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