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 occupancy		Desired 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		sex	Indoor/Outdoor
1
2
3

Credit References
Name				Account #				Phone
1
2
3
4
5

Banks
Name				City, State, Zip				Phone
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