19 Griffin St, McDonough, GA 30253
Office 770-954-0200 / Fax 770-954-0255
www.hnrrentals.com
Property Address__________________________________ Referred By ___________________
Proposed Monthly Rent____________ Lease Term _________to ________ Agent ___________
FULL NAME of all Occupants Social Security # DOB Relationship to applicant
_____________________________ / _________________/ ___-___-___/ __________________
_____________________________/ _________________/ ___-___-___/ __________________
_____________________________/_N/A for Children _/ ___-___-___/___________________
_____________________________/_N/A for Children_/___-___-___/____________________
_____________________________/_N/A for Children_/___-___-___/____________________
RESIDENCE HISTORY
______________________________________________________________________________
Present Address _____________________________ City ________________ ST _________ Zip ______________
Phone __________________________ Length at present Address ________________________________________
Present Landlord/ Mortgage Holder:______________________Phone:__________________Fax:_______________
Monthly Payments $____________ Reason for Moving ________________________________________________
Previous Address ___________________________ City _______________ ST __________ Zip _______________
Length of Time at Previous Address _____________ Reason for Moving __________________________________
Previous Landlord/ Mortgage Holder _______________________________________________________________
Phone ________________________ Fax ______________________ Monthly Payments $____________________
_____________________________________________________________________________________________
19 Griffin St, McDonough, GA 30253
Office 770-954-0200 / Fax 770-954-0255
APPLICANT S INCOME AND EMPLOYMENT VERIFICATION
Company s Name ___________________________________How Long? __________________
Employer s Address ______________________City _____________________ ST___________
Phone _____________________ Fax ____________________ Salary per Month_____________
Supervisor s Name ________________________________ Phone _______________________
Explanation of Additional Income__________________________________________________
CO- APPLICANT S INCOME AND EMPLOYMENT VERIFICATION
______________________________________________________________________________
Company s Name ___________________________________ How Long?__________________
Employer s Address ______________________City ____________________ ST____________
Phone _____________________ Fax ____________________ Salary per Month_____________
Supervisor s Name_________________________________ Phone________________________
Explanation of Additional Income__________________________________________________
PERSONAL INFORMATION
______________________________________________________________________________
In case of Emergency Notify ______________________________ Phone __________________
Personal reference Name_________________________________ Phone __________________
Other information - Number of Vehicles (including co. cars, boats RV s etc )
Make ____________________________________ Year _______________ Color ___________________________
Make ____________________________________ Year _______________ Color ___________________________
Describe Pets (Breed, Weight, Name)_______________________________________________
Items to Remain (circle one) Refrigerator Washer/ Dryer Window Treatments Other
How did you find out about us?____________________________________________________
I/ We acknowledge that if I/ We are approved and fail to execute Landlord s Standard lease agreement for the Premises prior to the commencement date (or to pay the required rent there under such that the lease does not commence), then the Landlord may retain the security deposit as liquidated damages, it being acknowledge and agreed that the same is a reasonable pre-estimate of Landlord s damages for not seeking to rent the Property to others during this time period and not a penalty.
I/ We acknowledge that this application will give HNR Rentals, permission to run a background check on the applicant(s).
I/ We herby authorize Agent to contact Credit Services, person and credit references given herein, plus my/ our employers to verify the information I/ We have given.
I/ We also authorize Agent to report to credit service organizations and information relevant to my/ our unsatisfied obligations to Agent after I/ We vacate said property.
I/ We also authorize Agent to share information on this application and related verification data to anyone Agent feels is part of the qualifying process including the owner of the Property. I/ We acknowledge this application is the Property of Agent.
Applicants Signature_______________________________________ Date _________________
Co-Applicant s Signature___________________________________ Date _________________
Telephone Number where you can be reached_________________________________________
