2 - Name

First

Last

Adult # 2 - Cell Phone

Adult # 2 - Email Address

Adult # 3 - Name

First

Last

Adult # 3 - Cell Phone

Adult # 3 - Email Address

Adult # 4 - Name

First

Last

Adult # 4 - Cell Phone

Adult # 4 - Email Address

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OCCUPANTS - Children

NUMBER OF CHILDREN UNDER 21 THAT WILL BE LIVING AT THE PROPERTY: *

(REQUIRED WHETHER SHORT TERM OR LONG TERM)

Child # 1 - Name

First

Last

Child # 1 - Age

Child # 2 - Name

First

Last

Child # 2 - Age

Child # 3 - Name

First

Last

Child # 3 - Age

Child # 4 - Name

First

Last

Child # 4 - Age

Child # 5 - Name

First

Last

Child # 5 - Age

Child # 6 - Name

First

Last

Child # 6 - Age

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PETS

NUMBER OF PETS THAT WILL BE LIVING AT THE PROPERTY: *

(REGARDLESS IF PET IS CAGED, INDOOR OR OUTDOOR; ALL PETS MUST BE LISTED)

NEED MORE SPACE? - Please list the information below for any more Pets

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IS ONE OR MORE OF YOUR PETS AN ESA OR SERVICE ANIMAL?

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VEHICLE INFORMATION

How many vehicles will be present at the property: *

(PLEASE INCLUDE CARS, TRUCKS, MOTORCYCLES, TRAILERS, CAMPERS, RV's, BOATS, Etc Etc)

VEHICLE # 1 *

First

Last

Vehicle # 1 *

First

Last

Vehicle # 1 *

First

Last

VEHICLE # 2

First

Last

Vehicle # 2

First

Last

Vehicle # 2

First

Last

VEHICLE # 3

First

Last

Vehicle # 3

First

Last

Vehicle # 3

First

Last

VEHICLE # 4

First

Last

Vehicle # 4

First

Last

Vehicle # 4

First

Last

NEED MORE SPACE? - Please list the information below for any more Vehicles

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BANKING INFORMATION

Name of your bank: *

What kind of bank accounts do you have? *

Checking
Savings
Other

Is your bank in the Mobile, Alabama area? *

Are you willing to let us draft your monthly payment each month? *

Certainly - No Problem
Possibly - I'll Consider It
Hard Pass - No

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LEGAL INFORMATION

Have you, or any member of your family, ever lived in a property which had bedbugs? *

Are you legally able to rent in the State of Alabama? *

Are you currently in Bankruptcy, or have you filed in the last 7 years? *

Have you ever been evicted or asked to leave a rental property? *

Have you ever willfully refused to pay rent when it was due or left owing a balance to a landlord? *

Have you or any member or your family ever been adjudicated a sex offender? *

Have you or any member or your family ever been charged with a crime (other than a traffic violation)? *

Are you, or any member of your family, subject to tax liens, garnishments, withholding orders, or any other type of court-ordered collection activity? *

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APPLICATION AGREEMENT

CLAUSE A: I/We, the undersigned, understand that Power Real Estate is the leasing agent and representative for the owner/landlord and that the leasing agent's fees will be paid by the owner/landlord. The undersigned acknowledge(s) that this written notice was received prior to the undersigned receiving a lease agreement. *

I have read Clause A, I understand and agree

CLAUSE B: I/We the undersigned, declare the foregoing information is complete and accurate to the best of my/our knowledge. I/we hereby authorize you or your representing agents, to use all of the above information to approve or disapprove this application, including the right to make independent investigations of past employment history, credit references, public records and to run my/our credit. I/We, the undersigned, understand that giving false information is a serious criminal offense and that a misrepresentation on the rental application can result in an "eviction" at any time. *

I have read Clause B, I understand and agree

CLAUSE C: I/We, the undersigned, understand that failure to rent property after the application has been approved will result in deposit being retained as liquidated damages. All deposits placed on rental property after application is approved is Non-Refundable. *

I have read Clause C, I understand and agree

CLAUSE D: I/We, the undersigned, understand that I/we must give 30 days written notice prior to vacating rental property. Failure to do so could result in your Security Deposit being retained as liquidated damages. *

I have read Clause D, I understand and agree

CLAUSE E: I/We, the undersigned, understand that a full or partial Security Deposit Refund will be determined by several factors, such as, but not limited to, rent being current or delinquent, damages to the property, basic cleanliness of the property when relinquishing it. I/We, the undersigned, understand that I/we will need to schedule a walk through of the property with the owner, at the time of relinquishment to determine how much, if any, of the Security Deposit will be Refunded. *

I have read Clause E, I understand and agree

Primary Applicant - Signature *

Secondary Applicant - Signature

Comment

Main Content

$25.00 Application Fee

*** EVERYONE 21 and older MUST submit a Complete Application

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PRIMARY APPLICANT - INFORMATION

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PRIMARY APPLICANT - REFERENCE

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SECONDARY APPLICANT - INFORMATION

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SECONDARY APPLICANT - REFERENCE

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OCCUPANTS - Adults

RESIDENCE INFORMATION

*** EVERYONE 21 and older MUST submit a Complete Application

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OCCUPANTS - Children

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PETS

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VEHICLE INFORMATION

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BANKING INFORMATION

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LEGAL INFORMATION

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APPLICATION AGREEMENT

Paul Smith Powers