Print application below and fax or mail to Smith Rentals (address and fax number is located at the end of this application). Call 278-4209 for appointment to see apartment for rent.
SMITH RENTALS, LLC ----- RENTAL APPLICATION
Date_________________ Apt. No.______________
Name______________________________________________ SS No._________________
Check One: [ ] Single [ ] Married [ ] Divorced [ ]Separated [ ] Widowed
Spouse’s Name_______________________________________SS No.___________________
Current Phone No.___________________________ Drivers License No.__________________
Work Phone No. ______________or another phone where you can be reached_______________
Current Address_____________________________________________How long?__________
City __________________________________ State _________________ Zip______________
Present Landlord_________________________________________Phone No.______________
Previous Address__________________________________________How long?_____________
City ________________________________ State _________________ Zip________________
Previous Landlord_____________________________________Phone No.__________________
Date of Birth ________________________ How many automobiles?________________________
How many people to occupy apartment? _____________ List occupants (other than yourself)
Name Age Relationship to You
_______________________________ ________ __________________________________
_______________________________ ________ __________________________________
_______________________________ ________ __________________________________
In case of emergency notify_______________________________Phone______________________
Name, address and phone number of nearest relative and their relationship to you: (not occupants)
_____________________________________________________Phone_______________________
Employment of applicant and spouse (if less than one year, previous employer)
Length Weekly/Annual
Name of Company Occupation of Emp. Supervisor or Monthly Wage
___________________________ ___________ ______ __________ ______________
___________________________ ___________ ______ __________ ______________
___________________________ ___________ ______ __________ ______________
___________________________ ___________ ______ __________ ______________
Bank References
Checking Accounts # _________________ Bank Name__________________ City____________
Savings Account ___________________ __ Bank Name__________________City____________
Credit References
1)_________________________________________________ Phone______________________
2)_________________________________________________ Phone______________________
3)_________________________________________________Phone_______________________
Personal References
1)_________________________________________________Phone_______________________
2)_________________________________________________Phone_______________________
Do you own an automobile? _____________ How many? __________________
Make __________________Model_______________ Year _______License plate #____________
Make __________________Model_______________ Year _______License plate #____________
Do you have any recreational vehicles, vans, boats, motorcycles? If so, specify___________________
_______________________________________________________________________________
Do you have a water bed?_____________
Applicant does hereby grant permission for necessary credit checks to be accomplished as may be necessary to validate this rental application. Landlord or his agent will either accept or reject this application. Applicant hereby waives any claims for damages by reason of non-acceptance of this application, which landlord or his agent may reject without stating any reason for doing so.
Incomplete or inaccurate information by applicant provided above shall automatically nullify this application.
Applicant’s Signature ________________________________________ Date___________________
Return to:
Smith Rentals, LLC
Ken and Sandra Smith
P. O. Box 1242
Dalton, GA 30722
Phone: (706) 278-4209 FAX: (706) 278-9128