Co-signer

Application For Residency

Please print out the application below and mail to this address, or fax to us at the number below.

H. A. Edwards, Inc.
2030 Ninth Street
Tuscaloosa, AL 35402

Fax: 205-345-1445


Note: Please make sure that the application is signed before faxing application.

Co-signing for (tenant's name)

Which apartment/house are you Co-signing for?

Date:

Co-signer's Name:

Cell Phone:


Email:

Date of Birth: Social Security:      Marital Status:

Driver's License No. State:

Spouse's Name:
Date of Birth:Social Security:

Present Address:
City: State: Zip:

Phone No. How Long?

Landlord:
Address:Phone:

Monthly Payment: Reason for moving:

Have you ever been served a notice of eviction from any leased premises? Yes No

EMPLOYMENT INFORMATION:

Present Employer: Position:

Business Address:
Business Phone: Cell Phone/Pager:

Supervisor:
Employed Since: Gross Monthly Salary:

Spouse's Employer:
Position:

Business Address:
Business Phone:

Supervisor:
Employed Since: Gross Monthly Salary:

PERSON TO NOTIFY IN EMERGENCY:

Name: Relationship:

Address (city, state, zip):
Phone:


I HEREBY AUTHORIZE H. A. EDWARDS, INC. TO MAKE ANY INQUIRES THEY DEEM NECESSARY IN THE ESTABLISHMENT OF MY CHARACTER OR CREDIT RATING. I HEREBY AUTHORIZE THE REFERENCES LISTED HEREIN TO RELAY TO H. A. EDWARDS, INC. ANY INFORMATION THEY REQUIRE. I ALSO AGREE THAT THE SECURITY DEPOSIT TO H.. A. EDWARDS, INC. SHALL BE FORFEITED SHOULD I REFUSE SAID DWELLING. SHOULD THE APPLICATION BE TURNED DOWN FOR ANY REASON, THE COST OF ANY CREDIT OR REFERENCE CHECKS ($35.00) WILL BE DEDUCTED FROM SAID DEPOSIT BEFORE THE DEPOSIT IS RETURNED. I UNDERSTAND THAT THIS DOCUMENT WILL BECOME PART OF MY LEASE.

Signature of Applicant _________________________________________________ Date __________________________