05/23/2022
Print off and return this application via FAX or take a photo and text it to our Phone.
Phone 901-870-8675 email: [email protected] web: rentalhouses38111.com
Today's date:____________ Desired move-in date:____________________
What is your credit score?_________ Provide either the credit report, or that of a co-signer.
Address applying for: _____________________________Apt.
If accepted, the information provided here becomes a material part of the lease agreement.
ONLY CLEAN AND RESPONSIBLE PEOPLE WHO PAY RENT ON TIME MAY APPLY
First name: ____________________ MI ______ Last Name: ______________
Date of Birth: _________________SSN: _________________________
Phone: _________________________Email:___________________________
Do you have any pets: _______ Your email:____________________________________________________
List the last two previous locations you have lived
Current Address: ______________________________City, state, zip_______________________________
Owner/Manager: ______________________________Phone:____________________Rent rate:_________
Moved-in date: _________________Why are you moving? _______________________________________
Previous address: _____________________________City, state, zip________________________________
Owner/Manager: ______________________________Phone:____________________Rent rate:_________
Moved-in date: _____________________ Moved-out date:_______________________________________
Employment, income, and other information
Current Employer: ______________________________Address____________________________________
Position: ______________________ Phone: __________________________Hire date: _________________
Hrs. worked weekly:_______ Gross wages: ___________________Other income source: __________
How long will you live here? __1__2__3+__yrs. Is the total move-in amount available now? ____
If you are a student, what year are you? ____________
Have you ever broken a lease? _______ Have you ever paid rent late?______ Why?_______________
Any arrest record? __________ Explain:_______________________________________________________
Make, Model, and color of vehicle:________________________Car Tag: State & Number: __________
If accepted, the following person(s) will be occupying this property with me
Name:_________________________________Address:_________________________SSN_______________
Phone:_______________________Date of Birth:________________Relationship:____________________
Name:_________________________________Address:_________________________SSN_______________
Phone:_______________________Date of Birth:________________Relationship:____________________
All non-family members must fill out a rental application as well.
Emergency contacts (including those who help pay rent)
Name:_________________________________Address:_________________________SSN_______________
Phone:_______________________Date of Birth:________________Relationship:____________________
Name:_________________________________Address:_________________________SSN_______________
Phone:_______________________Date of Birth:________________Relationship:____________________
Bobby Gookin is hereby authorized to investigate this application and obtain a credit report for
review by landlord. I/we certify the information given above is true and correct.
(Signed) ____________________
ALL OCCUPANTS OF OUR PROPERTIES MUST INCLUDE A PHOTOCOPY OF A STATE-ISSUED ID (such as a driver’s license) or STUDENT ID WITH PHOTO as a material part of the lease agreement.
