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Thank you for choosing Birmingham - by J. H. Berry & Gilbert, Inc. We will help in whatever way we can to ensure that your move to Birmingham and into one of our properties is as simple and pleasant as possible.

Please print this information and use it as your reference.

  • Complete and submit application and application fee of $50.00 for each applicant.
  • Make appointment to sign the lease by either emailing us or calling our office at 205.226.8666. This will be done in our office located at 3125 Independence Dr., Suite 100 , Birmingham, AL 35209.
  • Provide check, certified funds, or a money order for the security deposit and first month's rent. Your first month's rent will be pro-rated if occupancy is less than the full month. Please ask your leasing specialist for the pro-rated amount.
  • If a guarantor is allowed, the guarantor will also need to fill out an application for approval.
  • Activate utilities prior to occupancy. Go to Residents Services Moving In section fo the website for phone numbers and links to various utility providers.

If you have questions about your move or the status of your application, please call us at 205.226.8666 or email us. We are here to help!

Today's Date: Move in date:  
Location Applied for: Apt. #:  
Rent: Deposit:  
First Name: Last Name: Middle Initial:
Prefix: Suffix:  
Date of Birth:  
Driver's Lic. #: State:  
Cell Phone: Home Phone: Work Phone:
Email: Re-enter Email:

Emergency Contact Information:

Contact's Name: Relationship: Phone:
Address: City:  
State: Zip code:  


Please list everyone that will live with you, including yourself, and state each individual's name, age, and sex:

Residence History:

Current Residence:

Current Address: City:  
State: Zip code:  
For How Long: Reason Moving: Mo. Payments:  $
Landlord/Mgt. Co.: Phone:  

Previous Residence:

Previous Address: City:  
State: Zip code:  
For How Long: Reason Moving: Mo. Payments:  $
Landlord/Mgt. Co.: Phone:  

Employment & Bank References:

Current Employment :

Employed by: Position: How Long:
Address: Phone: Appr. Mo. Income:  $

Prior Employement:

Employed by: Position: How Long:
Address: Phone: Appr. Mo. Income:  $

Bank Reference:

Bank Reference: Acct #:  

Other Required Information:

Vehicle 1: Year: Tag #: State: Color:
Vehicle 2: Year: Tag #: State: Color:

Have you ever been involved in a bankruptcy, debtor's petition, garnishment, unlawful detainer, suit for rent, other lawsuit or repossession?

No Yes  

If answer is yes, please explain:

I (WE) UNDERSTAND THAT A NON-REFUNDABLE APPLICATION FEE is charged each rental applicant and that an investigation will be made of me (us) which will provide information on my (our) client standing, character, mode of living, criminal record and reputation. By initialing this application here I (we) give our permission for this investigation. I (we) understand that the acceptance or rejection of this application may or may not be based upon information gathered in this investigation and is at the sole discretion of the Lessor or his Agent. I (we) warrant that the premises for which this application is made will be occupied only by the persons listed above. I (we) have read and understood the Agency Disclosure (view here).

I (we) understand that if the application is approved that management requires a deposit to remove the property from the rental market. Once a deposit is made and the property is removed from the market, I (we) understand that the deposit is non-refundable.