270 Gaines School Road, Athens, GA 30605 (map)

Local: 706.353.3344 Toll-Free:  1.866.308.4193

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Rental Application

Personal Information

Name

Social Security Number

Date Of Birth   January February March April May June July August September October November December -   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -   1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Drivers License Number

Phone Number

Email Address

Address Applying For

Present Residence Information

Present Street Address

Present City

Present State   AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY

Present Zip Code

Present Landlord Name

Present Landlord Phone

Present How Long

Present Reason For Leaving

Prior Street

Prior City

Prior State   AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY

Prior Zip

Prior Landlord Name

Prior Landlord Phone

Prior How Long

Prior Reason For Moving

Employer Information

Employer Name

Employer Street

Employer City

Employer State   AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY

Employer Zip

Employer Phone

Employer Position

Employer Monthly Income

Employer From

Employer To

Employer Supervisor

Pet Information

Pet Have

Pet Type

Pet Weight

Coapplicant Information1

Coapp1 Name

Coapp1 Ssn

Coapp1 Dob   January February March April May June July August September October November December -   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -   1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Coapp1 Dl Number

Coapp1 Relationship

Coapp1 Employer

Coapp1 Position

Coapp1 How Long

Coapp1 Monthly Income

Coapp1 Employer Phone

Coapplicant Information2

Coapp2 Name

Coapp2 Ssn

Coapp2 Dob   January February March April May June July August September October November December -   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -   1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Coapp2 Dl Number

Coapp2 Relationship

Coapp2 Employer

Coapp2 Position

Coapp2 How Long

Coapp2 Monthly Income

Coapp2 Employer Phone

Coapplicant Information3

Coapp3 Name

Coapp3 Ssn

Coapp3 Dob   January February March April May June July August September October November December -   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -   1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Coapp3 Dl Number

Coapp3 Relationship

Coapp3 Employer

Coapp3 Position

Coapp3 How Long

Coapp3 Monthly Income

Coapp3 Employer Phone

Bank Information

Bank Name

Bank Address

Bank Phone

Bank Account Type   checking savings

Automobile Information1

Auto1 Make Model

Auto1 Year

Auto1 Color

Auto1 Tag

Auto1 State   AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY

Automobile Information2

Auto2 Make Model

Auto2 Year

Auto2 Color

Auto2 Tag

Auto2 State   AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY

Bankruptcy

Bankruptcy

Bankruptcy When

Evicted

Evicted Why

Refused To Pay

Refused To Pay Why

Personal Reference1

Reference1 Name

Reference1 Phone

Reference1 Relationship

Personal Reference2

Reference2 Name

Reference2 Phone

Reference2 Relationship

Emergency Contact Information

Emergency Name

Emergency Relationship

Emergency Street

Emergency City

Emergency State   AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY

Emergency Zip

Emergency Phone

Emergency Work Phone

Disclosure

App Sig

Coapp1 Sig

Coapp2 Sig

Coapp3 Sig

Find Your
New Home

Bedrooms

all 1 2 3 4 5

Bathrooms

all 1 1.5 2 2.5 3 3.5 4

Type

all apartment duplex house

Area

all Athens Jackson Oconee Oglethorpe Walton

Available

all Now Summer Fall

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