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

 

                                                                APPLICATION FEE