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Complete fully...
every box
must be addressed or it will not submit properly
*
Indicates required field
Property Applying for
*
Move In Date requested
*
Name
*
First
Last
ssn
*
Drivers License #/state
*
birthdate
*
Phone Number
*
work number
*
Email
*
employer
*
supervisors name
*
First
Last
supervisors phone number
*
position
*
months on job
*
income per month
*
what bank do you have an account with
*
WILLING TO DIRECT DEPOSIT
*
YES
NO
EMERGENCY CONTACT 1 NAME/RELATIONSHIP
*
EMERGENCY CONTACT 1 PHONE
*
EMERGENCY CONTACT 2 NAME/RELATIONSHIP
*
EMERGENCY CONTACT 2 PHONE
*
REFERENCE #1 NAME AND NUMBER
*
REFERENCE #2 NAME AND NUMBER
*
EMERGENCY CONTACT #1
*
First
Last
EMERGENCY CONTACT #1 NUMBER AND ADDRESS
*
EMERGENCY CONTACT #2
*
First
Last
EMERGENCY CONTACT #2 NUMBER AND ADDRESS
*
CURRENT ADDRESS
*
Line 1
Line 2
City
State
Zip Code
Country
Current Landlord Name
*
First
Last
Landlord Phone Number
*
Landlord Email
*
PREVIOUS ADDRESS
*
Line 1
Line 2
City
State
Zip Code
Country
Previous Landlord Name
*
First
Last
Prev Landlord Phone Number
*
Prev Landlord Email
*
occupant over 18
*
First
Last
occupant under 18
*
First
Last
[object Object]
occupant over 18
*
First
Last
[object Object]
occupant under 18
*
First
Last
[object Object]
occupant over 18
*
First
Last
[object Object]
occupant under 18
*
First
Last
[object Object]
Name
*
First
Last
Name
*
First
Last
Name
*
First
Last
occupant under 18
*
Prior Evictions
*
yes
no
What is monthly Take home pay?
*
Any civil/criminal convictions
*
Yes
No
explain convictions
*
vehicle make, model, year
*
Willing to pay additional $30 for Fridge and Stove
*
Yes
No
I'm willing to do whatever works best
Pet: Breed, sex, weight, spayed/neutered
*
Is washer/dryer connection a MUST?
*
Yes
No
I/We , the undersigned, authorize Garland Rentals, LLC, Landord, and it's agents to obtain in investigative consumer report of credit, landord/tenant court record search, criminal record and/or registered sex offender search. I also authorize the contact and release of information from previous landlords, bank representatives, contacts, and employers. This is for screening purposes only and is confidential to Garland Rentals, LLC. The infomration sources are believed to be reliable but accuracy cannot be guaranteed. I hold the screening company, and Garland Rentals,LLC and its agents harmless of any liability for any damages arising from improper use of this information.
You have the right to request the disclosure of the nature /scope of the investigation
You must be told if information in your file has been used against you
You have the right to know what's in your file (disclosure may be free)
You have the right to ask for your credit score (may be a fee for this)
You have the right to dispute incomplete/inaccurate information. Consumer reporting agencies must correct inaccurate, kincomplete , or unverifiable information
A summary of your rights under the Fair Credit Reporting Act is available by visiting: http://www.consumerfinance.gov/learnmore or writing to the Consumer Financial Protection Bureau, 1700 G Street N.W. Washington DC 20552
Applicant agrees to pay a non refundable application fee of $27.50 by entering name below.
applicant
*
First
Last
[object Object]
date
*
SUBMIT (only after all fields completed
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News
90-90
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