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Lease Application Fax- 678-752-0937


Applicant name   S.S. # Drivers License # 
     
Present Address   City, State,Zip  How Long ?
    
Phone #  Date of Birth Birthplace Mothers Maiden Name
       
Email Adress :      
Previous Address   Type of car  Tag # 
    
Occupation       How Long ?
  
Employer's Name City, State, Zip  Phone # 
   
Position Held     Name of Supervisor  
  
Monthly Income (Take Home Pay) Source      
$ Wages Commission  
 Govm't Assist Salary  
 Salary tips  
    Other      
Previous Employer   City, State, Zip  Phone # 
   
Current Landlord / Agent  Phone  How long ?
    
           
Co-Applicant name   S.S. # Drivers License # 
      
Relationship to tenant Date of Birth Birthplace Mothers Maiden Name
    
Occupation       How Long ?
  
Employer's Name City, State, Zip  Phone # 
   
Position Held     Name of Supervisor  
  
Monthly Income (Take Home Pay) Source      
$ Wages Commission  
 Govm't Assist Salary  
 Salary tips  
    Other      
Previous Employer   City, State, Zip  Phone # 
   
           
Desired length of occupancyDesired date of Occupancy  
   
Learned Skills    
 Plumbing Painting 
 Electrical Roofing 
 Carpentry Concrete Work 
 Auto Mech. Other     
           
If Accepted, the following people will be living with me      
Name    Age Relationship Occupation
1   
2   
3   
4   
5   
           
           
Pets          
Name  Type/Breed size sexIndoor/Outdoor
1      
2      
3      
           
Credit References         
Name    Account #  Phone 
1  
2  
3  
4  
5  
           
Banks  
Name    City, State, ZipPhone 
1  
2  
3  
Have you ever declared bankruptcy?No  
    Yes How long ago?   
           
Personal References      
Name (non-family)   City,State,Zip  Phone 
1  
2  
3  
Name (nearest family)  City,State,Zip  Phone 
1  
2  
           
*I authorize Joe Patterson Construction to order a consumer credit report and verify other credit information.
Initial 
1 .Do you own any real estate? _____yes _____No if yes where and what? _______________________            
2. Have you ever been evicted from tenancy ? ____yes _____No
3. Have you willfully and intentionally refused to pay rent when it was due ?_______yes ______No
4. Have you ever been arrested? _______  
     If yes, please explain___________________________________________________________________________________
5. Have you ever been convicted of a felony? _______  
     If yes, please explain___________________________________________________________________________________
I hereby certify that the answers I have given in this application are true and correct. I understand that any false answers or statementsmade by me will be suffucient grounds for eviction and loss of any security deposit.
  
         
Date  Tenant    

Co-Tenant

 

 

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