Perimeter North Properties Group, LLCPO Box 800272Roswell, GA 30075
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Today's Date: Date to Occupy:
Full Property Address:
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APPLICANT INFORMATION |
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| All Applicant Names | Social Security Number | Birthdate |
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OCCUPANT INFORMATION |
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| All Occupant Names | Social Security Number | Birthdate |
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PET INFORMATION Number of Pets ___________ |
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| Breeds | Approximate Weight |
RESIDENCE HISTORY (To be completed by each applicant)
Present Address:
City: State: Zip: Telephone
Landlord/mortgage holder's name: Telephone:
Length of time at present address: Monthly payment:$
Reason for moving:
Previous Address:
City: State: Zip: Telephone
Landlord/mortgage holder's name: Telephone:
Length of time at present address: Monthly payment:$
Reason for moving:
Present Address:
City: State: Zip: Telephone
Landlord/mortgage holder's name: Telephone:
Length of time at present address: Monthly payment:$
Reason for moving:
Previous Address:
City: State: Zip: Telephone
Landlord/mortgage holder's name: Telephone:
Length of time at present address: Monthly payment:$
Reason for moving:____________________________________________________EMPLOYMENT HISTORY (To be completed by each applicant)
Applicant One
Employer's Name:
Employer's Address:
City: State: Zip: Telephone
How long have you been employed by this company? Position Held
Supervisor's Name: Telephone
Current Annual Salary:$ Additional lncome:$ Source
Previous Employer’s Name:
Previous Employer’s Address:
City: State: Zip: Telephone
How long have you been employed by this company? Position Held
Supervisor's Name: Telephone
Reason for leaving
Applicant Two
Employer's Name:
Employer's Address:
City: State: Zip: Telephone
How long have you been employed by this company? Position Held
Supervisor's Name: Telephone
Current Annual Salary:$ Additional lncome:$ Source
Previous Employer's Name:
Previous Employer's Address:
City: State: Zip: Telephone
How long have you been employed by this company? Position Held
Supervisor's Name: Telephone
Reason for leaving
BANK AND CREDIT REFERENCES
Bank: Branch:
Checking account
Credit Card Company:
Credit Card Company:
Bank: Branch:
Checking account
Credit Card Company:
Credit Card Company:
VEHICLE INFORMATION
Applicant Driver License # State: Expires:
Applicant Driver License # State: Expires:
Number of vehicles including company cars, boats, RVs, etc.:| Make | Model | Year | Color | Own/Lease/Finance | State Tag | Tag Number |
EMERGENCY NOTIFICATION
In case of emergency please notify: Telephone:
Address
Relationship
In case of emergency please notify: Telephone:
Address
Relationship
PERSONAL REFERENCES
Name: Telephone:
Name: Telephone:
Name: Telephone:
APPLICANT AGREES TO PAY AN APPLICATION FEE
TERMS AND CONDITIONS
Phone number where you can be reached once this application has been processed:
How did you find out about this property?
For consideration of the rental property outlined on page one, a holding deposit of one months rent (no personal checks please) plus a $50.00 application fee has been secured. Perimeter North Properties Group, LLC agrees to notify applicant in a timely manner if they have been approved or declined.
If I do not qualify under Perimeter North Properties Group, LLC qualifications for residency, I understand the holding fee will be refunded and the $50.00 application fee will not be refunded.
If I follow through and lease the property, the holding deposit will be credited towards my first months rent. I understand that if I do not take occupancy, the holding deposit shall be forfeited.
I/we hereby authorize Owner to contact credit services, personal and credit references given herein, plus my/our employers to verify the information stated in this application. I/We also authorize Owner to report to my/our unsatisfied obligations to the proper authorities after l/We vacate said property. I/We also authorize Owner to share the information on this application and related verification data to anyone Owner feels is part of the qualifying process, I/We acknowledge this application is the property of Owner.
Applicant's signature
Date:
Co-Applicant's signature
Date:
Total Nonrefundable application fee received: $ Holding deposit received: $