Application

BlueGreen PMC 334-478-0005 FAX 334-567-5796
RENTAL APPLICATION
Each adult (18 or older) must fill out a separate applicationThere is a non-refundable fee of $30 per adult to apply
FirstMiddleLastBirthdatesocial security#Drivers license# & State
Any other Names you have used in the past?ex.maiden name/aliasHome phoneCell Phone
RENTAL/RESIDENCE HISTORY
Current ResidencePrevious ResidencePrior Residence
Street address
City
State & Zip
Last rent amount
Owner/Manager & phone Number
Reson for leaving?
Did you pay your rent in FULL?
Were you asked to move?
Name in which your utilities are now being billed?
FROM/TOFROM/TOFROM/TO
Dates of Residency
EMPLOYMENT HISTORY
Current EmploymentPrevious EmploymentPrior Employment
Employed By
Address
Employers phone #
Occupation
Name of your Supervisor
Monthly pay
FROM/TOFROM/TOFROM/TO
Dates of employment
Financial history
Credit problems alone will NOT prevent you from renting with us . Just be honest.
Bank Or Companys nameBalance on depositAmount owed
Savings account
Checking account
Credit card
Auto loan
Mortgage
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