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.
Copyright
©
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
Printed Using formsRus.com On-Line Forms Software 1/14
Page 2/2
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Rental Application Form - Georgia PDF

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