Rental Application

50 White St
Cleveland, GA 30528

Monthly rent:
Application fee (to be paid after application submission):
Have you viewed the property in person?

Personal Information

First name:
Middle name:
Last name:
Social security number:
Date of birth:
Driver's license number:
Driver's license state: Mobile phone number: Home phone number (if different): Email address:

Emergency Contact Information

Emergency contact name:
Emergency contact phone number:

Other Resident(s) Information

Spouse/Adult roommate name:
Names and ages of individuals under 18:

Pet Information

Do you have any pets? If yes, then what type(s) of pet(s)?
Weight of each pet:

Current Residence Information

Current address:
Current city:
Current state: Current zip code:
Number of years at current residence:
Number of months at current residence:
Current monthly rent:
Current landlord name:
Current landlord phone number:
Reason for moving:

Previous Residence Information

Previous address:
Previous city:
Previous state: Previous zip code:
Number of years at previous residence:
Number of months at previous residence:
Previous monthly rent:
Previous landlord name:
Previous landlord phone number:
Reason for moving:

Current Employment Information

Employer name:
Employer address:
Employer city:
Employer state: Employer zip code:
Number of years at current employer:
Number of months at current employer:
Supervisor name at current employer:
Employer phone number:
Position:
Gross monthly income (before taxes):

Previous Employment Information

Previous employer name:
Previous employer address:
Previous employer city:
Previous employer state: Previous employer zip code:
Number of years at previous employer:
Number of months at previous employer:
Supervisor name at previous employer:
Previous employer phone number:
Previous position:
Previous gross monthly income (before taxes):

Other Information

Do you have a legal right to be in the United States? If you are a non-U.S. citizen with valid visa documentation, please provide the reason you are in the U.S.:
If you are a non-U.S. citizen with valid visa documentation, please provide Visa Type:
If you are a non-U.S. citizen with valid visa documentation, please provide Visa Expiration Date:
Have you ever been asked to move out of a residence? Have you ever been party to an eviction? Are you a registered sex offender? Do you have any liquid furniture (i.e. waterbed)? Do you have Renter's Insurance? Have you ever filed bankruptcy? If you have filed bankruptcy, has it been discharged or dismissed? Have you ever had any debt collection actions against you? Have you ever been convicted of a felony? Have you ever plead guilty to a felony? If you have been convicted of or plead guilty to a felony, when did that occur?

Comments

Further comments or explanation for anything you filled out on this application:

Rental Application50 White StCleveland, GA 30528