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Magnolia coastal properties_ llc

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					                          Magnolia coastal properties, llc
                                 31 Constitution Way
                                 Post Office Box 2875
                               Richmond Hill, GA 31324
                                Phone: (912) 756-6888
                                Fax:   (912) 756-6892
          HYPERLINK "mailto:labarker@aol.com" labarker@magnoliacoastal.com
                             www.richmondhillrentals.com
                                  RENTAL APPLICATION

Applicant’s Name: ___________________________________________________________________
Social Security #: _________________________

Current Residence: __________________________________________________________________
Rent: __________ Own: _________________ Amount of rent or PITI: ________________________
CURRENT Phone #: ________________________
Dates of Occupancy: From ___________________ to _____________________.

REFERENCES and address from previous Residence and Landlord info:

Previous Residence: _____________________________________________________________
Name of Landlord:_______________________________________________________________
Mailing Address: _________________________________________________________________
Phone #: __________________ Date of Occupancy.: From ____________ to ____________.


Previous Residence: _____________________________________________________________
Name of Landlord:________________________________________________________________
Mailing Address: _________________________________________________________________
Phone #: __________________ Date of Occupancy.: From ____________ to ____________.


Previous Residence: _____________________________________________________________
Name of Landlord:________________________________________________________________
Mailing Address: _________________________________________________________________
Phone #: __________________ Date of Occupancy.: From ____________ to ____________.


Concerning your interest in the rental property located at: ________________________
How many people will be occupying this property? __________________
Do you have any pets, and if so, how many, what kind, and do you normally keep them inside
or outside the home? _________________________________________________
Do you own a waterbed? ___________ If yes, see stipulation #7.


Employer: ____________________________________Business Phone: ___________________
Position Held: ________________________________ How Long: ________________________
Monthly Salary (before taxes): ______________________
Bonus: _________________ Raises: __________________ Other Income: ________________
Other properties or investments owned: __________________________________________
Prior Employment (last four years): _______________________________________________
Page Two

Co-Applicant: ____________________________________________________________________
Social Security #: __________________________ Employer: ___________________________
Business Phone: ___________________________ Position: _____________________________
How Long? _________ Monthly Salary (before taxes): _______________________________
Bonus: _______________ Raises: ____________________ Other Income: ________________
Prior Employment (last four years): _______________________________________________


Have you ever been sued?                           Yes ___________ No ___________
Have you ever been bankrupt?                       Yes ___________ No ___________
Have you ever been evicted?                        Yes ___________ No ___________
Have you ever had any property foreclosed?         Yes ___________ No ___________
If yes to any of above, give year and reason:


How would you rate your credit?             Excellent ______ Good _______ Fair _______

In accordance with HB 167, effective July 1, 1995, the property known as:
__________________________________________, has not flooded during the last 5 years.

Nearest Relative (not residing with you):

Name: __________________________________________________
Address: ________________________________________________________________________
Relation: ________________________________________________

                            CURRENT MONTHLY OBLIGATIONS

Company Owed                        Monthly Payment              Present Balance

_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_____________________________________________________________

It is agreed to and understood that I/We authorize Moore Properties to obtain any credit
information from the credit bureau which they deem necessary and for Magnolia Coastal
Properties, LLC to receive said credit bureau information for purposes in the rental
process.

I/We submit and agree to pay:
$35. for a single credit report OR $50. for a couple (with same name).

Make check payable to: Moore Properties.

Applicant


Applicant

				
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