Alpha Property Management

REFERENCES & RENTAL APPLICATION

Instructions:
1) Fill in all blanks on form
2) Print the page
3) Sign in ink
4) Fax a copy to: Alpha (618) 457-4281
- or -
4) Mail to: Alpha Property Management
PO Box 2587
Carbondale, IL 62902

		Date
Your Name
Current Address
City
State		S.S. #
Zip		Drivers License
Current Phone		Date of Birth
Work Phone		eMail
Cell Phone

Roommates or Family Occupancy
Home Address
Home Phone		Location you wish to rent
City		2nd choice
State		Preferred Occupancy Date
Zip		2nd choice

First Reference Current Landlord or RA	Second Reference Relationship to You... Someone who is not a member of your immediate family, like your Mom.
Name:	Name:
Address:	Address:
Phone:	Phone:

I HEREBY GIVE PERMISSION TO Alpha Property Management OR STAFF
TO CHECK MY REFERENCES AND/OR CREDIT HISTORY.
Information obtained will be used only for the purpose of determining whether you qualify
for consideration as a tenant and will not be used for any other purpose.

SIGNATURE: ______________________________________________________ DATE: ______________
Sign in ink above AFTER printing

Office Use Only:

Credit Report Rating:	Reference 1		Reference 2
	Phone:	Letter:	Phone:	Letter:
Appt:	Rating:		Rating:

Lease Prepped:

Comments:

REFERENCES & RENTAL APPLICATION

First Reference

Second Reference