Alabama DHCD Form

RENTAL APPLICATION

Applicant’s Last Name: First Name: M.I.:

Social Security # or ITIN: Date of Birth: Contact Phone:

Photo ID Type: Number: Issuing government:

Date expires: Other ID: E-mail Address:

1. Present Address: City: State: Zip Code:

Owner/Manager: Phone (Required): Rent Amount:

From/To: Reason for Leaving:

2. Previous Address: City: State: Zip Code:

Owner/Manager: Phone (Required): Rent Amount:

From/To: Reason for Leaving:

3. If applicable, Current or Previous Campus Address:

From/To: Rent Amount: Campus Housing Office: (831) 459-2394

Housing/Residential-Life Office Phone: Student ID #:

Have you submitted a UCSC Reference Release to Campus Housing? Yes No I will do it within 3 days

4. Proposed Occupants/Ages: (1) (2) (3)

(4) (5) (6)

5. Pets: Smoker: Yes No

6. Present Occupation: Employer: From/To:

Name of Supervisor: Phone: City:

7. Previous Occupation: Employer: From/To:

Name of Supervisor: Phone: City:

8. Current Gross Income: $ Per: Savings:

9. Financial Aid Award: $ Per:

10. Personal Reference: Phone:

11. Emergency Contact: Phone:

Relation: E-mail:

12. Vehicles: Make/Year/License #: (1)

(2)

13. Address of Proposed Rental:

14. Proposed Move-in Date: I

Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including, but not limited to, the obtaining of a credit report.

APPLICATION INSTRUCTIONS

PRINT CLEARLY or USE FILLABLE FORM

FILL OUT COMPLETELY

ITIN = Individual Tax Identification Number

LINES 1 & 2:

If this is your parent’s or relative’s unit, indicate it as such.

LINE 3:

Students who lived on campus can use the Campus Housing Office as a financial reference to show they paid rent on time previously and their College Housing/Residential-Life Office as a reference to confirm responsible personal behavior. These are very important references especially for the first-time renter. Fill this line out to provide landlords with information necessary to check your references. Students also must submit a Reference Release available at studenthousing.ucsc.edu for these two references and “How to Check a Rental Reference for a UCSC Student” to give to the potential landlord.

LINE 4:

Print all names and ages of applicants for this unit. Each applicant fills out a separate application.

LINE 5:

List the type and the number of pets you own. If the pet is a dog or cat, provide a pet resume.

LINES 6 & 7:

Include your immediate supervisor’s name and direct phone number. If your supervisor is a UCSC employee, give him or her a copy of your completed UCSC Reference Release Form so they may provide a reference to the landlord for you.

LINE 8:

Include the following if applicable, with Social Security # and account # blacked out:

∙ Most recent pay slip.

∙ Copy of latest bank account statement

∙ If receiving funds from a trust, a letter from attorney or trustee stating the amount you receive monthly and for how long.

∙ If receiving financial assistance from parents or other relatives, document the deposits.

LINE 9:

Include your Financial Aid letter.