CENTURY 21 TRI CITY REALTY
RENTAL APPLICATION
1712 A Osborne St.
St. Marys, GA 31558
(912) 882-6172
ADDRESS OF PROPERTY:______________________________________________
MOVE IN DATE: __________________RENTAL AMOUNT___________________
1. CENTURY21 TRI CITY PROPERTY MANAGEMENT AND OUR OWNERS
DO NOT PERMIT THE FOLLOWING PETS: DOBERMANS, PIT BULLS,
CHOWS, OR ROTWEILLERS, OR ANY PART THEREOF.
2. APPLICATION FEES ARE NON-REFUNDABLE.
3. EACH APPLICANT MUST PROVIDE PHOTO ID AND AN APPLICATION
IS NOT CONSIDERED COMPLETE UNTIL EACH POTENTIAL TENANT
FULLY COMPLETES A SEPARATE APPLICATION.
PLEASE PRINT LEGIBLY
APPLICANT Y / N
CO-APPLICANT Y / N
APPLICANT(Full Name):
Home Ph
Work Ph
Cell:
SSN
Birthdate
Email:
Driver License – State#
CO-APPLICANT(Full Name):
Home Ph
Work Ph
Cell:
SSN
Birthdate
Email:
Driver License – State#
EMPLOYER:
Telephone:
Address:
Supervisor
Job Title Salary:
Pay Period
Dates of Employment: From / / To / / /
OTHER INCOME: A(type): $per mth B(type) $per mth
PREVIOUS EMPLOYER:
Telephone:
Address:
Supervisor:
Job Title:
Salary: Pay Period:
Dates of Employment: From / / To / / /
PETS: Y / N
Pet Name:
Type:
Weight:
Pet Name:
Type:
Weight:
CURRENT ADDRESS: (STREET, CITY, STATE, ZIP - NO PO BOXES)
Street Address:
City
State:
Zip:
From:
To:
Monthly Pymt:
Own / Rent
IF YOU RENT:
Landord Name:
Telephone:
Are you on a lease: Y / N
If yes, expire date / /
PREVIOUS ADDRESS ( If current is less than 2 years) STREET, CITY,ST, ZIP
Street Address:
City:
State:
Zip:
From:
To:
Mthly Pymt:
Own / Rent
IF YOU RENT:
Landord Name:
Telephone:
VEHICLE INFORMATION:
Car tag:
State:
Make:
Model:
Yr:
Car tag:
State:
Make:
Model:
Yr:
NEAREST LIVING RELATIVE:
Name:
Address:
City:
State: