FORM VALID FOR GEORGIA APARTMENT

ASSOCIATION MEMBERS ONLY FOR MANAGEMENT USE ONLY:

DATE FORM PRINTED

APARTMENT NO.

APPLICATION FOR OCCUPANCY

Property Fax #:

Property Phone #:

APPLICANT:

MOVE-IN DATE REQUESTED:

APPLICATION SUBMITTED ON:

LEASING INFORMATION (TO BE COMPLETED BY MANAGEMENT)

NAME OF APT. COMMUNITY

COMMUNITY ADDRESS

LEASE TERM DESIRED:

APT. TYPE DESIRED

APT. NO. or ADDRESS REQUESTEDThe Avenues Apartments

2515
FROM Northeast Expressway, Atlanta, GA 30345

BDRMS.

TO

BATHS FLOOR PLAN

DATE OF VISIT TO APTS.

RENTAL RATE $

MOVE-IN DATE REQUESTED

/MO.

CONSULTANT

HOW DID APPLICANT LEARN ABOUT US?

APPLICATION FEE (for Credit Check)

GOOD FAITH DEPOSIT(Applied to Security Deposit)

PET SECURITY DEPOSIT

WHICH APT(S). DID APPLICANT VISIT?

NON-REFUNDABLE FEE

OTHER SECURITY DEPOSIT

OTHER NON-REFUNDABLE FEE

(Describe)

(Describe)

(Describe)

Note: Each Person Who Is An Applicant, Guarantor or Co-Signor Must Fully Complete a SEPARATE Application and Meet ALL Rental Qualification Requirements for Employment
(Or Source of Income for Paying Rent), Rental History, Credit, and Criminal Background. A Valid Government Issued Photo ID is Required with this Application and at the Time of
Move-In. Submitting thisIN ORDER
application TOManagement
gives BE APPROVED permissionFOR OCCUPANCY,
to check ALL
Applicant's credit, QUESTIONS
rental, MUST
employment, and BEhistory.
criminal FULLY ThisAND COMPLETELY
form may ANSWERED.
be used for approving
occupancy of any single family home, mobile home, or other living space, and the word "apartment" includes any kind of landlord and tenant or occupancy agreement.
1. PERSONAL INFORMATION
Applicant's Name
Last Name

First

Middle

Jr/Sr/III

Birthdate
Mo.

Day

Year

Social Security OR Individual Tax ID No.

Telephone #:

Name of Any Co-Applicant, Co-Signor, or Guarantor

Guarantor to Applicant? Â Spouse

 Parent

 Roommate
 Cell Phone #:

Driver's License No.

Email:

State

Expiration Date

What is the Legal Relationship to Co-Applicant, Co-Signor, or

 Employer

 Other

(Describe):

Are You Currently in the U.S. Armed Forces or Reserves?

Have You Ever Gone By Any Other Name?

City/State/Country in Which You Were Born

Father's Name/DOB:

What is the Reason for Moving from your current residence?

I learned of this community from

 Yes

 Yes  No

If "Yes," State Your Rank, Service & Duty Station:

 No

If "Yes," What Names?

Mother's Maiden Name/DOB:

2. OTHER OCCUPANTS AND PETS IN HOUSEHOLD

Persons and Pets who are not listed below are NOT authorized to live in the apartment. Unauthorized occupants and pets will be a lease violation.

State All Other Occupants' Names

1.
2.
3. you have pets or service animals? Â Yes
Do
4.
Weight Of Pet (Approx.)

 No

[NOTE: No Deposit is required for Service Animals] Has Pet Ever Bitten or Attacked Anyone? Â Yes

 No

Ages

Relationship

Social Security or Individual Tax ID No.

Describe Breed, Age, Type & Size of All Pets or Service Animals

3. RENTAL HISTORY
1.

APPLICANT'S CURRENT RESIDENCE:

Current Address

Monthly Rent Pmt. $

2.

APPLICANT'S PREVIOUS RESIDENCE:

Previous Address

Monthly Rent Pmt. $

Reason for Leaving:

From:

To:

From:

To:

Name of Owner and/or Apartment Community:

City

Phone No.

State

Zip

Name of Owner and/or Apartment Community:

City

Phone No.

State

Zip

Copyright © August, 2006 by Atlanta Apartment Association, Inc. - Form # 9411

All Rights Reserved
INITIALS
120820060672101
Page 1 of 4
 4. EMPLOYMENT HISTORY
1.

APPLICANT'S CURRENT EMPLOYER:

Address:

Phone No.

Job Description

Supervisor's Name

Company Name:

City

State

Zip

Monthly Income (Gross) $

Employment Dates: From:

To:

*PROVIDE SOURCE OF INCOME TO PAY RENT IF YOU ARE NOT CURRENTLY EMPLOYED (SEE SECTION 9):

2.

APPLICANT'S PREVIOUS EMPLOYER: Company Name:

Address:

Phone No.

Job Description

Supervisor's Name

City

State

Zip

Monthly Income (Gross) $

Employment Dates: From:

To:

5. AUTOMOBILE
Year

Make (Ford, etc.)

Model (Taurus, etc.)

Color

License Tag No.

State

County

Describe Any Other Vehicle, Boat, or Trailer You Are Requesting to Use or Store at the Apartment Community:

6. CONTACT PERSONS
1.

Name of Family Member, Other Than Spouse

Address

2.

Name of Person Other Than Family Member

Address

City

Phone

State

Relationship

Zip

City

Phone

State

Relationship

Zip

7. BANKING REFERENCE
Checking Acct. (Bank Name)

Savings Acct. (Bank Name)

Address of Branch

Bank Loan

Monthly Payment $

Acct. No.
 Acct. No.

Phone

Loan No.

8. CREDIT INFORMATION
Credit Card Acct. No.

Other Monthly Debt

Balance $

Balance $

Credit Card Acct. No.

