DonAltman3
Member
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<center><span style='font-size:16px'>
<b><u>RENTAL APPLICATION</b></u></span></center><br><b>In regards to the property located at
5960 Valencia, Lake Park, Georgia
31605</b>
<BR>Â <BR></b><ol>
<li><b>Rental Terms</b><br>Â <br>The House has a monthly rent of $850.00 and a security deposit of $650.00. The term of the tenancy shall start January 19, 2008 and end January 19, 2009.<BR>Â <BR>Â <BR><li><b>Tenant Information</b><br><br>Â <br>
Full Name_____________________________
<BR>Â <BR>
Phone (____)_____________
<BR>Â <BR>
Work Phone (____)________________
<BR>Â <BR>Date of Birth: ____ / _____ / ____
<BR>Â <BR>Social Security Number ______-_____-_______
<BR>Â <BR>Driver's License #_______________________ <br>Â <br>Â <br><br>Â <br>
Full Name_____________________________
<BR>Â <BR>
Phone (____)_____________
<BR>Â <BR>
Work Phone (____)________________
<BR>Â <BR>Date of Birth: ____ / _____ / ____
<BR>Â <BR>Social Security Number ______-_____-_______
<BR>Â <BR>Driver's License #_______________________ <br>Â <br>Â <br><li><b>Pet Information</b><br>Â <br>
Please provide a detailed list of the Pet(s) that will be in the residence:
________________________________________________________
<br>
________________________________________________________
<br>
________________________________________________________<br>Â <BR><li><b>Previous Residence Information</b><br>Â <br><ol><li>
Previous Address _______________________________________
<br>Â <br>
City: _________________ State: _______________ Zip: ____________
<br>Â <br>
Length of occupancy: _________
<br>Â <br>
Phone: (______)_____________
<br>Â <br>
Landlord's Name: ________________________________________
<br>Â <br>
Alternative Phone (______)___________________
<br>Â <br>
Reason for leaving: _____________________________________________________________________________
<br>Â <br>
Rent Payment $ ________________ <br>Â <br> Â <br> <li>
Previous Address _______________________________________
<br>Â <br>
City: _________________ State: _______________ Zip: ____________
<br>Â <br>
Length of occupancy: _________
<br>Â <br>
Phone: (______)_____________
<br>Â <br>
Landlord's Name: ________________________________________
<br>Â <br>
Alternative Phone (______)___________________
<br>Â <br>
Reason for leaving: _____________________________________________________________________________
<br>Â <br>
Rent Payment $ ________________ <br>Â <br> Â <br> <li>
Previous Address _______________________________________
<br>Â <br>
City: _________________ State: _______________ Zip: ____________
<br>Â <br>
Length of occupancy: _________
<br>Â <br>
Phone: (______)_____________
<br>Â <br>
Landlord's Name: ________________________________________
<br>Â <br>
Alternative Phone (______)___________________
<br>Â <br>
Reason for leaving: _____________________________________________________________________________
<br>Â <br>
Rent Payment $ ________________ <br>Â <br> Â <br> <li>
Previous Address _______________________________________
<br>Â <br>
City: _________________ State: _______________ Zip: ____________
<br>Â <br>
Length of occupancy: _________
<br>Â <br>
Phone: (______)_____________
<br>Â <br>
Landlord's Name: ________________________________________
<br>Â <br>
Alternative Phone (______)___________________
<br>Â <br>
Reason for leaving: _____________________________________________________________________________
<br>Â <br>
Rent Payment $ ________________ <br>Â <br> Â <br> </ol><li><b>Vehicle Information</b><br>Â <br>
<table border=1 width=90% align=center cellspacing=0>
<tr>
<td align=center>MAKE</td><td align=center>MODEL</td><td align=center>YEAR</td><td align=center>COLOR</td><td align=center>LICENSE PLATE#</td><td align=center>STATE</td><td align=center>PAYMENTS</td></tr>
<tr>
<td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td></tr>
<tr>
<td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td></tr>
<tr>
<td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td></tr>
<tr>
<td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td></tr>
