Rental Application

A $35.00 application processing fee is due up front, before application can be processed.

First month's rent and deposit to be paid in certified funds to secure property.

Date: _

Rental property address: _

Applicant personal information:

First Name: Middle Initial:

Social Security Number: _

Driver's License No: _

Home Phone: _

E-Mail Address: _

Co-Applicant or Co-Signor: _

Relation to Applicant: _

Current Employer: _

Employer Phone: _

Monthly Income: _

Previous Employer: _

From: To: _

Employer Phone: _

Other Income:

Current Address: _

From: To: _

City: State: _ Zip Code: _

Rent Payment: Land Lord Name: _

Land Lord Phone:

Reason for moving: _

Will there be other occupants other than your immediate family? Yes__ N0__

Do You Have Pets? Yes_ No __ Has pet ever bitten or attacked anyone? Yes_

No

Type of Pet: Breed: _

Emergency Contact: _

Bank Name: Do you have a checking account? Yes_ No_

Have you ever moved because of a lease violation? Yes No

Have you ever been convicted of any kind of crime, including sexual offense, stalking,

assault, theft, fraud; bad checks, vandalism, drug violation, weapons? Yes No

Have you ever been convicted of any felony? Yes __ No __

Have you ever been evicted? Yes __ No __

Have you ever filed for Bankruptcy? Yes __ No __

Are you a U.S. Citizen? Yes __ No __

To my knowledge, the information above is deemed to be correct. I acknowledge that the

Southern Freedom Property Management Group will use this information to make a

decision to accept or deny rental application. I authorize Southern Freedom Property

Management Group to obtain my credit report and criminal background report, verify my

income, and call my employer or employers, and contact past landlords for reference. I

agree to indemnify and hold harmless Southern Freedom Property Management Group

and any parties who provide information to verify information on contract is correct,

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.

Applicant's Signature: _

Print Name:

Date: