Resident Application For Occupancy      Date  _____________________

 

Property Located at ____________________________ alleghanync.com

 

 

PLEASE NOTE  - The Electric and water must be in your name, before moving in.

We check References, Income, and may require a Background and Credit Check

                      

Applicant – ____________________________

Work Phone and Cell # - ____________________________  Email Address ____________________________

Social Security # - ____________________________ Drivers License # ____________________________

 

Do you currently use an illegal drugs, or are you addicted to a controlled substance ?    Please explain : ________________

 

Have you ever been convicted for any felony offense ?  _______ Please explain : ____________________________

 

Number of people who will occupy ? ____________________________

Please list names, date of birth, and relationship to you. ____________________________

 

In case of emergency, notify – ____________________________       Do you have pets ? _____________________

 

Residence History – WHY ARE YOU MOVING ? ___________________________________

 

Current Address – ____________________________       How Long - ______________

Landlord and landlord phone number - ____________________________

 

Previous Address – ____________________________       How Long - ______________

Landlord and landlord phone number – ____________________________

 

Applicant

 

NAME OF EMPLOYER for Applicant – ____________________________       Address ___________________

Start Date – ____________________________       Income –  ____________________________

Supervisor and phone number – ____________________________

 

PREVIOUS  EMPLOYER – ____________________________       Address – _________________________

Start Date – ____________________________       Income –  ____________________________

Supervisor and phone number – ____________________________

Transportation - List type of auto, tag #, county and state – ____________________________

 

Roommate/Spouse

NAME OF EMPLOYER for Roommate/Spouse– ____________________________       Address – _____________      Start Date – ____________________________

Supervisor and phone number - ____________________________       Income – ______________

 

 

Applicant’s Signature -_________________________ I give permission for landlord to verify this application