APPLICATION FOR RESIDENCY
(FILL IN LOCATION)____ ________________________________
BARBER PROPERTIES P.O. BOX 795 TALLADEGA, AL 35161
THERE IS AN APPLICATION FEE ($25.00 individual $35.00 2 or more people)
A SATISFACTORY CREDIT REPORT AND EMPLOYMENT VERIFICATION ARE REQUIRED PRIOR TO APPROVAL FOR LEASING
DATE: _______________

NAME: ___________________________________________ DOB: _____________ SSN: _____-____-______ DL#______________
ADDRESS: ________________________________________ CITY: _________________________ STATE: ____ ZIP: _______
HOME #: (___)___-____ WORK #: (___)___-____ CELL #: (___)___-____ E-MAIL: __________________________________
LANDLORD: ______________________________ PHONE#: (___)___-____ RENT: ___________ HOW LONG: ___________
PREVIOUS ADDRESS (IF LESS THAN 2 YEARS): _____________________________________________________________
CAR-YEAR: ________ / ________ MAKE: ________ / ________ MODEL: ________ / ________ COLOR: ________/________

HOUSEHOLD COMPOSITION: ALL PERSONS WHO WILL OCCUPY APARTMENT:
NAME SEX AGE DOB RELATIONSHIP SSN
_________________________________ ___ ____ _________ _______________________ ___-__-____
_________________________________ ___ ____ _________ _______________________ ___-__-____
_________________________________ ___ ____ _________ _______________________ ___-__-____
_________________________________ ___ ____ _________ _______________________ ___-__-____
EMPLOYER: _______________________________ ADDRESS: _______________________________ PHONE: (___)___-____
MONTHLY INCOME: ___________ HIRE DATE: __-__-____ POSITION: _________________________________________
SUPERVISOR: _________________________________________ OTHER INCOME: __________________________________

CO-TENANT EMPLOYER: _________________________ ADDRESS: _________________________ PHONE: (___)___-____
MONTHLY INCOME: ___________ HIRE DATE: __-__-____ POSITION: __________________________________________
SUPERVISOR: ________________________________________ OTHER INCOME: ___________________________________

BANK: _________________________________ ADDRESS: ________________________________________________________
CREDIT REFERENCES
1. _________________________________ BALANCE: ________________ ACCT OPENED/CLOSED: _______________
2. _________________________________ BALANCE: ________________ ACCT OPENED/CLOSED: _______________
3. _________________________________ BALANCE: ________________ ACCT OPENED/CLOSED: _______________
PERSONAL REFERENCES
1. _________________________ ADDRESS: ____________________ RELATIONSHIP: _________ PHONE: (___)___-____
2. _________________________ ADDRESS: ____________________ RELATIONSHIP: _________ PHONE: (___)___-____

PERSON TO NOTIFY IN CASE OF EMERGENCY: ________________________________ RELATIONSHIP: _______________
ADDRESS: _________________________________________________ PHONE: (___)___-____

NO PETS OF ANY KIND SHALL BE PERMITTED IN THE LEASED PREMISES.
HAVE YOU EVER FILED A PETITION FOR BANKRUPTCY? _____ HAVE YOU EVER BEEN EVICTED FROM ANY TENANCY? _____
HAVE YOU EVER WILLFULLY AND INTENTIONALLY REFUSED TO PAY WHEN DUE? _____ I DECLARE THAT THE FOREGOING
IS TRUE AND CORRECT, AND AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT. I AGREE THAT
THE LANDLORD MAY TERMINATE ANY AGREEMENT ENTERED INTO IN RELIANCE ON ANY MISSTATEMENT MADE ABOVE.
I UNDERSTAND THAT I ACQUIRE NO RIGHT IN A UNIT UNTIL I SIGN A LEASE IN THE FORM SUBMITTED TO ME. I FURTHER
UNDERSTAND THAT THE DAMAGE DEPOSIT OF $______ MAY BE PAID AT THE TIME OF APPLICATION AND USED AS A
SECURITY BINDER ON THE UNIT FOR WHICH I HAVE APPLIED. UPON POSSESSION OF UNIT, SECURITY BINDER WILL BE
CONVERTED TO DAMAGE DEPOSIT AND HELD AS LONG AS I OCCUPY THE UNIT AND WILL NOT BE USED AS LAST MONTH'S
RENT. REFUND OF DAMAGE DEPOSIT WILL BE MADE CONTINGENT UPON THE SATISFACTORY CONDITION OF UNIT AT
MOVE-OUT. ANY CHARGES FOR SERVICES NEEDED TO BRING UNIT INTO FAVORABLE CONDITION WILL BE DEDUCTE
D FROM DEPOSIT AND ANY MONIES REMAINING WILL BE REFUNDED, PROVIDING I HAVE FURNISHED A FORWARDING
ADDRESS. THERE WILL BE A CHARGE FOR THE LOSS OF OR FAILURE TO RETURN ANY KEYS. THIS CHARGE WILL BE
TAKEN FROM ANY REFUND DUE. RENT WILL BE CHARGED UP TO THE DAY ALL KEYS ARE RETURNED TO BARBER PROPERTIES.
_____________________________________________ _______________________________________
SIGNATURE OF APPLICANT* DATE
__________________________ ______________________
SIGNATURE OF APPLICANT* DATE

*APPLICATION MAY BE USED TO VERIFY PAST RENTAL HISTORY
*APPLICATION MAY BE USED TO VERIFY EMPLOYMENT AND MONTLY INCOME