Alpine Property Mgmt, Inc.
477 NE Greenwood Ave  Suite A
Bend, Or.  97701
541 385 0844
apm@rio.com

Directions:  Corner of 5th and Greenwood Ave in the Cascade Chiropratic Center Bldg (Second Level)

A $35.00 application fee 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
  • Net household income shall be at least 2.5 times the rent excluding utilities
  • Employment must be verifiable
  • 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 $________  Carpet fee (non-refundable)  $__________

FIRST MONTHS RENT, SECURITY DEPOSITS AND CARPETS FEES 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 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 _____

Spouse or Roomate  Information

Full Name (Please Print) _______________________________  (ensure page two (2) is completed)

Soc Sec _________________  Birth Date ___-___-___ Drivers Lic # ______________ State _______

Current Contact Information

Home Phone_______________________               Cell Phone _______________________   

Work Phone_______________________                E-mail ___________________________

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   
  • Filed bankruptcy:                                                          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:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Employment/Income Sources

Current Employer _________________________________________  Since _________

Managers Name ______________________ Managers Phone ______________________

Job Title ____________________________ Monthly Gross Pay ____________________

Additional Income Sources – Describe Source  $ ___________  


Applicant Signature _____________________________  Date ________________________