</table><br>Â <br><li><b>Employment Information</b><br>Â <br><table cellpadding=4>
<tr><td>
Employer:</td><td> _______________________________</td></tr><tr><td>
Dates Employed:</td><td> _______________________________ </td></tr><tr><td>
Position:</td><td> _______________________________</td></tr><tr><td>
Supervisor:</td><td> _______________________________ </td></tr><tr><td>
Phone:</td><td> (______) _________________________ </td></tr><tr><td>
Salary:</td><td> $ _________________ per ________________</td></tr></table> <br>Â <br>
<table cellpadding=4>
<tr><td>
Employer:</td><td> _______________________________</td></tr><tr><td>
Dates Employed:</td><td> _______________________________ </td></tr><tr><td>
Position:</td><td> _______________________________</td></tr><tr><td>
Supervisor:</td><td> _______________________________ </td></tr><tr><td>
Phone:</td><td> (______) _________________________ </td></tr><tr><td>
Salary:</td><td> $ _________________ per ________________</td></tr></table> <br>Â <br>
<li><b>Banking Information</b><br>Â <br><table cellpadding=4>
<tr><td>
Name:</td><td> _______________________________</td></tr><tr><td>
Account Type:</td><td> _______________________________ </td></tr><tr><td>
Account Number:</td><td> _______________________________</td></tr></table> <br>Â <BR>
<table cellpadding=4>
<tr><td>
Name:</td><td> _______________________________</td></tr><tr><td>
Account Type:</td><td> _______________________________ </td></tr><tr><td>
Account Number:</td><td> _______________________________</td></tr></table> <br>Â <BR>
<BR>Â <BR><li><b>Credit Information</b><BR>Â <BR>Â <BR>Have you declared bankruptcy in the past seven (7) years? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Â <BR>Have you ever been evicted from a rental residence? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Have you had two or more late rental payments in the past year? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Â <BR>Have you ever willfully or intentionally refused to pay rent when due? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Â <BR>Have you ever been convicted of a crime, other than a traffic violation ? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Â <BR>We may run a credit check. Is there anything negative we will find that you want to comment on? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <br>Â <BR><li><b>Background Check</b><br>Â <br>
A public records search will be conducted on each adult occupant. Any one or more of the following will result in automatic denial of the application:
<ul>
<li>Felonies or misdemeanors involving sexual misconduct;
<li>Felonies or misdemeanors involving the illegal possession, manufacture, sale, and/or distribution of a controlled substance;
<li>Felonies involving a physical crime against a person or persons and/or another person’s property
</ul><br>Â <br></OL>The parties hereby indicate by their signatures below that they have read and agree with the terms and conditions of this Agreement in its entirety.<br>Â <br><table id=forms border=0 width=100%><tr><td valign=top>Landlord:<br>Â <BR>
Signature: ___________________
<BR>Â <BR>
Print: ___________________
</td><td valign=top>Tenant:<br>Â <BR>
Signature: ___________________
<BR>Â <BR>
Print: ___________________
<br>Â <br>Â <br>Tenant:<br>Â <BR>
Signature: ________________________________________
<BR>Â <BR>
Print: ________________________________________
<br>Â <br>Â <br>Â <br></td></tr>
</table>
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</table>
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<input type="hidden" name=docid value="Rental Application">
<input type=submit value='Purchase Agreement' onclick='payment();'>
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<tr><td style="padding:5px;">
<p>
<center><span style='font-size:16px'>
<b><u>RENTAL APPLICATION</b></u></span></center><br><b>In regards to the property located at
5960 Valencia, Lake Park, Georgia
31605</b>
<BR>Â <BR></b><ol>
