RENTAL APPLICATION - Apply Online
(One For Each Adult Applicant)
Before you begin:
PLEASE REVIEW THIS INFORMATION BEFORE SUBMITTING AN APPLICATION.
Please be advised that any falsification of information given in the application will result in denial of tenancy. Please be prepared to pay the application fee as outlined in the property listing. In addition to this rental application, you will also be required to provide a copy of a valid form of identification and proof of income.

To complete this rental application, you must be prepared to provide 3 years of residential history as well as contact information for your rental references. You will also be asked to provide information on your monthly income, and please note that most properties require that applicant combined gross income is at least three (3) times the monthly rent amount.

Each resident over the age of 18 must submit a separate rental application.

SEE TERMS OF THE AGREEMENT FOR MORE INFORMATION...

APPLICATION FEE: Each Property Owner will set their own fee. You will be notified when, how, and to whom to pay the fee, which is NON-REFUNDABLE.

Application is hereby made to rent the premises generally described as
("Property", if known).
Your answer
The multiple listing service (FMLS OR MLS) number for this property is
(If known)
Your answer
1. Lease Term. The term of the lease of the Property for which Applicant is applying shall start on *
(“Commencement Date”) Desired Move-In
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The term of the lease of the Property for which Applicant is applying shall end on *
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2. Proposed Monthly Rent. *
Your answer
3. Lease Application Fee.
(If unknown, Applicant will be notified how much the nonrefundable Lease Application Fee for a specific property will be once a property is selected.)
Your answer
4. Authorization to Do Credit and Background Check. Applicant hereby authorizes Landlord and Landlord’s authorized agents to do whatever background and credit check on Applicant Landlord or Landlord’s agents deem appropriate. This may include among other things obtaining one or more credit reports on Applicant. Such credit report(s) may be obtained before and during the term of the Lease and after the expiration or termination of the Lease as part of any effort to collect rent, costs, fees and charges owing under such Lease. Applicant acknowledges that merely requesting such reports may lower Applicant’s credit score and Applicant expressly consents to the same. *
I authorize Landlord and authorized agents to do background and credit checks:
5. Reservation Fee. A reservation fee of $
(If known)
Your answer
by *
is being made along with this rental application. If Applicant’s application is approved and a lease is entered into between Landlord and Applicant the fee shall be applied towards Applicant’s security deposit referenced in said lease. If Applicant’s application is denied, the rental deposit shall be refunded to Applicant without interest. If the Applicant’s application is approved, and Applicant fails to execute Landlord’s standard lease agreement for the Premises prior to the Commencement Date (or to pay the required rent thereunder such that the lease does not Commence), then Landlord may retain the rental deposit as liquidated damages, it being acknowledged and agreed that the same is a reasonable pre-estimate of Landlord’s damages for not seeking to rent the Property to others during this time period and not a penalty. *
6. Use of Information. The information in this application or obtained as a result of the authorization given herein by Applicant will not be sold or distributed to others. However, Landlord and Landlord’s agents may use such information to decide whether to lease the Property to Applicant and for all other purposes relative to any future lease agreement between the parties including the enforcement thereof. *
7. Application Does Not Create a Lease. This application, even if accepted, shall under no circumstances be considered a lease agreement between Applicant and Landlord or an offer to lease. No lease shall exist between Applicant and Landlord unless and until the parties enter into a formal Lease Agreement and Applicant pays all required fees, deposits and advance rent. *
8. Information About Applicant.
A. GENERAL
First Name: *
Your answer
Middle Name:
Your answer
Last Name: *
Your answer
SS #: *
No Dashes (#########)
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Driver's License #: *
Your answer
Driver's License State: *
Your answer
Home Phone:
Your answer
Work Phone:
Your answer
Cell Phone: *
Your answer
Email Address: *
Your answer
Emergency Contact Information: *
Your answer
Applicant's Present Address: *
Your answer
How Long at Present Address: *
Enter # of Years/Months
Your answer
Current Lease Amount: $ *
Your answer
Landlord Name: *
(or Apartment Complex)
Your answer
Landlord Phone #: *
Your answer
Landlord Address:
Your answer
Landlord Email Address:
Your answer
Previous Address: *
Your answer
How Long at Previous Address: *
Enter # of Years/Months
Your answer
Lease Amount: $ *
Your answer
Reason for Leaving: *
Your answer
Previous Landlord Name: *
Your answer
Previous Landlord Address:
Your answer
Additional Previous Landlord:
Please provide Previous Landlord Phone #, Address, Lease Period, Lease Amount ($)
Your answer
Additional Previous Landlord:
Please provide Previous Landlord Phone #, Address, Lease Period, Lease Amount ($)
Your answer
Spouse/Significant Other Name:
*(Must fill out a separate application)*
Your answer
Names and ages of individuals under 18:
Your answer
Pets? *
What Kind of Pets?
(Skip Question if No Pets)
Your answer
How Many Pets?
(Skip Queston if No Pets)
Your answer
Pet Weights:
(Skip Queston if No Pets)
Your answer
Are you registered or required to register as a sex offender in any state in the United States? *
If so, what state(s)?
Your answer
B. EMPLOYMENT
Employer: *
Your answer
Position: *
Your answer
Employer Address: *
Your answer
Supervisor: *
Your answer
Business Phone: *
Your answer
Length of Time at Present Job: *
# of Years/Months
Your answer
Annual Income: *
Your answer
C. REFERENCES
Bank Name: *
Your answer
Bank Phone #:
Your answer
Personal Reference: *
Your answer
Personal Reference Phone #: *
Your answer
Credit Reference:
Your answer
Credit Reference Phone #:
Your answer
9. Warranty of Applicant. Applicant hereby warrants that the information supplied above is complete and accurate and that the breach of this warranty by Applicant may result in the termination of any Lease entered into with Applicant by Landlord. *
10. Commitment to Equal Housing. Landlord and Landlord’s agents are committed to providing equal housing opportunities to all rental applicants regardless of race, color, religion, national origin, sex, handicap or familial status. *
11. Reason for Denial. If this Application is denied, Landlord or Landlord’s agent shall within ten (10) days thereafter and upon the written request of applicant, state the basis for said denial to Applicant. *
12. Other Matters.
Questions, Concerns, Additional Information, etc.
Your answer
Accepted By: *
Electronic Signature: I, the Applicant, for this Rental Application, warrant the truthfulness of the information provided in this application. (Please type your First and Last Name)
Your answer
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. *
Required
Date Signed *
MM
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DD
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THIS FORM IS COPYRIGHTED AND MAY ONLY BE USED IN REAL ESTATE TRANSACTIONS IN WHICH KEMI SALAKO IS INVOLVED AS A REAL ESTATE LICENSEE. UNAUTHORIZED USE OF THE FORM MAY RESULT IN LEGAL SANCTIONS BEING BROUGHT AGAINST THE USER AND SHOULD BE REPORTED TO GEORGIA ASSOCIATION OF REALTORS® AT (770) 451-1831 AND ELEGANCE REALTY, LLC AT (678) 757-5364.

Copyright© 2015 by Georgia Association of REALTORS®, Inc.


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