Couples Monthly Rental Form
When do you need to Move into your home? ------
within 10 days
Within 1 month
I am not sure yet!
Why are you moving and why do you need to rent on a weekly or monthly basis? -------
Main Renters Full Name
For identification purposes (Primary Renter) what is your birthdate on your GA Vaild ID?
For identification Purposes what is your social security number? ---
2nd Renters name
City, state, zip
Best contact Email
Best Phone Contact Number
Best way to reach you?
For identification purposes (Secondary Renter) what is your birthdate on your GA Vaild ID?
Do either of you have a criminal history? if so list who and what, if yes does it include sex crimes? Violent crimes? -----
Have you or your other been to Fulton co Jail, Dekalb, Cobb, or Gwinett? if so which, when and charges
are you or the second renter on Probation? if so who, where, probation officers name and number.
Will you be living in your Room alone with partner or have other guests?
We will have a guest 1 to 2 nights a month (extra charge)
I have another person that will be there over 40% of the time
Drug usage and behaviors that lead to one to believe drug usage is present, will not be tolerated! No Smoking inside home.
I have never used drugs
I have been clean for more than 6 months
I have been clean for more than one year
I will not use or bring drugs into the home
Over the next 6 months is there anything that may affect your ability to pay for housing?
How many Cars/trailers space would you need?
None I/We don't own a car
only a guest rarely
Anything else about you or your situation we should be aware of? ----
Are you or anyone in your household receiving Government Benefits of any kind, such as SSDI, SSI, VA, etc. If so who, what, and how much?
Do you have Proof of Income (a job or SSI/SSDI/WC ect.?)
Yes from a Job
No- we cannot rent without knowing you can pay!!!
other Government check
Current Occupation and years of experience, if none put in none.
what is your gross monthly income from all sources, include your significant as well as others that will be living there if they are helping you purchase
how much cash do you have now?
Must bring Valid Ga ID and Proof of Income
how long are you expecting to rent
How did you hear about us?
Atlanta Journal Constitution
Friend or word of month
$250 (add $10 to fee until brought up to full amount)
$150 (add $15 to fee until brought up to full amount)
$100 (add $20 to fee until brought up to full amount)
Only neat, clean, respectable, drug free individuals that pay their rent on time may apply. No public drunkenness .
I can meet these standards
I am not able to follow this