Long Term Rental Application Form

Long Term Rental Application Form
Rental Property Address: 5851 Swedetown Rd. N. Theodore, AL 36582

Available: September 1, 2026

Monthly Rent: $1400.00

Security Deposit: $1100.00

*** Non-Refundable Application Fee: $30.00. A background check link may be sent via email after the application is received.
Do you have a housing voucher to pay rental fees?
If yes, what is the amount of your housing voucher? If no, type NA in the box.
Move In Date

MonthDayYear
Please select lease term
Tenant Information
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Do you own pets?
No pets are allowed in this residence
Are you or anyone in your household a smoker?
How many tenants under 18 will be living in the residence?
Current Rental/Residence History
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
From

MonthDayYear
To

MonthDayYear
Reason of vacating
Present Landlord

First NameLast Name
Present Landlord’s Phone
Format: (000) 000-0000.
Previous Landlord

First NameLast Name
Previous Landlord's Phone
Format: (000) 000-0000.
Present Employment
Employer
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Occupation
Length of Employment
Current salary
Minimum salary: $4400 / month (Salary exception for housing voucher)
Emergency Contact
Full Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
The Applicant consents to the collection, use and disclosure of the Applicant’s personal information by the Landlord and/or agent of the Landlord, from time to time, for the purpose of determining the creditworthiness of the Applicant for the leasing of the premises or the real property, or making such other use of the personal information as the Landlord and/or agent of the Landlord deems appropriate. By submitting this form, The Applicant represents that all statements made above are true and correct. The Applicant is hereby notified that a consumer report containing credit and/or personal information may be referred to in connection with this rental. The Applicant authorizes the verification of the information contained in this application and information obtained from personal references.
Date

MonthDayYear
Signature
Each application requires a paid fee to be reviewed.

CLICK HERE TO PAY NON-REFUNDABLE APPLICATION FEE
Should be Empty:

Long Term Rental Application Form

Tenant Information

Current Rental/Residence History

Present Employment

Emergency Contact