Fillable Printable Rental Application Form - Georgia

Rental Application Form - Georgia

THIS FORM IS COPYRIGHTED AND MAY ONLY BE USED IN REAL ESTATE TRANSACTIONS IN WHICH _____________________________ 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 THE

GEORGIA ASSOCIATION OF REALTORS® AT (770) 451-1831.

2014 by Georgia Association of REALTORS

, Inc. F44, Rental Application, Page 1 of 2, 01/01/14

RENTAL APPLICATION

(One For Each Adult Applicant)

Application is hereby made to rent the premises generally described as ____________________________________________________

_____________________________________________________________________________________________________ (“Property”).

The multiple listing service number for this property, if known, is ____________________________________________.

1. Lease Term

. The term of the lease of the Property for which Applicant is applying shall start on ________________________________

(“Commencement Date”) and end on __________________________________.

2. Proposed Monthly Rent

. ___________________________________________

3. Lease Application Fee. Applicant has paid Landlord a nonrefundable Lease Application Fee of $________________________________

to process this Rental Application, determine Tenant’s credit worthiness to lease the Property and conduct a background investigation of

Applicant.

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.

5. Reservation Fee

. A reservation fee of $_______________________ by  check,  cash or  money order 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 w ill 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 L ease

. 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: _______________________________ Middle _____________ Last Name: ____________________________________

SS #: _____________________________________ Date of Birth: ______________________________________________________

Driver's License #: __________________________________________ Driver’s License State: _______________________________

Home Phone: ____________________________ Work: ____________________________ Cell: _____________________________

Email Address: _______________________________________________________________________________________________

Emergency Contact Information: __________________________________________________________________________________

Present Address: _____________________________________________________________________________________________

City/State/Zip: _______________________________________________________________________________________________

How Long? _______________________________________ Current Lease Amount: $_________________________________________

Landlord Name: ___________________________________________ Phone #: ______________________________________________

Landlord Address: _______________________________________________________________________________________________

REALTORS

Georgia

THIS FORM IS COPYRIGHTED AND MAY ONLY BE USED IN REAL ESTATE TRANSACTIONS IN WHICH _____________________________ 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 THE

GEORGIA ASSOCIATION OF REALTORS® AT (770) 451-1831.

2014 by Georgia Association of REALTORS

, Inc. F44, Rental Application, Page 2 of 2, 01/01/14

Previous Address: ____________________________________________________________________________________________

City/State/Zip: _______________________________________________________________________________________________

How Long? ________________________________________ Lease Amount: $_______________________________________________

Reason for Leaving: ___________________________________________________________________________________________

Previous Landlord Name: ________________________________________ Phone #: _________________________________________

Previous Landlord Address: _______________________________________________________________________________________

Spouse/Significant Other Name (must fill out a separate application): _______________________________________________________

Names and ages of individuals under 18: ___________________________________________________________________________

Pets? YES  NO  What Kind? __________________________________________ How Many? ___________________________

Pet Weights: ________________________________________________________________________________________________

Are you registered or required to register as a sex offender in any state in the United States? __________________________________

If so, what state(s)? ______________________________________________________________________________________________

B. EMPLOYMENT

Employer: _____________________________________________ Position: _______________________________________________

Employer Address: ____________________________________________________________________________________________

City/State/Zip: __________________________________________________________________________________________________

Supervisor: __________________________________________ Business Phone: __________________________________________

Length of Time at Present Job: _____________________________ Annual Income: ________________________________________

C. REFERENCES

Bank: ________________________________________________________ Phone #: _______________________________________

Personal Reference: ____________________________________________ Phone #: ________________________________________

Credit Reference: _______________________________________________ Phone: # ________________________________________

Additional Previous Landlord: _________________________________________ Phone #: _____________________________________

Address: ___________________________________________________________________________________________________

Lease Period: ______________________________________________ Lease Amount: $_________________________________

Additional Previous Landlord: _________________________________________ Phone #: _____________________________________

Address: ___________________________________________________________________________________________________

Lease Period: ______________________________________________ Lease Amount: $_________________________________

9. Warranty of Applicant. Applicant hereby wa rrants 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 provid ing 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) day s thereafter and upon the written

request of applicant, state the basis for said denial to Applicant.

12. Other Matters.

______________________________________________________________________________________________________________

Accepted By:

__________________________________________ __________________________________________ __________________________

Applicant’s Printed Name Signature Date

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