Rental Application

All adults (18 years or older) must fill out a separate application.

There is a non-refundable fee of $100 per adult applicant.

Personal Information

First, Middle, Last Name

Any Names Used In The Past

All Proposed Occupants (First, Middle, Last Name)

Date of Birth

Social Security #

Driver's License #

Primary Phone #

Primary Phone #

Date of Birth

Social Security #

Relationship To Applicant

Rental/Residence History (Send Additional Information if Necessary)

Street Address

City

State & Zip Code

Last Rent Amount Paid

Owner/Manager/Mortgage Holder

Were you asked to move?

Dates of Residency

From/To

From/To

From/To

Employment History (Send Additional Information if Necessary)

Employed By

Employer's Address

Primary Email Address

Employer's Website Address

 

Primary Phone #

Secondary Phone #

From/To

Dates of Residency

From/To

From/To

Banking/Credit History (Send Additional Information if Necessary)

Financial Information

Checking Account 

Banking/Institution Name

Banking/Institution Name

Savings Account 

Credit Cards

Auto Loan

Home Loan

Student Loan

Child Support

Other

Vehicles (Include vehicles belonging to other proposed occupants) 

Vehicle Identification Number (VIN)

License Plate Number

Make

Model

Year

Color

References & Emergency Contacts (Not living with you)

General Information 

Street Address

Street Address

City

State & Zip Code

Primary Email Address

Secondary Email Address

Business or Work 

City

State & Zip Code

Years Known

GENERAL INFORMATION

Have you or any other intended occupant, including minors, ever been charged (whether or not resulting in a conviction) or convicted, or pleaded guilty or “no contest” to a felony?

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Have you or any other intended occupant, including minors, ever been convicted of or pleaded guilty or “no contest” to a misdemeanor involving sexual misconduct or the manufacturing of drugs whether or not resulting in a conviction?

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Are you or any other intended occupant, including minors, required to register as a Convicted Felon or Sex Offender in any jurisdiction?

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Has your credit record (including spouse) ever been considered unsatisfactory, or have you ever been refused credit? If Yes, give dates, places, names of creditors and circumstances.

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Have you ever filed for bankruptcy? If Yes, give details, including date and court in which filled?

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Have you ever been the subject of a court ordered judgement or Lien?

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Have you ever sued any person/business/entity/employer or been sued?

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Have you had any reoccurring problems with your current home landlord or property manager?

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Are you currently on active duty in the U.S. Military?

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Are you a high school graduate?

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Are you a college graduate?

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Are any of the occupants who would be living in the home smoke?

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How many pets do you have (list Type, Breed, approx. Weight & Age)?

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How long would you be renting from us?

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When will you be able to move in?

How did you hear about the rental?

FAIR HOUSING OPPORTUNITY SURVEY

To All Applicants: The following information is requested to aid the Owner/Agent in its commitment to equal housing opportunity. Your application will not be rejected because of your race, color, sex, religion, creed, disability, national origin, political beliefs, or age, except as provided by law.

Social Security Number

Date of Birth

Sex

RACIAL/ETHNIC DATA

Please identify yourself in terms of the racial/ethnic groups listed below. (Check only one)

AFRICAN-AMERICAN (not of Hispanic origin): All persons having origins in any Black racial groups of Africa.

AMERCIAN INDIAN OR ALASKAN NATIVE: All persons having origins in any of the original peoples of North America, and who maintain cultural identification through tribal affiliation or community recognition.      

ASIAN OR PACIFIC ISLANDER: All persons having origins in any of the original peoples of the Far East, Southeast, Asia, the Indian Subcontinent or the Pacific Islands. This are includes, for example: China, Japan, Korea, the Philippine Islands, and Samoa. 

HISPANIC: All persons of Mexican, Puerto Rican, Cuban, Central or South America, or other Spanish culture or origin, regardless of race.

OTHER (Specify): 

APPLICANT SCREENING AGREEMENT

If at any time during the application or selection process the applicant is arrested, taken into custody, detained for investigation or charged with a crime by any Police Agency or state/Federal Attorney’s Office or declare bankruptcy, or becomes the defendant in a civil suit, changes employers, relocates shall notify the Landlord/Agent conducting the applicant’s screening.

AGREEMENT & AUTHORIZATION

The statements I have made are true and correct. I hereby swear that there are no willful misrepresentations or omissions in or falsification of the foregoing statements and answers to questions. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any misrepresentations, falsifications, discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a rental and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I do not get the rental. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.

OUR COMPANY

OUR SERVICES

FOR OWNERS 

SOCIAL MEDIA 

FOR TENANTS 

FULTON COUNTY, GEORGIA

235 Peachtree Street NE, Suite 400, Atlanta, Georgia 30303

Local: (404) 480-5089

Fax: (404) 480-5066

MIAMI-DADE & BROWARD COUNTY

15800 Pines Blvd, Suite 3141, Pembroke Pines, Florida 33027

Local: (954) 399-4634

Fax: (954) 399-4633

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Copyright © 2020 R. A. Thomas Realty. All rights Reserved.