Rental Application

* Full Name:
* Phone:	DOB:
* SS #:	DL #:
* DL State #:	Expires:
* Address:
* City:
* State:
* Zip:
Current Landlord's Name:
Landlord's Phone:
How long at this address?:
* Reason for leaving:
* Previous Address:
* City:
* State:
* Zip:
* Auto Info:	Year: Make:
	Model:
	State/License Plate #:
* Present Employer:
* Employer Phone #:
* Position:
* Monthly Income:	month How Long?:
* Employer's Address:
* City:
* State:
* Zip:
* Other Income:
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* Number & Type of Pet(s):
* Ever been evicted?:	YES NO
* If YES, when?:
* Name of Bank:
* Branch:	Type of Account:
* Name of Bank 2:
* Branch:	Type of Account:
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* Personal References:
* Years Known:
* Relationship:
* Phone Number:
* Personal References:
* Years Known:
* Relationship:
* Phone Number:
* Personal References:
* Years Known:
* Relationship:
* Phone Number:
* Number of Adults living w/you:	* Number of Children living w/you:
Names & relationship of other applicants:
Comments:
* Denotes "required" field.
Please click "Submit" only once
By clicking "Submit", I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.
Contact : MASHBURN PROPERTIES 2545 TYUS ROAD CARROLLTON, GA 30117 770-832-3904 OFFICE 678-868-1082 FAX 770-367-8956 CELL mikemashburn@earthlink.net www.MikeMashburn.com