ANTHOS AT shadowood west
ANTHOS at SHADOWOOD WEST
APARTMENT RENTAL APPLICATION
Date: 1/16/2011 Apartment/Size: 2x2 Rent Amt:$585- $615 Agent: KA
(Print and Fill Out)
PERSONAL INFORMATION
1. Name: ______Co-Tenant Name: ______
Date of Birth______Date of Birth______
Social Security #______Social Security #______
Drivers License #______Drivers License #______
License Plate#______License Plate#______
Phone#______Phone #______
Cell#______Email______Cell#______Email______
2. Have you ever been convicted of/or plead guilty to a crime in GA State or any other State?
YES or NO (circle one) if yes, list all that apply on back of application.
3. Automobile: Year______Make______Model______Color______
Automobile: Year ______Make ______Model______Color______
4. Number of people who will occupy the apt. Adults(over 18) ___ Children___
Name, age and gender of children:______
5. Pets: Yes or No (Circle one) (with stipulations) If yes, type______
6. Does anyone who will be living in the apt. smoke ______Indoors or outdoors?
7. Desired Date of Occupancy: ______
8. How did you hear about Anthos at Shadowood West?______
RESIDENCE HISTORY (Two Years)
9. Present address______City ______State ______Zip code______
Present Landlord______Phone#______
How long: yrs____month(s) ______rent$______,Reason for leaving______
10. Previous address______City______State _____Zip code______
Previous Landlord______Phone#______
How long: yrs____month(s) ______rent$______,Reason for leaving______
EMPLOYMENT/INCOME INFORMATION (One Year)
11. Employed full time__, part-time__, unemployed__, self employed____student__
12. Employer: ______Co-tenant employer______
Address: ______Address: ______
Supervisor______Phone#______Supervisor______Phone#______
Position______Monthly income______Position: ______Monthly income $______
Start Date: ___/___/___ Start Date: ___/___/___
13. Student: School______Date of Graduation______
14. Co Signer’s Name______Phone#______
Address: ______Zip code______
Social security #______DOB______
Co-Signers Employer______Phone#______Cell#______
Email address______
15. Other source of income______
RENTAL APPLICATION (continued)
CREDIT REFERENCE
16. Bank Reference: ______Type of Account______
17. In case of emergency, notify______Relationship______
Address______Phone#______
It is agreed that the Applicant, if approved, shall within seven days following notification to him/her of such approval, sign the necessary lease of the apartment applied for, and if the Applicant fails to sign such documents as herein provided, his/her application may be regarded by the Lessor as being void and any deposit will be forfeited. The Applicant agrees at/or before the signing of the lease that he/she (the Lessee) shall pay the first month’s rent (or pro-rate) together with a security deposit.
Security Deposit will hold the apartment you are interested in so no one else can rent it. Do not pay the security deposit unless you are certain you want the apartment. If for any reason you change your decision to rent the apartment the security deposit will not be refunded.
It is definitely understood that no pets or water furniture of any type will be allowed on premises without prior written approval from the Lessor. There is a $275.00 pet fee (non-refundable).
By signing, the Applicant recognizes that the Landlord or his agent may investigate the information supplied by the Applicant and a full disclosure of pertinent fact made to the Lessor. Furthermore, the Applicant authorizes the Landlord or his agent to obtain a credit report and police report with regard to the Applicant to assist in the verification of the information provided. ($35 application fee)
Any admission or conviction of a crime will give the Landlord the option of immediately terminating the lease. Also, any falsification of application, Landlord form, any other document or information will also give the Landlord the option of terminating the lease.
Applicant Signature:______Print______
Co-Applicant Signature: ______Print______
Co-Signer______Print______
Date:______
Please choose a preference to an apartment if available:
1 Bedroom ___2Bedroom ___3Bedroom ___
IF YOU CHOOSE TO FAX THE APPLICATION TO
US PLEASE FAX TO (478) 477.1740
(All signatures must be notarized)
OR MAIL TO: ANTHOS at SHADOWOOD WEST
4344 West Highland Drive
Macon, GA31210
Authorization for the Release of Information
RELEASE: In consideration for being permitted to apply for this apartment, I/we Applicant(s), do represent all information in this application to be true and accurate an that owner/manager/employee/agent may rely on this information when investigating and accepting this application. Applicant(s) hereby authorizes the owner/manager/agent to make independent investigations to determine my/our credit, financial, character standing, rental history, arrest and/or including conviction records, and retail credit history. Applicant(s) hereby authorizes any person, or credit checking agency having any information on applicant(s) to release any and all such information to the owner/manager/employee or their agents or credit checking agencies. Applicant(s) hereby releases, remises and forever discharges, from any action whatsoever, in law and equity, all owners, managers, and employees, or agents, both of Landlord and their credit checking agencies in connection of processing, investigating or credit checking this application, and will hold them harmless from any suit or reprisal whatsoever. I/we understand that the credit report (rental history, arrest and/or conviction records, and retail credit history) will be done thru the facilities of The Info Center, Inc. Feeding Hills, MA01030, Consumer Phone 413.562.5650 and Anthos Properties, 25 Smith St.Nanuet, NY10954. 845.627.1600
INFORMATION COVERED:INDIVIDUALS OR ORGANIZATIONS THAT
MAY RELEASE INFORMATION:
Inquiries may be made regarding: Banks or Other Financial Institutions
Child Care Expenses Courts
Credit History Law Enforcement Agencies
Criminal Activity Credit Bureaus
Family CompositionEmployers, Past and Present
Employment, Income, Pensions, Assets PROVIDERS OF:
Federal, State or Local Benefits Alimony
Identity and Marital Status Child Care
Medical Expenses Child Support
Social Security Numbers Credit
Residence and Rental Institutions Medical Care
U.S. Social Security Administration Pensions/Annuities
U.S. Department of Veteran Affairs Utility Companies
Welfare Agencies
______
Signature and Printed Name of All Adult Household Members applying for an apartment:
X______/___/______/____/______
Signature of Head of HouseholdDate of BirthSoc. Sec. Number Printed Name of Head of Household
X______/___/______/____/______
Signature of Head of HouseholdDate of BirthSoc. Sec. Number Printed Name of Head of Household
X______/___/______/____/______
Signature of Head of HouseholdDate of BirthSoc. Sec. Number Printed Name of Head of Household
Dated______/_____/20__
Anthos at Shadowood West
4344WestHighland Drive, Macon, GA 31210
PHONE (478) 477.1121 / FAX (478) 477.1740