Alaris Village

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Note: $40 application fee required to process application

Rental Application

Applicant's Name (1):

Birthdate:

Driver's License No. & State:

Soc. Sec. No.:

Applicant's Name (2):

Birthdate:

Driver's License No. & State:

Soc. Sec. No.:

Apartment Type

1 Br 1 Sunroom
2 Br 2 Sunroom
3 Br 3 Sunroom

Lease Term Desired

Other Occupants and Their Relationship:

Do You Have Pets?

Yes No

If So How Many:

Kind of Pet, Breed, Weight & Age:

PART I - RESIDENCE HISTORY

Present Address:

City:

State:

Zip:

How Long?

Phone:

Do You:

Rent Own

Name and Address of Present
Landlord/Apt. Community or Mortgage Co.:

Phone:

Monthly Pmt.:

Previous Residence Address:

Previous Landlord or Apt. Community:

Phone:

How Long?

PART II - EMPLOYMENT HISTORY

Applicant Employed By:

Supervisor:

How Long?

Address:

City:

State:

Zip:

Phone:

Position:

Salary:

Applicant Previous Employment:

Supervisor:

How Long?

Address:

City:

State:

Zip:

Phone:

Position:

Salary:

Spouse Employed By:

Supervisor:

How Long?

Address:

City:

State:

Zip:

Phone:

Position:

Salary:

ADDITIONAL INCOME (OPTIONAL): Additional income such as child support, alimony or separate maintenance need NOT be disclosed unless this Additional income is to be included for qualification.

Source:

Phone:

Amount:

Per:

In Case of Emergency, Notify:

Relationship:

Day Phone:

Night Phone:

Has Anyone listed on this application
ever been convicted of a felony?

Yes No

Best Way to Reach You:

Phone:

E-Mail Address:

How Did You Here About Us:

Certain Conditions Apply/Upon Approved Application. Apartment selections are subject to change with or without notice, Call the office for more details and current specials.