Car Loan With

Balance $

Balance $

9. OTHER INCOME OR SOURCE OF SUPPORT

Alimony/Child Support
Public Assistance
Social Security $
Retirement $
Other $ Name and Address of Payor
$ Name of Assistance Program
$ 10. MANDATORY SCREENING QUESTIONS
Description of Benefits
Name or Source of Payment
YOU MUST ANSWER EACH OF THESE QUESTIONS. Describe Other Sources "YES" TO QUESTIONS 1-7, YOU MUST PROVIDE ADDITIONAL DETAILS.
IF YOU ANSWER
Â1. Have You or Any Person Who Will Be Occupying the Apt. Ever Been Evicted or a Defendant
I have fully and
in an Eviction Action? truthfully answered Questions 1-8 above.
Â2. Is Any Apt. Community or Previous Landlord Trying to Collect Money from You or Any Person Who Will Be
Occupying the Apt.? Applicant's Initials:
Â3. Have You or Any Person Who Will Be Occupying the Apt. Ever Filed, Been Discharged From, or Currently Under a
Bankruptcy? Yes
Yes
Â4. Have You or Any Person Who Will Be Occupying the Apt. Ever Been Convicted, Charged, Arrested, Indicted, Plead
Yes Â
Guilty or No Contest, or Received
Yes Â
Deferred Adjudication or Probation to (A) Any Felony? Or (B) Any Misdemeanor Involving a Sexual Offense, Stalking, Illegal Use or Possession of
 No
Weapons, Assault, Battery, Theft, Fraud, Bad Checks, Criminal Damage to Property, Trespass, Vandalism, Illegal Possession or Sale of Drugs?
 No
Â5. Have You or Any Person Who Will Be Occupying the Apt. Ever Been Asked to Yes
Move Because
 No No
of an alleged lease violation of any kind? Yes  No No
Provide Additional Information Here to Explain the Answers to Questions 1-8 above: Â6. Have You Ever Lived in This Apartment Community Before? Yes  No
Â7. Are You Unemployed? of Immigration
Copyright
8. Do you©have
August, 2006
a legal rightbytoAtlanta
be in theApartment Association,
United States? Inc. -I Form
 Yes because # 9411
am a U.S. citizen  Yes because I have valid documentation from the U.S. Dept.
All Rights Reserved (INS); or  No. If you answered "Yes" because you are a non-U.S. citizen with proper visa documentation, please provide:
and Naturalization
Reason you are in the U.S.Visa Type:Visa Expiration Date 120820060672102
INITIALS
Page 2 of 4
 11. APPLICANT'S AGREEMENT AND UNDERSTANDING REGARDING SUBMISSION OF THIS APPLICATION
False or Misleading Information. The failure to fill out all sections of this form may result in the denial of your application. Providing false or misleading information could result in denial of your rental
application or termination of your rental agreement. It is our policy to disapprove the application of any person who could represent a threat to the health, safety, and welfare of the other residents, occupants,
visitors,Housing
Equal and staff ofOpportunity
the apartment Policy.community. It is Inappropriate
Management'sorpolicy abusive conduct housing
to provide during the forapplication
all applicants process
without by regard
the applicant
to race,orcolor,
thosereligion,
desiring national
to rent anorigin,
apartment will result
sex, familial in denial
status, of the rental
or disability. application.
Management and the
owner of this apartment community are Equal Housing Opportunity providers. It is also Management's policy to provide or allow reasonable accommodations and modifications to our rental policies and
apartment
Good Faithcommunity
Deposit. to persons
Applicant with demonstrated
understands and disabilities.
agrees that the If applicable,
Good Faiththe applicant
Deposit and or resident
other mustorprovide
Deposits sufficient information
Non-Refundable fees paid will about the neediffor
be returned any such
applicant is accommodation
not accepted as aorresident.modification and allow
Applicant will have
Management sufficient time to review and approve the same. Because the property already meets all accessibility requirements, the cost of most modifications will be the responsibility of the applicant or
resident. Applicant or resident agrees to provide or supplement information regarding any such requests for accommodations or modifications promptly in writing upon management's request.
hours after submitting this application to withdraw the application and receive a full refund of the Good Faith Deposit. The notice of withdrawal must be in writing. The application fees, however,
are non-refundable. If Applicant does not withdraw the application within the time specified above and Applicant is approved for occupancy, the Applicant agrees to sign a rental agreement and take possession
of an apartment.
Rental Qualification If the Applicant does notunderstands
Criteria. Applicant withdrawand theagrees
application by written
that the rental application notice
will bewithin
reviewed theusingtimebusiness
specified above
judgment, and is criteria,
decisional approved forscoring
a point occupancysystem,but or a fails or refuses
combination of those to sign a rental agreement and
take
systems.possession of thefor
In order to qualify apartment
housing, theon or before
applicant mustthe haveanticipated
good rental, credit, move-in date (above),
