Application  For  Rent-To-Own

Our process:

1.  You submit to us a completed application form  (print this page)  and application fee

2.  We will process the application and, if you are pre-approved, we will ask for more information to get the right house at the right price in the right place

EACH ADULT STAYING IN YOUR PROPERTY MUST COMPLETE A SEPARATE APPLICATION

PLEASE PRINT or TYPE.   ALL information must be completed.  All blanks must be filled in.  The decision to rent to you will depend in great part on your background, your credit history, and your references.  Only clean, responsible people who ALWAYS pay bills on time, need apply.

Address you are applying for (if known) _________________________________________________

Area(s)  of town where you seek a Rent-to-Own house: ___________________________________

Amount of money you can pay each month (must be less than 30% of income): ___________________

How did you find out about us?   Sign __  Newspaper/Advert. __   Friend __   Internet __   Other: ____________________

Email Application to:  INTL  @  securenym.net or send by Postal Mail to:  Jon Gresham, 3001 Crawford St, Montgomery AL 36111

PERSONAL INFORMATION

Full Name ____________________________________________ Home Phone  (_______)___________________ Work Phone  (_______)_________________

Social Security Number ______-_____-______ Current Driver's License #____________________________ State: ___________   Birthdate: _______________

Present Address __________________________________________________       Email Address: ____________________________________________________  

    City ___________________________________________________________________  State: ____________  Zip: ____________________________

    How Long? __________  If renting, House/Apartment name/location _________________________________

    Landlord/mgr's name _______________________________________________________________  Phone:  (_____)__________________

    Why are you leaving? _______________________________________________________________________________________________

    ________________________________________________________________________________________________  Current Rent: $____________

Previous Address _____________________________________________________________________________________________________________________

 
    City ___________________________________________________________________  State: ____________  Zip: ____________________________

    How Long? __________  If renting, Apartment name/location _______________________________________ 

    Landlord/mgr's name _______________________________________________________________  Alternate Phone:  (_____)__________________

    Why did you leave? __________________________________________________________________________________________________________

Present Employer ________________________________________________________________ Position: __________________________ How Long? _________

    Address ____________________________________________________________________________________ Phone: (_____)__________________

    Gross Monthly Income before deductions: $______________ Other Income: $_______________ Source: ___________________________________

Note: 2 years continuous employment is required for our tenants

Former Employer _____________________________________________________________  Position: __________________________ How Long? _________

    Address ____________________________________________________________________________________ Phone: (_____)__________________

    Why did you leave? __________________________________________________________________________________________________________

 

Have you ever been evicted?   YES   __    NO   __                     Have you ever had a foreclosure/repossession?  YES   __ Date _________________   NO   __

    If yes, explain:  ______________________________________________________________________________________________________________

Have  you ever filed for bankruptcy?   YES   ___ Date _______________________:    NO   ___             If yes, Chapter 7 __  or Chapter 13 __? 

    Explain:  ___________________________________________________________________________________________________________________

Have you ever been convicted of a crime, other than a traffic violation?    YES   __   NO   __     Have you ever had your wages garnished?  YES __  NO __

    If yes, explain:  ______________________________________________________________________________________________________________


When do you want to move in?  _______________      Shall I contact you with information on the next house I have available for Rent-To-Own?  Yes ___ 


A non-refundable application fee of  $50.00  is required for processing this pre-application form, and is required to be paid before we can process this application.

  The undersigned expressly agrees that if this application is approved applicant herewith agrees to rent this property.  Applicant further agrees that if applicant is accepted by Management and then decides, for any reason, not to move into the premises, then all monies paid herewith shall be retained as liquidated damages since other prospective tenants may have been turned away and it may be necessary for Management to re-advertise the property and evaluate other applicants.  Processing of application shall be as timely as possible and the results may be delivered via telephone, fax, email or mail.  Once approved, applicant agrees to pay the balance of funds and complete the paperwork within 48 hours, otherwise management will assume that applicant has decided to forfeit the reservation/earnest money payment made herewith and will begin re-marketing the property.  If applicant is not approved, all monies given herewith, less application fee shown above, shall be returned to applicant.  Applicant understands and agrees that rent begins as of the day after application approval and will be prorated for the following month.

**You Must include with this application:  A PHOTOCOPY OF YOUR DRIVER'S LICENSE OR PICTURE IDENTIFICATION CARD, AND Last Year's W-2 Form or IRS Tax Return, your latest PAY STUB, AND  your money order or cashier's check for $50.00.

I declare that the application is complete, true and correct and I herewith give my  permission for anyone contacted to release the credit or personal information of the undersigned applicant to Management or their authorized agents, at any time, for the purposes of entering into and continuing to offer or collect on any agreement and/or credit extended. I further authorize Management or their Authorized Agents to verify the application information including but not limited to obtaining criminal records, contacting creditors, present or former landlords, employers and personal references, whether listed or not, at the time of the application and at any time in the future, with regard to any agreement entered into with Management.  Any false information will constitute grounds for rejection of this application, or Management may at any time immediately terminate any agreement entered into in reliance upon misinformation given on this application.

____________________________________________        ______________
Applicant’s Authorization (typed or signed)                                  Date       

Email Forms to:  INTL    @    securenym.net      or     send by Postal Mail to:   Rent-To-Own, 3001 Crawford St, Montgomery AL 36111