Rental Application

Notice: One application per household is required. All adult applicants (18 years or older) must submit a separate background check fee for rental. This application should take about 10 minutes to complete. * No Application Will Be Processed Without Submitting Application and Background Check Fee if applicable. The application is $50 and the background check is $30. If there are any questions about fee payment please contact us at (678) 827-5723.

Please complete the form below

Location of Interest

Property

Move In Date

YYYY

Applicant Information

Full Name

First Name

Last Name

Home Phone

(###)

###

####

Email Address

SSN

Driver's License #

Birth Date

YYYY

Current Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date In

YYYY

Date Out

YYYY

Landlord Name

Landlord Phone

(###)

###

####

Monthly Rent

Reason For Leaving

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date In

YYYY

Date Out

YYYY

Landlord Name

Landlord Phone

(###)

###

####

Monthly Rent

Reason For Leaving

Other Occupants

List Names, Birth Dates, and SSN of ALL Additional Occupants 18 Years or Older

List Names and Birth Dates of ALL Additional Occupants 18 Years or Younger

Pets? Please Describe

Breed/Age/Weight, Current Vaccinations, House Broken, Etc.

Employment & Income Information

1. Occupation

Employer/Company

Supervisor Name

Supervisor Phone

(###)

###

####

Start Date

YYYY

End Date

YYYY

Monthly Salary

2. Occupation

Employer/Company

Supervisor Name

Supervisor Phone

(###)

###

####

Start Date

YYYY

End Date

YYYY

Monthly Salary

1. Other Income Description

Monthly Income

2. Other Income Description

Monthly Income

Emergency Contact

1. Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Relationship

2. Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Relationship

Personal References

1. Name

First Name

Last Name

Phone

(###)

###

####

Relationship

2. Name

First Name

Last Name

Phone

(###)

###

####

Relationship

Background Information

Have Your Ever:

Filed for bankruptcy?

Yes

Willfully or intentionally refused to pay rent when due?

Yes

Been evicted from a tenancy or left owing money?

If yes, please provide Property Name, City, State, and Landlord Name.

Yes

Been convicted of a crime?

If yes, please provide Type of Offense, County, and State

Yes

Vehicle Information

1. Make & Model

Year

License No. & State

2. Make & Model

Year

License No. & State

Other Vehicles

Other Information

How Did Your Hear About This Property?

Please Include Any Other Information You Believe Would Help to Evaluate This Application

I/we, the undersigned, authorize CreativePropertyRehab.com, Landlord, and it's agents to obtain an investigative consumer credit report including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender search. I authorize the release of information from previous or current landlords, employers, and bank representatives. This investigation is for resident screeening purposes only, and is strictly confidential. This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold CreativePropertyRehab.com, Landlord, and its agents free and harmless of any liability for any damages arising out of any improper use of this information.

Important information about your rights under the Fair Credit reporting Act: - You have a right to request disclosure of the nature and scope of the investigation. - You must be told if information in your file has been used against you. - You have a right to know what is in your file, and this disclosure may be free. - You have the right to ask for a credit score (there may be a fee for this service.) - You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccurate, incomplete, or unverifiable information. A summary of your rights under the Fair Credit Reporting Act is available by visiting (Para information en espanol, visite): http://www.ftc.gov/credit Please type your First and Last Name to sign. Understand that signing in this box constitutes a legal signature confirming that you acknowledge and agree to the above.

Today's Date

YYYY

Consumer Report Disclosure and Authorization

In connection with my application for housing, I understand that the property owner/agent may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application. These consumer reports will be obtained from one or more of the following consumer reporting agencies: • Equifax, E.C.I.F., P.O. Box 740241, Atlanta, GA, 30374-0241, (800) 685-1111 • Trans Union, Regional Disclosure Center, 1561 Orangethorpe Ave., Fullerton, CA, 92631, (714) 738-3800 • Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX, 75002, (888) 397-3742 • On-Site Manager, Inc., P.O. Box 1514, Los Altos, CA, 94023-1514, (877) 222-0384 • Under California law, these consumer reports are defined as investigative consumer reports. These reports may contain information on my character, general reputation, personal characteristics and mode of living. In connection with my application for housing, I authorize owner/agent to obtain a consumer report from the consumer reporting agencies listed above

Today's Date

YYYY

Proceed to Payment

PLEASE NOTE: Under Section 1786.22 of the California Civil Code, if you wish to dispute the accuracy or completeness of any item in the consumer report, you may contact the consumer reporting agency named above and request an investigation. You also may view the file maintained on you by the above credit reporting agency during normal business hours. You can receive a copy of your file by providing proper identification and paying any related-copy costs. You may also receive a summary of the file by telephone. The agency is required to have employees available to explain your file to you, and they must explain any coded information in your file. You can bring someone with you to view the file, so long as they have identification.

Rental Application

Please complete the form below

Your new home awaits.