and criminal background the Good Faith
histories. Applicant Deposit and otherthe
must demonstrate deposits
financial or non-refundable
ability to afford the apartmentfees shall underbe retained by Management as liquidated
damages.
Availability of Apartment Desired or Requested. At the time of this Application, applicant has expressed interest in a particular floor plan or type of apartment and may have requested occupancy of aof
Management's If the
rental number
qualification of hours
criteria. to
A withdraw
co-signor or the application
guarantor is not a is not
substitute specified
for above,
unacceptable Applicant
rental, credit, will
or only
criminal have
background 24 hours
histories.to withdraw
Poor rental the
history application
because of and receive
disapproval of a refund
co-signor's, the good faith deposit and
specific
other
apartment deposits
roommate's, which and
or guarantor's
was non-refundable
shown application
and listed or thefees.
as because desiredofApplicant
aunit
priorand acknowledges
history of latedate
occupancy that the Good
payments,
above. lease Faith Deposit
violations,
Management is guarantee
failure
cannot nottoagive
security
that deposit;
proper thenotice, however,unit upon
or damages
particular signing
exceeding
desired will be anormal
rental agreement,
available wearonand themay
the tear
date Good Faith
result
requested inDeposit
by denial will
of
the applicant thebeasapplied toward
any Security
applicant's Deposit
rental
there are manyRental or Non-Refundable
application.
variablesDecision. However,
which could theFeeslack
result inhas specified
of
delay a in
rental the Rental
history
or unavailability may Agreement.
not In
necessarily the event
result inApplicant
a denial defaults
of the under
application. the terms
While of this Application,
co-applicants (either Applicant
as spouses acknowledges
or roommates), that Management
co-signor's, and shall keep
guarantors themay
Applicant's
Good Faithdesired
Deposit and other Applicant
deposits anddate. either
non-refundable eachaskedfees about orofreview
as liquidated
the apartment
the
damages
unit. Applicant
Apartment
which Rental
are
agrees to take
Agreement
compensation and
for
occupancy
Addenda
holding the he
ofora she
comparable
his or is
apartment expected
off
apartment
the plan, to rental
market. sign offered
upon
Applicant
by Management
approval
agrees of
thatthis
that reasonably
theapplication.
amount of Applicantmatches
in agrees
thethat he
be allowed
applicant's
or she
in
has fully
orderfloor
to
questioned
meet
plantheandrental
Management
qualifications,
move-in regarding Applicant of those
understands
anyprovision
important
persons that must meet
Management the rental
may notqualification criteria
be able toatprovide applicable
the desired to
apartment, her particular
floor or move-in application
date iftocircumstances.
applicant changes hislost
Applicant or rent
must
her holding
planned or
the apartment
demonstrate
expected a off
move-in the
certain market
date.earning islevel
unknown
Unavailability and
or source
ofor theher thatincome,
of
desired this savingson
apartment isorinformation
intended
assets as about
a good
sufficient rental
to faith of an
insure theapartment
notestimate of Management's
ability this
of thefrom community.
applicant damages
ortoher
pay Applicant
in the
the event
monthly is satisfied
of
rent and with
livingthe
Applicant's responses
default.
expenses, Thetaking
Good hisinto
or her
Faith questions
Deposit
account anydoesand is constitute
not
revolving,fully informed
a
recurring,
as
or to all information
WARNING:
security
monthly deposit.YOU
debt from needed
ONLY
creditHAVEto make
cards Ahis
and LIMITED
loans. decision
Self TIME
employed to apply
TO CHANGE forthe
applicants andesired
apartment.
YOUR
may
date
need MIND
does
toApplicant
relieve
IN WRITING
provide income
applicant
understands
taxABOUT that not
returns
hisapartments
all
APPLYING
and other business
contractual
FORinAN financial
obligations
the APARTMENT.
community
recordshave
under
(such line
YOU
this agreement.
ofCAN
sightLOSE
as income to receive
and YOUR
expense satellite
GOOD communications
statements, FAITH DEPOSIT
asset statements,and that AND OTHER
Management
NON-REFUNDABLE
and cannot guarantee high
FEES IF YOUR
personal net worth statements). speed internet
APPLICATION
Self employed access.
persons ISApplicant
andAPPROVED understands
corporate renters ANDmay that
YOU there are limitations
FAIL TOtoSIGN
be required on the
pay anAadditional
LEASE ORnumber of persons
TAKE OCCUPANCY
application who may
fee to obtain Dunn occupy
OF andan
THE apartment
APARTMENT.
Bradstreet unit, usually expressed as
credit reports on themselves or their the HUD approved
standard
companies which allows Management
andCERTIFIES
submit income to limitUnemployed
tax returns. occupancy to orno moreapplicants
retired than two personsmay need pertobedroom or sleepingfinancial
provide additional space. Applicant
documentationunderstands andto
of ability agrees that he or she must pay for all utilities and services
