HOMES FOR RENT

Call Thomas - 770-425-4170

Property Information
Todays Date	Property Applied For	Desired Move In Date
Rental Amount	Security Deposit Amount	Lease Term Months
Applicant Information
Last Name	First Name	Middle Initial
Jr./Sr. Etc.	Date Of Birth	SSN #
Driver's License #	License State	License Expiration
Residency History	Home Phone	Cell Phone
Current Address	Date From	Date To
Reason For Leaving Current Address	Type In Here	Rent Own
Rent or Payment $	Landlord Name	Landlord Phone
Previous Address	Date From	Date To
Reason For Leaving Previous Address	Type In Reason Here	Rent Own
Rent Or Payment	Landlord Name	Landlord Phone
Other Occupants
List the names of all applicants under the age of 18.		All applicants over the age of 18 must complete a seperate application.
Name	Age	Relationship
Name	Age	Relationship
Name	Age	Relationship
Name	Age	Relationship
Pets
Do you have pets?	Yes No
Has your pet ever bit or attcked anyone?	Yes No
Type	Weight	Breed
Type	Weight	Breed
Type	Weight	Breed
Emergency Contact
Family Member	Relationship	Phone
Complete Address	City	Zip Code
Email
Employment Information
Are you presently employed?	Yes No
Employer	From Date	To Date
Employer Address	City	Monthly Income
Supervisor	Phone	Position
Previous Employer	From Date	To Date
Employer Address	City	Monthly Income
Supervisor	Phone	Position
Mandatory Screening Questions

Have you ever been evicted or a defendant in and eviction action?	Yes No
Is any previous landlord trying to collect money from you?	Yes No
Have you ever been convicted of a felony, or a misdemeanor involving a sexual offense abuse of any kind or sort?	Yes No

The information provided above is complete and correct. I understand that Thomas Mcfarland,Jr. will rely on the information provided in making a decision to accept, conditionally accept, or deny my rental application. I authorize Thomas McFarland,J.r and its contractors to obtain my credit report and criminal background report, verify my income and current and past employment, and contact my current and past landlords to verify my rental history. I agree to idemnify and hold harmless Thomas McFarland, Jr. and any parties who provide information to verify this application from all liability, claims and lawsuits with regard to the information provided, regardless of the source and regardless of whether the information provided is negative. I authorize Thomas McFarland, Jr. and its contractors to obtain consumer credit report and to obtain information on my location and employment in connection with collecting any damages or amounts claimed due under my lease.