<li><b>Rental Terms</b><br>Â <br>The House has a monthly rent of $850.00 and a security deposit of $650.00. The term of the tenancy shall start January 19, 2008 and end January 19, 2009.<BR>Â <BR>Â <BR><li><b>Tenant Information</b><br><br>Â <br>
Full Name_____________________________
<BR>Â <BR>
Phone (____)_____________
<BR>Â <BR>
Work Phone (____)________________
<BR>Â <BR>Date of Birth: ____ / _____ / ____
<BR>Â <BR>Social Security Number ______-_____-_______
<BR>Â <BR>Driver's License #_______________________ <br>Â <br>Â <br><br>Â <br>
Full Name_____________________________
<BR>Â <BR>
Phone (____)_____________
<BR>Â <BR>
Work Phone (____)________________
<BR>Â <BR>Date of Birth: ____ / _____ / ____
<BR>Â <BR>Social Security Number ______-_____-_______
<BR>Â <BR>Driver's License #_______________________ <br>Â <br>Â <br><li><b>Pet Information</b><br>Â <br>
Please provide a detailed list of the Pet(s) that will be in the residence:
________________________________________________________
<br>
________________________________________________________
<br>
________________________________________________________<br>Â <BR><li><b>Previous Residence Information</b><br>Â <br><ol><li>
Previous Address _______________________________________
<br>Â <br>
City: _________________ State: _______________ Zip: ____________
<br>Â <br>
Length of occupancy: _________
<br>Â <br>
Phone: (______)_____________
<br>Â <br>
Landlord's Name: ________________________________________
<br>Â <br>
Alternative Phone (______)___________________
<br>Â <br>
Reason for leaving: _____________________________________________________________________________
<br>Â <br>
Rent Payment $ ________________ <br>Â <br> Â <br> <li>
Previous Address _______________________________________
<br>Â <br>
City: _________________ State: _______________ Zip: ____________
<br>Â <br>
Length of occupancy: _________
<br>Â <br>
Phone: (______)_____________
<br>Â <br>
Landlord's Name: ________________________________________
<br>Â <br>
Alternative Phone (______)___________________
<br>Â <br>
Reason for leaving: _____________________________________________________________________________
<br>Â <br>
Rent Payment $ ________________ <br>Â <br> Â <br> <li>
Previous Address _______________________________________
<br>Â <br>
City: _________________ State: _______________ Zip: ____________
<br>Â <br>
Length of occupancy: _________
<br>Â <br>
Phone: (______)_____________
<br>Â <br>
Landlord's Name: ________________________________________
<br>Â <br>
Alternative Phone (______)___________________
<br>Â <br>
Reason for leaving: _____________________________________________________________________________
<br>Â <br>
Rent Payment $ ________________ <br>Â <br> Â <br> <li>
Previous Address _______________________________________
<br>Â <br>
City: _________________ State: _______________ Zip: ____________
<br>Â <br>
Length of occupancy: _________
<br>Â <br>
Phone: (______)_____________
<br>Â <br>
Landlord's Name: ________________________________________
<br>Â <br>
Alternative Phone (______)___________________
<br>Â <br>
Reason for leaving: _____________________________________________________________________________
<br>Â <br>
Rent Payment $ ________________ <br>Â <br> Â <br> </ol><li><b>Vehicle Information</b><br>Â <br>
<table border=1 width=90% align=center cellspacing=0>
<tr>
<td align=center>MAKE</td><td align=center>MODEL</td><td align=center>YEAR</td><td align=center>COLOR</td><td align=center>LICENSE PLATE#</td><td align=center>STATE</td><td align=center>PAYMENTS</td></tr>
<tr>
<td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td></tr>
<tr>
<td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td></tr>
<tr>
<td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td></tr>
<tr>
<td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td><td>Â </td></tr>
</table><br>Â <br><li><b>Employment Information</b><br>Â <br><table cellpadding=4>
<tr><td>
Employer:</td><td> _______________________________</td></tr><tr><td>
Dates Employed:</td><td> _______________________________ </td></tr><tr><td>
Position:</td><td> _______________________________</td></tr><tr><td>