pay rent.
APPLICANT THAT HE OR SHE HAS FULLY AND TRUTHFULLY ANSWERED ALL QUESTIONS ASKED AND VERIFIED
supplied to the apartment, including, but not limited to, water and waste water; sanitation; pest control; electricity; natural gas; cable; phone and other telecommunication services. Applicant is aware that any THE ACCURACY OF ALL INFORMATION PRESENTED AND
AUTHORIZES
rental concessionsVERIFICATION
offered may be availableOF ALL only INFORMATION
for limited times PROVIDED.
and that Applicant must comply with all conditions required to receive the concession without having to be responsible for reimbursing
Authorization
Management forrental
for the Management
value of the to Verify Rental
concession. Application
Such conditions include and Obtain
fully completing Credit the Report.
expected term The above
of the information
agreement withoutis complete and correct.
defaulting under the I understand
lease and that Management
without using anywill earlyrely on the information provided in
termination
making a decision
provision. Applicant to has
accept,
had conditionally
the opportunity accept,
to askorquestions
deny my about rentalthe application.
existence Applicant
of crime inauthorizes
the apartmentManagement
community andand its agents to verify thethat
fully understands information
Management provided
and the byOwner
obtaining myapartment
of the credit file,community
rental history,do not
employment
provide
Authorization information,
security or
tosecurity
Obtain and criminal
devices
Credit records
which
Report and
andcontacting
are intended to detect,
Other mydeter,
current
Information or andinformer
report crimes
Connectionemployers
committed.
withandCollection
landlords.understands
Applicant Applicant
of a Debt. releases Management
andApplicant
agrees thatagrees and
there that any third parties
are limitations
management who
onortheanysize, provide
number,
collector information
and type
retained by of tomotor
verifyvehicles
management thisis expressly
or authorized at
application
other
any time to from
obtainalla liability,
transportation, consumer claims,
boats, trailers, and
reportand lawsuits
(credit report)with
equipment which regard
may to
on applicant the
beandused information
toorobtain obtained,
storedinformation
on regardless
the apartment of the
property.
on applicant's source.
Only
location Applicant
authorized
and employment agrees
motor intoconnection
indemnify
vehicles may be and
used
with hold
the harmless
orcollection
parked onofManagement,
theany property.
amountsIn its agents,
orgeneral
damages current
no or prior
apartment
claimed duemayfrom
landlord,
have morecurrent
applicant asthan twoor prior
a Neighbors:
resident employer,
automobiles
under any per and
rental all otherunit;
apartment
agreement persons
with whomsoever
however, applicant
management. Anywho provide
hasemployers, information,
specifically inquired regardless
about and of whether
understands the
theinformation provided
content of parking isornegative.
rules and regulations heare or she will to
berelyexpected toundersigned's
sign if approved
Know Your Certain individuals convicted of certain sex-related crimesbanks, landlords,
are required businesses,
to register their consumer
name and reporting agencies,
current address on an other
index third parties
maintained by the entitled
state or county oninthewhich they reside. You
for occupancy.and
authorization Applicant
cooperate fully understands
in providing thethat any false
requested or misleading
information information
to assist in in provided
collection of to
any to debt
Management
owed during theasrental
by applicant application process could lead to terminationauthorizesor eviction from the apartment
may access that index in order to determine whether any such individuals live proximity a certain location. The publicamay resident
accessunder
the any rental
Internet to agreement.
view all sexApplicant
offenders registeredany notices
in Georgia. or
Thedemands
Statewide for
community
payment to beat amailed
later date
tocanafter taking
applicant occupancy
in care of contact once Management
persons named learns
in Sectionthat6the information provided was false, misleading, or inaccurate. The specification of a particular apartment as the one desired by
above.
Sex Offender RegistryCompleted
Application be obtained by through
Applicant the Internet
on: by at www.ganet.org/gbi/disclaim.html. The public may also contact the local Sheriff to view a list of the sex offenders listed in their county.
applicant does not constitute a representation or promise Management that the apartment specified will in fact be available on the desired date. Management may notify applicant either verbally or in writing
once the application has been approved. After applicant has been approved or after Management has notified applicant that an apartment is ready for occupancy, applicant must promptly sign a lease and take
occupancyDate: of the apartment in order to avoid losing the good faith deposit and non-refundable fees.

