Premier Properties Real Estate, L.L.C.
Please call 334-393-7000 for more information or you may complete and fax the application to our office at 334-393-7005, email to dana.premierproperties@yahoo.com or mail to our office at 1239 Rucker Blvd, Enterprise, Al 36330, Attn:Property Manager. Please enclose a check or money order for your application fee $25.00 per single applicant or $35.00 for married applicants as well as a copy of your driver's license.
Date of Application: _______________ Desired Move In Date: _______________
Property Address: ________________ Rent: $_________ Deposit: $__________
EACH ADULT APPLYING FOR UNIT MUST COMPLETE A SEPARATE APPLICATION
PLEASE PRINT- All information must be completed. All blanks must be filled in. The decision to rent to you will depend in great part on your credit history and references. We do not rent to anyone that has been convicted of a crime.
Have you ever been convicted of a crime? □ Yes □
No Have you ever been evicted? □ Yes □ No
Full Name: Driver’s License #/State:
Date of Birth: Social Security #:
Present Address:
City: State: Zip:
Dates: To: Monthly Payment: $
Phone: ( ) Cell: ( )
Landlord/Manager Name: Phone: ( )
Reason for Moving:
Previous Address:
City: State: Zip:
Dates: To: Monthly Payment: $
Landlord/Mgr’s Name: Phone: ( )
Reason for Moving: ____________________________________________________________________________________
Present employer: Position:
Phone: Date of Hire:
Address:
Supervisor: Salary:
Former employer: Position:
Phone: Date of Hire:
Address:
Supervisor: Salary:
Full Name: Driver’s License #/State:
Date of Birth: Social Security #:
Present employer: Position:
Phone: Date of Hire:
Address:
Supervisor: Salary:
Name: Birth Date: Relationship:
Name: Birth Date: Relationship:
Emergency Contact: Relationship: Telephone:
I hereby make application for a rental and certify that this information is correct. I authorize Premier Properties Real Estate, L.L.C. to contact any references that I have listed and or/run a credit check.
I understand that there is a non-refundable fee of $25.00 for a single applicant and $35.00 for a married couple to cover the cost of processing my application and I am not entitled to a refund if my application is declined or the property becomes no longer available. In addition I understand that if they security deposit is paid and I do not lease the property, I will forfeit the security deposit.
____________________________________ _________________________________________
Applicant Signature/Date Applicant Signature/Date
Premier Properties Real Estate, L.L. C. conduct business in accordance with all federal, state, and local Fair Housing laws. It is our policy to provide housing on an equal opportunity basis to all qualified persons regardless of race, color, sex, national origin, handicap or familial status.
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