Avalanche Rental Properties Application

Please enter all fields to the best of your ability! This application is subject to a background check at any time. The information entered into this form will not be sold or given out to anyone except for the background check.

What program are you applying for?
First, Middle, Last Name Birth Date Social Security # Driver’s License #
Any Other Names You’ve Used In The Past Home Phone Cell Phone
All Other Proposed Occupants Age Relationship To Applicant


Residence Employment
Street Address Employed By
City Address
State & Zip Employer’s Phone
Last Rent Amount Paid Occupation
Owner/Manager Name Name of Supervisor
and Phone Number Monthly Gross Pay
Reason for leaving   From/To
Is/Was rent paid in full? Employment
Did you give notice?
Were you asked to move?
Name(s) in which your utilities are now billed:
Dates of Residency


Bank/Institution Name Balance On Deposit or Balance Owed
Savings Account
Checking Account
Credit Card
Auto Loan

VEHICLES (Include vehicles belonging to other proposed occupants also)

Make Model Color Year License Plate


Have you ever been served a late rent notice? Do any of the people who would be living in the apartment smoke? How long do you think you would be renting from us?
Have you ever filed for bankruptcy? If so, when? When would you be able to move in? Have you ever been convicted of a felony?
Have you ever been served an eviction notice? If so, when? How many pets do you have (list Type, Breed, approx Weight & Age)?
Have you had any reoccurring problems with your current apartment or landlord? If yes, please explain:
Why are you moving from your current address?
List any verifiable sources and amounts of income you wish to have considered (optional):
If you were to run into financial difficulty in the future and couldn’t come up with the money to pay the rent, do you know someone that would loan you the money? If so, provide the person’s name, address, & phone # so that we can use them as a reference for you.
Have you been a party to a lawsuit in the past? If yes, please explain why:
We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?
How did you hear about this apartment? Do you have an e-mail address we can reach you at?
Do you know of anybody else looking for an apartment? Please provide their name and number. If you refer a friend and you each end up renting separate apartments from us then we will pay you a referral reward.

Agreement & Authorization Signature

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don’t get the apartment. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.

Signature: Date: