RENTAL APPLICATION
NAME: ________________________________________________SS#____ __ ____ DOB___________
ADDRESS: (STREET)___________________________________________________________________
CITY_____________________________________________ STATE_______ ZIP __________________
FROM: _________________TO:__________________ PHONE: (_____)________ __________
EMPLOYER:__________________________________________________________________________
SUPERVISOR_____________________________________ PHONE: (_____)_____________
FROM:__________________ TO_______________
LANDLORD: _________________________________________________PHONE: (____)____________
SPOUSE/PARTNER: NAME_____________________________________________________________
SS#_____ __ _____ DOB: ____________
ADDRESS: ______________________________________________________________________________
CITY: _____________________________________________STATE________ ZIP:_____________
EMPLOYER:_____________________________________________________________________________
SUPERVISOR: _______________________________________________PHONE: (_____)_____________
FROM: _________________TO__________________
LANDLORD:__________________________________________________________________
PHONE:________________________ FROM:_______ TO:________
DO YOU HAVE PETS: YES/NO - IF YES TYPE (DOG?CAT?) BREED AND SIZE (WEIGHT).
__________________________________________________________________________________
NAMES OF ALL THE PERSONS WHO WILL BE LIVING IN THE LEASED PREMISES:
_______________________________________ _______________________________________
______________________________________ _______________________________________
DATE THAT YOU WOULD LIKE TO MOVE IN:______________________________________
I HEREBY GIVE PERMISSION FOR MARY GIBSON TO RUN A CREDIT CHECK, EMPLOYMENT AND
LANDLORD REFERENCE CHECK AND TO MAKE BUSINESS DECISIONS FROM INFORMATION
OBTAINED THEREBY. BY THIS APPLICATION I STATE THAT I AM OVER 18 YEARS OF AGE.
ALL STATEMENTS ABOVE ARE TRUE TO THE BEST OF MY KNOWLEDGE.
APPLICANT:_____________________________________________________DATE___________________
SPOUSE/PARTNER ____________________________________________DATE__________________
APPLICATION FEE IS $35 AND IS NON REFUNDABLE PAYABLE BY CREDIT CARD OR PAYPAL ACCOUNT
BELOW OR BY CHECK OR MONEY ORDER BY MAIL. MAIL ADDRESS IS: P. O. BOX 400, ST. MARYS, GA. 31558