Date and Time Application Received by Management:

Applicant's Signature:

Print Applicant's Full Name:

Copyright © August, 2006 by Atlanta Apartment Association, Inc. - Form # 9411

All Rights Reserved
120820060672103
Page 3 of 4
 FOR MANAGEMENT USE ONLY
EMPLOYER'S NAME
1. CURRENT:

2. PREVIOUS:

STARTING &
ENDING DATES
EMPLOYMENT VERIFICATION - Date Checked:
SALARYAPPLICANT'S JOB NO. OF HOURS
TITLEPER WEEK NAME, PHONE & TITLE OF PERSON
PROVIDING INFORMATION
BY

RESIDENTIAL HISTORY VERIFICATION - Date Checked:

RESIDENCE ADDRESS

RENT AMOUNT

START & END

OF LEASE
LEASE
VIOLATIONS
WAS NOTICE
GIVEN?
NO. OF TIMES
LATE OR
WARRANTS NAME, PHONE & TITLE OF PERSON
PROVIDING INFORMATION
BY
1. CURRENT:

2. PREVIOUS:

ADDITIONAL SOURCES OF INCOME OR MONEY - DATE CHECKED:

TYPE:

SOURCE:

AMOUNT

IS IT CONSISTENT?

NAME, PHONE & TITLE OF PERSON

PROVIDING INFORMATION
BY

CREDIT VERIFICATION - DATE CHECKED:

HOW WAS APPLICANT'S CREDIT CHECKED? Â BY APT. STAFF Â BY OUTSIDE SCREENING AGENCY
NAME OF SCREENING AGENCY:DATE OF CREDIT CHECK OR SCREENING:
BANK
WAS POINT SCORING SYSTEM USED? Â YES Â NO IF "YES," WHAT WAS THEACCOUNT
SCORE? VERIFICATION - DATE CHECKED:
WHAT RECOMMENDATION WAS MADE BY SCREENING AGENCY? Â ACCEPT Â ACCEPT WITH ADDITIONAL SECURITY Â DECLINE
TYPE
IF ONLY OF ACCOUNT:
CREDIT REPORT WAS USED, WAS CREDIT SATISFACTORY? Â YES Â NO IF "NO," EXPLAIN WHY:
ARE THERE ANY DISCREPANCIES IN THE INFORMATION PROVIDED BY APPLICANT AND THE CREDIT REPORT? Â YES Â NOIF "YES," WHAT WERE THEY?
ACCOUNT NO.
[SOCIAL SECURITY NO. DID NOT MATCH, PREVIOUS ADDRESSES DIFFERED, ETC.] DESCRIBE DISCREPANCIES:
AVERAGE BALANCE IN ACCOUNT

NAME, PHONE & TITLE OF PERSON PROVIDING INFORMATION

BY

SUMMARY AND MANAGER'S DECISION

APPLICANT'S INCOME
OTHER VERIFIED INCOME
BY:
TOTAL VERIFIED INCOME
COMMENTS:
APARTMENT RENT AT TIME OF MOVE-IN $
Does Applicant Meet Qualifying Standards? Â YES Â YES, WITH CONDITION Â NO
COMMUNITY MANAGER'S
APPLICATION: SIGNATUREÂ APPROVED WITH CONDITIONS Â DISAPPROVED
 APPROVED
DATE OF MANAGER'S SIGNATURE

CHECKLIST

1.

2.

Government Issued Photo Identification of Applicant. Verified by:

on Date:

Type of ID Presented:

Expiration Date:

Citizenship or Visa Identification to Determine Applicant's Eligibility to Live in the U.S. [OPTIONAL]
Verified by:on Date:Type of ID Presented:
Names of Leasing
If Applicant Consultant
is in the or on
U.S. based Others Who
a Visa Assisted
issued by theApplicant:
INS, Place of Entry Into U.S.
Visa Purpose and Type:
Date
Name,onAddress
Which Apartment
and Phone Community Was Seen oror
of Persons, Universities, Visited by Applicant:
Businesses Date:
Contacted to Verify Visa Information:
Date and Time on Which Applicant Submitted a Signed and Completed Application: Date:

Date on Which Credit Report Was Pulled or Credit Was Checked by Outside Screening Agency: Date:

Name of Resident Screening Agency:

How and When Was Applicant Notified of Result of Application Processing? Date:

Who Notified Applicant of Results?

•
•
• Valid Government ID demonstrating Eligibility to Live in U.S.
• Checking and Savings Account Information from Bank
$
Criminal Background Check
x Evictions
Prior
3. $
$
4. $
5.

6.

7.

8.

9.

Time:

Method of Notification:

10. Steps in Application Verification Process:

•Employment or Other Sources of Income
11.•Rental
Does Applicant
or Home Meet
Owner "Standard"
History Earnings Rental Qualification Criteria?
Monthly Rental Rate
•Credit History
Multiply
•Driver'sRent Times
License 3
or Government Photo ID 3
Amount of Gross Earnings Required Without Considering Monthly Debt
If ApplicantAdd
If Applicable, wasAny
declined or required
Recurring to pay
Monthly a higher
Debt* [SEE security
NOTE] deposit, was an adverse decision letter sent? Date sent:
*[Note:
Amount If applicable,
of Gross EarningsMonthly Debt
Required includes
Taking into car loans,Monthly
Account bank loans,
Debtand minimum credit card payments.]
By:

Copyright © August, 2006 by Atlanta Apartment Association, Inc., All Rights Reserved - Form # 9411

120820060672104
Page 4 of 4