Alpine Property Mgmt, Inc.
477 NE Greenwood Ave Suite A
Bend, Or. 97701
(V) 541 385 0844 Fax 541 389 6319
apm@riousa.com
Directions: Corner of 5th and Greenwood Ave in the Cascade Chiropratic Center Bldg (Second Level)
A $35.00 application fee (payable by cash, check or money order) is required per person 18 years of age and older. The application fee must be submitted to our office prior to the application being processed.
- We offer applications to everyone who desires to obtain residency
- We will not review incomplete applications
- We may require up to two business days to verify information
- We will accept the first qualified applicant
- Applicants must provide a photo ID
- Rental history must be verifiable
- Exceptions may be made for applicants with qualified co-signers or increased deposits
- Individual monthly income shall be 2.5 times the rent excluding utilities in order to qualify
- Employment must be verifiable by means of pay stubs or tax statements
- Any individual who is a current illegal substance abuser, or has been convicted of the illegal manufacture or distribution of a controlled substance or any other violent felony may be denied tenancy.
Applicant is applying for residency at _____________________________________________________
Rental Amount $_______________ Security deposit $_____________
FIRST MONTHS RENT AND SECURITY DEPOSIT MUST BE PAID BY MEANS OF CASHIERS CHECK OR MONEY ORDER. All future payments may be made by means of personal check. No cash payments please. Applicant screening charge is a non-refundable payment of monies charged by our office for the purpose of processing an application for a rental unit. Screening will consist of employment verification, credit checks, background check, public records, judgements, liens, evictions and collections, personal information verification, criminal background checks. As the applicant I/We understand that a deposit, consisting of the security deposit amount, is required within twenty four hours to guarantee and hold the unit once the application as been approved. If for any reason the prospective tenant fails to rent the unit on the agreed upon move-in date, all deposits collected to secure the unit are non-refundable. By signing this form, I/We, have read and understand the above stipulations. Applicants have the right to dispute any information provided by outside agencies during the process of this application. Applicant certifies that all information provided to our office is true and correct to the best of their knowledge and hereby authorize agents of Alpine Property Management, Inc. to make any necessary inquiries to verify the information provided by the applicant. Submission of false information will result in the loss of your applicaiton fee(s).
Applicant Signature & Date ________________________________________________________________
PLEASE PRINT
Full Name Last_____________________ First_______________________ Middle___________
Soc Sec# ________________________ Birth Date ____-____-____
Drivers Lic # ________________________ State _____
Current Contact Information
Home Phone_______________________ Cell Phone _______________________
Work Phone_______________________ E-mail ___________________________
Employment/Income Sources
Current Employer _________________________________________ Since _________
Managers Name ______________________ Managers Phone ______________________
Job Title ____________________________ Monthly Gross Pay ____________________
Additional Income Sources – Describe Source $ ___________
List each occupant/date of birth/relationship to the applicant who will be residing in the home/apartment:
____________________________ Date of Birth ______________Relation____________
____________________________ Date of Birth ______________Relation____________
____________________________ Date of Birth ______________Relation____________
____________________________ Date of Birth ______________Relation____________
Current Address ___________________________ Since __________________
___________________________
___________________________
Landlord ___________________________ Phone _________________
Previous Address ____________________________ # of months in rental ______
____________________________
____________________________
Landlord ____________________________ Phone _________________
- Do you have any pets: yes no Type/age/weight
- Have you ever been evicted from a property: yes no
- Been sued by a landlord: yes no
- Been convicted, plead guilty, or no contest to a crime: yes no
If yes to any of the above please provide explanation to include dates:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Co-applicant Information:
Full Name (Please Print) ________________________________________________________
Soc Sec _________________ Birth Date ___-___-___ Drivers Lic # ______________ State _______
Signature ____________________________________________________
Current Contact Information
Current Employer _____________________________________Monthly Income ______________
Been convicted, plead guilty or no contest to a crime Yes No
If yes to above please provide details and dates: ____________________________________________________
___________________________________________________________________________________________
Home Phone_______________________ Cell Phone _______________________
Work Phone_______________________ E-mail ___________________________
