Dee Kolsawala

(770) 231-1438

Application for Rental

EACH ADULT APPYLING FOR OR ASSISTING IN PAYING THE MONTHLY RENT MUST COMPLETE A SEPARATE APPLICATION.

PLEASE PRINT – All information must be completed. All blanks must be filled in. The decision to rent to you will depend in great part on your credit history and references. Only clean, responsible people who pay rent on time need apply.

Personal Information

Name:

Alias/Maiden:

Social Security Number:

Date of Birth

Current Driver's License Number:

State of Issue:

Present Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

How long at Present Address:

If Renting or Leasing

Provide Apartment Name and Location:

Name of Landlord/Manager's Name:

Landlord/Manager Phone:

Why are you Leaving?

Current Monthly Rent $:

Previous Address:

City:

State:

Zip Code:

How Long at this Address?

If Renting or Leasing

Provide Apartment Name and Location:

Name of Landlord/Manager Name:

Why did you leave?

Current Monthly Rent:

EMPLOYMENT HISTORY

Current Employer:

Job Position:

How Long Employed Here:

Current Employer's Address:

Current Employer's Phone:

Your Work Phone:

Gross Monthly Income (Before Deductions):

Other Income:

Former Employer:

Job Position:

How Long Employed:

Former Employer Address:

Former Employer Phone:

Why did you leave?

CREDIT REFERENCES:

This may include Store Credit Cards, Rental Stores, Car Loans, Small Loans, etc.

Name of Bank/Financial Institution:

City:

State:

Zip Code:

Branch Office Location:

Type of Account (Checking, Savings, etc.):

Account No.:

Date Opened:

Please list all credit references which include: All financial institution departments, banks loans, credit card accounts, and auto loans.

Type of Account #1:

Account Number:

Balance:

Monthly Payment:

Type of Account #2:

Account Number:

Balance:

Monthly Payment:

Type of Account #3:

Account Number:

Balance:

Monthly Payment:

Have you ever been evicted?

NoYes

Have your ever had a foreclosure or repossession?

NoYes

If Yes, please give date of legal action and explain.

Have you ever filed for bankruptcy?

NoYes

If Yes:

Chapter 13Chapter 7

Explain:

Have you ever been convicted of crime, other than traffic violations?

NoYes

If Yes, Explain:

PERSONAL REFERENCES

List 3 Persons, other than your Relatives, that we may contact to verify your character.

Reference Name #1:

Relationship:

Phone:

Address:

City:

State:

Zip Code:

Reference Name #2:

Relationship:

Phone:

Address:

City:

State:

Zip Code:

Reference Name #3:

Relationship:

Phone:

Address:

City:

State:

Zip Code:

EMERGENCY NOTIFICATION

In an emergency, you may contact (list 2 starting with nearest relative first).

(Emergency) Contact Person Name:

Relationship:

Phone:

Address:

City:

State:

Zip Code:

(Emergency) Contact Person Name:

Relationship:

Phone:

Address:

City:

State:

Zip Code:

OTHER INFORMATION

(List all persons, including children, who will live in the dwelling unit)

Occupant #1 Name and Relationship:

Occupant #1 Age:

Occupant #2 Name and Relationship:

Occupant #2 Age:

Occupant #3 Name and Relationship:

Occupant #3 Age:

Occupant #4 Name and Relationship:

Occupant #4 Age:

Occupant #5 Name and Relationship:

Occupant #5 Age:

Occupant #6 Name and Relationship:

Occupant #6 Age:

PETS

Type of Pet:

Pedigree:

Pet's Weight:

Type of Pet:

Pedigree:

Pet's Weight:

*NOTE: Absolutely no pets are allowed at any time on the premises without prior Management approval and payment of fees. NO EXCEPTIONS. Tenants found in violation are subject to eviction in accordance with Georgia Law.

Date of Desired Occupancy:

Anticipated Length of Stay:

Do you Own:

Lawn MowerMusical InstrumentVacuum CleanerWaterbed

Smoker?

NoYes

LIST ALL MOTOR VEHICLES, INCLUDING RECREATIONAL VEHICLES TO BE KEPT AT THE PROPERTY

Make #1:

Model #1:

Year:

Color:

License Plate No.:

State:

Make #2:

Model #2:

Year:

Color:

License Plate No.:

State:

Make #3:

Model #3:

Year:

Color:

License Plate No.:

State:

Enter the code in the field below:

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A non-refundable application fee of $45.00 and a reservation fee(if applicable) of $ TBD

Are required for processing this application, and is being paid herewith. The undersigned expressly agrees that if this application is approved applicant herewith agrees to rent this property. Applicant further agrees that if applicants is accepted by Management and then decides not to move into the premises, then all monies paid herewith shall be retained as liquidated damages since other prospective tenants.