RENTAL CREDIT APPLICATION |
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Leasing Agent:
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Property:
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(Within 2 weeks maximum) |
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Address:
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PERSONAL INFORMATION |
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Applicant's Name:
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Social Security:
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Date Of Birth: |
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Driver's License Number:
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State Issued:
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Email Address:
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Names & Ages Of Dependants:
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Mother's Maiden:
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Home Phone:
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WorkPhone:
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Cell Phone:
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RENTAL HISTORY - MUST PROVIDE A TOTAL OF FIVE YEARS OF INFORMATION |
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Current Address:
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How Long At Address:
Do you:
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Mortgage co's/Landlord's Name:
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Mortgage co's/Landlord's Phone:
Fax Number:
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Current Rent/Mortgage: $
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Prior Address:
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How Long At Address:
From/To:
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Mortgage co's/Landlord's Name:
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Mortgage co's/Landlord's Phone:
Previous Rent/Mortgage: $
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Prior Address:
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How Long At Address:
From/To:
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Mortgage co's/Landlord's Name:
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Mortgage co's/Landlord's Phone:
Previous Rent/Mortgage: $
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EMPLOYMENT - ALL SPACES ARE TO BE FILLED OUT (SELF-EMPLOYED TO PROVIDE AT LEAST 2 TEAR OF PERSONAL TAX RETURNS) |
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Current Employer:
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Address:
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Position:
How Long:
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Supervisor's Name:
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Supervisor's Phone:
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Annual Salary: $
(proof must be supplied)
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Alimony: $
(proof must be supplied)
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Child Suppport: $
(proof of court ordered support required)
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FINANCIAL INFORMATION |
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Financial Institution/Bank Name:
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Account Number:
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Type Of Acct:
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Address:
Phone:
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OTHER INFORMATION |
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Year/Make/Model of Car:
Tag#:
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Year/Make/Model of Car:
Tag#:
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Have You Ever Filed Bankruptcy?
If "Yes", when?
Chapter:
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Have You Ever Been Served a Notice to Vacate?
If "Yes", when?
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Have You Been Evicted?
If "Yes", explain:
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REFERENCE |
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RADON GAS- Notice to Prospective Tenant: Radon is a naturally occurring
radioactive gas that, when it has accumulated in a building in sufficient quantities, may
present a health risks to persons who are exposed to it after a period of time. Levels of
radon that exceed federal and state guidelines have been found in buildings in this state.
Additional information regarding radon and radon testing may be obtained from your
county public health unit.
I/WE declare the foregoing information is true and correct and I/WE hereby authorize
Property Services of Atlanta, Inc. to conduct an employment, rental history, credit bureau
and criminal check and verify any and all references. It is understood that all information
may be released to any member of Property Services of Atlanta, and may at certain times
be released to the owner of said property for which you are making application.
I/WE understand that an application fee of $50.00 per person or $75.00 per married
couple will be charged and is NOT refundable. Any holding deposit(s) required
to hold the property will be FORFEITED after 72 hours if I/WE cancel for any reason, or if
I/WE fail to provide the documentation needed to perform the screening process.
If it is discovered that any portion of the documentation is false and has been
fabricated, you will automatically be denied and you will forfeit any holding deposits.
If Property Services of Atlanta rejects the application, the entire holding deposit
will be returned. I/WE also understand that rent will commence 14 days from the
date stated below unless a specific move-in date has been set up with the leasing
agent.
I/WE understand that a non-refundable administrative fee of $200.00 will automatically
be deducted from the total security deposit upon move-in into the property.
I/WE understand that we must provide the account numbers for all utilities at the
time of move in. No move in will take place without this information.
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CONSENT |
I hereby give permission to Property Services of Atlanta to pull my credit, check and verify my employment,
check and verify my criminal history, and check and verify my rental history, which may be in the files of
any state or local criminal justice agency.
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FULL Name:
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Street Address:
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City, State & Zip Code:
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Social Security Number:
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*Please initial that you have read and accepted the above terms and conditions:
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