Rental Application
Property Address: _____________________________________________
Property Manager: Anita Evans-Lomas
Neatly complete all information below. All applicants over the age of 18 must complete and sign their own application.
Submit this application along with 2 forms of I.D.,* proof of income,
and $60.00 (money order or cashier’s check only) for processing. Any questions, Call: office/ 770-774-4595/ Fax 770-774-4598
.
Applicant’s Full Name_____________________________________________________DOB________________
Social Security #____________________Drivers License #____________________State________Exp.________
Home #_________________________Work #________________________Cell #________________________
Current Address________________________________City___________________State________Zip_________
Current Landlord’s Name__________________________________Landlord’s Phone #____________________
Spouse’s Name__________________________________________________Cell#________________________
How long at this Address__________Reason for leaving______________________________________________
Previous Address________________________________City___________________State_______Zip_________
Previous Landlord’s Name__________________________________________Phone #_____________________
How long at this Address____________Reason for leaving____________________________________________
Present Employer_____________________________Position__________________Mo. Income______________
How long at Job_________Other Income/Source______________________________Amount_______________
Employer’s
Address________________________________________City/State__________________________Zip________
Supervisor’s Name/Title_________________________________________Phone #________________________
Number and Type of Pets__________________________Have you ever been Party to an Eviction? [ ] Yes [ ] No
Have you ever Filed Bankruptcy? [ ] Yes [ ] No If yes, Chapter?___________Discharge Date________________
Name of Bank_____________________________________________________Branch_____________________
Type of Account____________________________Account #_________________________________________
Total Number of Adult Occupants______________Total Number of Children Under the Age of 18____________
Names, Ages & Relations of All Occupants________________________________________________________
___________________________________________________________________________________________
Personal References
Name______________________________Yrs. Known____Relationship____________Phone #_______________
Name______________________________Yrs. Known____Relationship____________Phone #_______________
Credit References
Company Name__________________________________Account #/Mo. Pymt_____________________________
Company Name__________________________________Account#/Mo. Pymt_____________________________
Automobiles, Boats, Campers, Etc.
Year, Make & Model___________________________________Tag#__________________Color______________
Year, Make & Model___________________________________Tag#__________________Color______________
Applicant Explanation or
Comments:___________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I AUTHORIZE
Anita Evans Property Mnagement. and/or it’s representatives to investigate all statements contained in this
application for tenant screening, including conducting an employment, criminal and credit check and verify all
references. I UNDERSTAND that Anita Evans Property Manange may terminate any rental agreement for any misrepresentations
made above. I ACKNOWLEDGE & ACCEPT that in addition to my Security Deposit, t
Administration Fee and a $60.00 Application Fee that is NON-REFUNDABLE.
SIGNATURE___________________________________________________________DATE_______________
*Proof of Income=2 recent paystubs, Bank statements, SSI statements, notarized letter from
CPA, or most recent tax returns, etc. Please verify acceptable proof with property manager.
FOR OFFICE USE ONLY
Application Received By: _______________________________Date:__________________
Application Fee Collected: $______________ Money Order______ Cash______ CC______
Property Address:____________________________________________________________
Monthly Rent: $_________________ Lease Term: From____________To ______________
Proration Dates: From_______________To_______________ Security $________________
Admin $________________ Pet $_______________ Other $_________________________
Prorated Rent: _____________days X $______________per day = $_________________
NOTES:____________________________________________________________________
Disposition of Application
Approved_____ Approved w/additional non-refundable deposit_____ Amount $_________
Declined_____ Not Approved_____ If Not Approved, Reason_______________________
Applicant Notified By: Phone______ Mail______ Date________________ Initials:_______
Anita Evans Property Management Rental Verification
SECTION 1-Applicant(s)
Applicant(s) Name______________________________________________
Social Secuirty #_______________________________________________
Previous Address_______________________________________________
City______________________________State_________Zip____________
Applicant(s) Signature___________________________________________
APPLICANT: Please complete Section 1 & Section 2 only and return w/ application & fee.
SECTION 2-Applicant(s)
Property Name________________________________________________
Landlord/Owner Name:_________________________________________
Phone#:___________________________Fax#:______________________
ATTENTION APPLICANT: PLEASE DO NOT WRITE BELOW THIS LINE
SECTION 3-Landlord/Owner: For verification purposes, please provide residential history
on the above listed applicant(s). Please fax back to (770)774-4598. Please be honest &
thorough. Thank you for your assistance.
Monthly Rent $____________
Occupancy Dates From_______To______
Notice Given Yes or No
Number Warrants Filed _____________
Number of NSF’s _____________
Number of Late Payments _____________
Number of Complaints _____________
Damage? Yes or No
To What? _____________
Amount Still Owed for Property $____________
Would you Rent to Tenant in Future? Yes or No
Comments___________________________________________________________________
____________________________________________________________________________
________________________________________________________________
Verified By:___________________________________ Date:___________
Title:_________________________________________
Sincerely,
Anita Evans-Lomas
Property Manager |