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Rental Application
| Preferred Realty Services |
RENTAL APPLICATION PREFERRED Property
Management
Return to fax # (770) 486-5243 770-486-5242 office
APPLICANT 1
Full
Name________________________________________________________________
E-Mail________________________________________________________________
SSN_____________________________ Driver Lic No _______________________
Home Phone ________________________ Cell Phone________________________
CURRENT RESIDENCE PREVIOUS RESIDENCE
Address ___________________________________________
City/State/Zip ___________________________________________
Landlord Name _________________________________________
Landlord Phone __________________________________________
How Long ___________________________________________
CURRENT EMPLOYMENT
Comp. Name ___________________________________________
Address ___________________________________________
City/State/Zip ___________________________________________
Supervisor ___________________________________________
How Long ___________________________________________
Income____________ per ______
Phone _________________________________
BANK
NAME BRANCH ACCOUNT NO.
_____________________________________________________________________
APPLICANT 2
Full Name
_____________________________________________________________________
SSN _______________________________ Driver Lic No_______________________
Phone ________________________
CURRENT RESIDENCE
Address __________________________________________
City/State/Zip __________________________________________
Landlord Name __________________________________________
Landlord Phone __________________________________________
How Long __________________________________________
CURRENT EMPLOYMENT
Comp. Name __________________________________________
Address __________________________________________
City/State/Zip __________________________________________
Supervisor __________________________________________
Position __________________________________________
How Long __________________________________________
Income/Phone __________ per _________
Phone ___________ ___________
BANK NAME BRANCH ACCOUNT NO.
_____________________________________________________________________
AUTOMOBILE
Vehicle 1
____________________________________________________________
Year Make Model Color
License #__________________
Vehicle 2 _______________________________________________________
Year Make Model Color
License#___________________
ADDITIONAL OCCUPANTS
Name Age Relationship
_______________________________________ ____________________
_______________________________________ ____________________
_______________________________________ ____________________
_______________________________________ ____________________
PETS: Type ________________________ Size ____________
Type _______________________ Size ____________
NEAREST RELATIVE Name ____________________________________
Relationship _____________________
Address ________________________________________________________
Tel # ____________________________
1. Have you ever filed bankruptcy?__________ When? ________________
2 Have you ever been served an eviction notice or been asked to vacate a property
you were renting? ________
3. Application processing fee is non refundable.
4. Owner will retain security deposit as liquidated damages, if credit is approved
and applicant decides not to rent. I/We also understand and agree that if I/We give
incorrect information, I/We will forfeit any deposit paid.
5. I/We offer the foregoing information as inducement to you to rent Me/Us your
rental property. UNDER PENALTY OF PERJURY, I/We declare said foregoing
information to be true and correct and do hereby authorize you to conduct an
employment and credit check and to verify our references.
Signature ________________________________________
Signature __________________________________________
Date ______________________________________________