Supervisor:</td><td> _______________________________ </td></tr><tr><td>
Phone:</td><td> (______) _________________________ </td></tr><tr><td>
Salary:</td><td> $ _________________ per ________________</td></tr></table> <br>Â <br>
<table cellpadding=4>
<tr><td>
Employer:</td><td> _______________________________</td></tr><tr><td>
Dates Employed:</td><td> _______________________________ </td></tr><tr><td>
Position:</td><td> _______________________________</td></tr><tr><td>
Supervisor:</td><td> _______________________________ </td></tr><tr><td>
Phone:</td><td> (______) _________________________ </td></tr><tr><td>
Salary:</td><td> $ _________________ per ________________</td></tr></table> <br>Â <br>
<li><b>Banking Information</b><br>Â <br><table cellpadding=4>
<tr><td>
Name:</td><td> _______________________________</td></tr><tr><td>
Account Type:</td><td> _______________________________ </td></tr><tr><td>
Account Number:</td><td> _______________________________</td></tr></table> <br>Â <BR>
<table cellpadding=4>
<tr><td>
Name:</td><td> _______________________________</td></tr><tr><td>
Account Type:</td><td> _______________________________ </td></tr><tr><td>
Account Number:</td><td> _______________________________</td></tr></table> <br>Â <BR>
<BR>Â <BR><li><b>Credit Information</b><BR>Â <BR>Â <BR>Have you declared bankruptcy in the past seven (7) years? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Â <BR>Have you ever been evicted from a rental residence? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Have you had two or more late rental payments in the past year? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Â <BR>Have you ever willfully or intentionally refused to pay rent when due? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Â <BR>Have you ever been convicted of a crime, other than a traffic violation ? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <BR>Â <BR>We may run a credit check. Is there anything negative we will find that you want to comment on? Yes [ ] No [ ].<BR>Â <BR>
If yes, please explain _________________________________________________________________________________________<BR>Â <br>Â <BR><li><b>Background Check</b><br>Â <br>
A public records search will be conducted on each adult occupant. Any one or more of the following will result in automatic denial of the application:
<ul>
<li>Felonies or misdemeanors involving sexual misconduct;
<li>Felonies or misdemeanors involving the illegal possession, manufacture, sale, and/or distribution of a controlled substance;
<li>Felonies involving a physical crime against a person or persons and/or another person’s property
</ul><br>Â <br></OL>The parties hereby indicate by their signatures below that they have read and agree with the terms and conditions of this Agreement in its entirety.<br>Â <br><table id=forms border=0 width=100%><tr><td valign=top>Landlord:<br>Â <BR>
Signature: ___________________
<BR>Â <BR>
Print: ___________________
</td><td valign=top>Tenant:<br>Â <BR>
Signature: ___________________
<BR>Â <BR>
Print: ___________________
<br>Â <br>Â <br>Tenant:<br>Â <BR>
Signature: ________________________________________
<BR>Â <BR>
Print: ________________________________________
<br>Â <br>Â <br>Â <br></td></tr>
</table>
</td></tr>
</table>
<input type=hidden name=docid value='Rental Application'>
<br>
<table width=95% align=center border=0>
<tr>
<td align=left><INPUT type=button value="Make Changes" onclick="back2();">
</td><td align=right>
<input type="hidden" name=docid value="Rental Application">
<input type=submit value='Purchase Agreement' onclick='payment();'>
</td></form>
</td></tr></table></td></tr></table>
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<BR><BR>
<center>Copyright © 2005-2007 Agreements Etc. <BR>
<b><span id=footer>
Site Map | Disclaimer and Policies | Our Blog<br>
Popular Contracts: Rental Agreements | Promisorry Note | Free Legal Forms
</span>
<BR><BR>
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</td>
</tr>
</table>
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