Rental Application Form Page 2
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3Persons living with the applicant/co applicant:
*Please note: All adults living in the home need to provide information below as well.
Name: ____________________________ Age: _______ Relationship: __________________________
Name: ____________________________ Age: _______ Relationship: __________________________
Name: ____________________________ Age: _______ Relationship: __________________________
Name: ____________________________ Age: _______ Relationship: __________________________
# Pets ______________________ Description: _______________________ Weight: _______________
EMERGENCY CONTACT:
Name: ________________________________
Relationship: ______________________________
First
Last
Address: __________________________________________________ Phone: __________________
Street Address
City
State
Zip Code
AUTHORIZING & RELEASE
I authorize the property owner’s agent to verify the above information and obtain a credit report, confirm the employment and well as
the references provided.
A non-refundable $65.00 fee in the form of a Money Order or Cashier’s Check (Pay online with Credit Card or PayPal) is required
with the application.
A Security Deposit (which is equal to one month's rent) is required within 24 Hours once the application is accepted.
I certify that there are sufficient funds in my account to cover the checks which is being tendered with this application.
This is an equal housing opportunity.
SIGN HERE: _____________________________
Date: _______________________
SIGN HERE: _____________________________
Date: _______________________
Co-op Agent:
Name: _________________________________
Phone: ________________________________
Office____________________________________
License#: ______________________________
Employer Name
Physical Address
Please send us this filled Rental Application Form (including the $65 Fee) by mail or drop box out the
office.
Drop Box Location:
e-Fax: 678.405.2783
Mail:
11795 Northfall Lane,
Email:
P.O. Box 52
Suite #603, Alpharetta,
Alpharetta
GA 30009
GA 30009
You can also pay the Rental Application online at
.
We accept most major Credit Cards as well as PayPal.
Please note: Personal Checks are not accepted. For Security Deposit Fee, Rent and Rental Application
Fee, please make Cashier’s Check or Money Order payable to ARB Realty, LLC.
Page 2 of 3
Version A May 2012
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Parent category: Business