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2408 Brookhaven Ave SW

Rental Application for:

2408 Brookhaven Ave SW

Birmingham, AL 35211

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Questions marked with * are required.

Required Identification Fields
* Required
Email is required. Email must be in a proper format.

First Name is required.

Last Name is required.
Phone Number * Required
Phone Number is Required
Date of Birth * Required
Date of Birth is Required
SSN * Required
SSN Required
Information: $680 Rent $680 deposit. If accepted tenant can receive a discount on rent if he/she signs up for auto draft Address: 2408 Brookhaven Ave SW Birmingham AL 35211. All electric water heater, electric stove, window unit a/c, gas floor furnace., $50 APP fee. Background check will be preformed
Is there another adult that will be staying in the above property? * Required

If yes, please submit name and SSN
Current Residence:
Street Address * Required
Street Address is required.
City * Required
City is required.
State * Required
State is required.
Zip Code * Required
Zip Code is Required
Dates for Current Residence:
Start Date in Current Residence * Required
Start Date is Required
End Date in Current Residence, if applicable * Required
Present Landlord * Required
Present Landlord Phone * Required
Present Rent * Required
Previous Residence:
Address * Required
City * Required
State * Required
Zip Code * Required
Dates of Previous Residence:
Start Date of Previous Residence
End Date of Previous Residence
Previous Landlord
Previous Landlord Phone Number
Previous Rent Amount
Additional Occupants:
Additional Occupant #1 Name
Additional Occupant #1 Relationship
Additional Occupant #1 Occupation
Additional Occupant #1 Age
Additional Occupant #2 Name
Additional Occupant #2 Relationship
Additional Occupant #2 Occupation
Additional Occupant #2 Age
Additional Occupant #3 Name
Additional Occupant #3 Relationship
Additional Occupant #3 Occupation
Additional Occupant #3 Age
Additional Occupant #4 Name
Additional Occupant #4 Relationship
Additional Occupant #4 Occupation
Additional Occupant #4 Age
Please list any additional Occupants, if applicable (Name, Relationship, Occupation, Age)
Do you have any Pets? * Required

Please confirm if you have any Pets
If Yes, please list each pet (Type, Weight, etc.)
Please list any vehicles you have (Vehicle Year, Make, Color, License #, State) * Required
Current Employer:
Employer Name * Required
Employer Name is Required
Position
Hours worked per week
Your Manager's Name * Required
Manager's Phone Number and Extension * Required
How long have you worked at this company? * Required
Employer Address * Required
Employer City * Required
Employer State * Required
Employer Zip * Required
Income:
Annual Salary/Wages
Name of Bank * Required
Bank account number * Required
Annual Salary of Co-applicants, if any
Additional Income
Total Anticipated Annual Income
Is there any additional information we should know?
Other Questions:
Have you ever been convicted of a felony? * Required

Please confirm Yes/No
Have you ever filed for bankruptcy? * Required

Please confirm Yes/No
Do you smoke? * Required

Please confirm Yes/No
Have you ever been evicted from a tenancy? * Required

Please confirm Yes/No
Have you ever moved owing rent or damaged a rental? * Required

Please confirm Yes/No
Epic Investments LLC James A Sullivan 334-220-4054 shallc2008@gmail.com
More Required Identification Fields
Legal Text
Applicant authorizes the landlord/property manager to contact current and former landlord(s) or property manager(s), employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. All information above is true, accurate, and complete to the best of applicant’s knowledge. The landlord/property manager reserves the right to disqualify tenant if information is not represented.

Signing my full name in the following field qualifies as my legally binding signature per the Uniform Electronic Transactions Act (UETA).
Type Signature * Required
Signature is required.


Some required fields are not filled out. They are indicated in the form above.
 




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