ST Application

Rental Application
Savannah Townhouses
Property Applying For*
examples: 1 bedroom, 2 bedroom, #33
Street Address Line 2
CityState / Province
Postal / Zip Code
Desired Move In Date*
MonthDayYear
Tenant Information
Full Name*
First NameLast Name
E-mail*
Phone Number*
Area CodePhone Number
Date of Birth*
MonthDayYear
Social Security Number*
Ex: 555-22-5555
Names, ages, and relationship of anyone else who will occupy the property
Do You Have Pets*
Do you or any other occupants smoke?*

Current Rental/Residence History
Current Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Monthly Payment Amount*
Move In Date*
MonthDayYear
Reason for vacating*
Landlords Name*
First NameLast Name
Present Landlord’s Phone*
Area CodePhone Number
Did you ever receive a late notice*
YesNo

Previous Rental/Residence History
Previous Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Monthly Payment Amount*
Move In Date*
MonthDayYear
Move Out Date*
MonthDayYear
Reason for vacating*
Previous Landlord*
First NameLast Name
Previous Landlord's Phone*
Area CodePhone Number
Were you asked to leave?*
YesNo
Did you ever receive a late notice*
YesNo
Did you get your deposit back in full?*
YesNo, landlord kept a portionNo, landlord kept entire depositWas not renting this property

Present Employment/Income Information
Current Employer*
Phone Number*
Area CodePhone Number
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Monthly Income from Job*
Occupation*
Length of Employment*
Do you have any other sources of income? Examples: government assistance, child support, etc... please list MONTHLY amount received
Total Monthly Income *

Next of Kin\Emergency Contact (must be family)
Full Name*
First NameLast Name
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Relationship*
Phone Number*
Area CodePhone Number
E-mail
Next of Kin\Emergency Contact 2 (must be family)
Full Name*
First NameLast Name
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Relationship*
Phone Number*
Area CodePhone Number
E-mail

Legal Authorization to conduct a background check, or otherwise verify the information you provided.
By typing your name below. You agree to the following terms.

I hereby authorize the property owners, it's employees, agents, and third parties to take any and all actions necessary to verify the contents of this application. I understand that such actions may include but are not limited to, a credit report, verification of employment, past rental history, police and criminal records, I will hold the property owner, it's employees, agents and third parties harmless from liability for the accurate reporting of such information to the management and/or owners. I also consent to allowing the property owner/manager/agents to use any information provided here to assist in debt collection activities if required. I certify that all information provided by me is true, correct, and complete and I understand that any misrepresentation or omission is caused for the management and/or owners to reject or decline this application and/or terminate any lease based on this application.
By Typing your name to the right you state that you have read and agree to the terms above. *
Today's Date
MonthDayYear
Enter the message as it's shown*
For more info, or questions contact:
Jack Medearis
Owner
918-772-5075 Call or Text
savannahtownhouses@gmail.com
Should be Empty:

Rental Application