McGillicuddy Rentals Application Form

Property address you are applying for*
Move In Date*

MonthDayYear
Have you viewed the inside of the apartment? If NO, please call our office 706-737-5072 to schedule a showing before applying.*
If NO, please schedule a showing before applying.
Applicant #1
Full Name*

First NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Date of Birth*

MonthDayYear
Social Security number*
Driver's License number*
Vehicle Information

For Applicant #1
Vehicle Makel*
Vehicle Model*
Vehicle License Plate number*
Current or Previous Rental History

For Applicant #1
Address of Rented Property*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Landlord/Owner's Name*

First NameLast Name
Present Landlord/Owner’s Phone*

Area CodePhone Number
Rate of Rent*
From*

MonthDayYear
To*

MonthDayYear
Reason For Vacating*
Previous Landlord/Owner's Name

First NameLast Name
Previous Landlord/Owner's Phone

Area CodePhone Number
From

MonthDayYear
To

MonthDayYear
Rate of Rent
Reason For Vacating
Employment

For Applicant #1
Occupation*
Employer*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Supervisor's Name

First NameLast Name
Phone Number*

Area CodePhone Number
Current Rate of Pay*
PER MONTH
Applicant #1: Next of Kin\Emergency Contact

This should not be someone that is living at the property. This is someone that if something happen to you would be able to pick up the key and remove your belongings.
Full Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Applicant #2
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
example@example.com
Date of Birth

MonthDayYear
Social Security Number
Driver's License number
Vehicle Information

For Applicant #2
Vehicle Make
Vehicle Model
Vehicle License Plate number
Current or Previous Rental History

For Applicant #2
Current Landlord/Owner's Name

First NameLast Name
Current Landlord/Owner's Phone

Area CodePhone Number
To

MonthDayYear
From

MonthDayYear
Rate of Rent
Reason For Vacating
Previous Rental/Residence History

For Applicant #2
Previous Landlord/Owner's Name

First NameLast Name
Previous Landlord/Owner's Phone

Area CodePhone Number
From

MonthDayYear
To

MonthDayYear
Rate of Rent
Reason for Vacating
Present Employment

For Applicant #2
Occupation
Employer
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current Rate of Pay
Applicant #2: Next of Kin\Emergency Contact

This should not be someone that is living at the property. This is someone that if something happen to you would be able to pick up the key and remove your belongings.
Full Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Other residents that will live in the Unit
Full name First Name Last Name Date of birthblank Relationship Type a label
Full name First Name Last Name Date of birthblank Relationship Type a label
Full name First Name Last Name Date of birthblank Relationship Type a label
Pet
My pet is a blanks. His/her name isblank .He/she isblanks years old. His/her breed isblank. His/her color isblank .
My pet is a blanks. His/her name isblank .He/she isblanks years old. His/her breed isblank. His/her color isblank .
Pets are NOT allowed without PRIOR APPROVAL which includes; a Pet Agreement and the payment of a NON-Refundable Pet Fee. There is a breed restriction imposed by the insurance company, so please ask about allowed breeds. If you are approved to have a pet, there will be an extra pet rent of $10 per month/per pet added to your lease. MAX of 2 pets.
Final Signature Section
NOTICE:
If you rent from us, you must used WOW! for phone, internet and cable. This is a stipulation in our lease and non-negotiable.
I certify that all of the information listed is correct to the best of my knowledge. I understand that this information will be used to determine my eligibility to rent from this agency. I authorize the landlord to use this information to check my rental history, verify my employment, and obtain a copy of my credit report. I understand that providing false information may lead to being declined as a rental applicant, forfeiture of security deposit and eviction. Each party agrees that this agreement and any other document to be delivered in connection herewith may be electronically signed, and that any electronic signatures appearing on this agreement or such other documents are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.
Signature: Applicant #1*

Clear
Date*

MonthDayYear
Name: Applicant #1*

First NameLast Name
Signature: Applicant #2

Clear
Date

YearMonthDay
Name: Applicant #2

First NameLast Name
Should be Empty:

Applicant #1

Vehicle Information

Current or Previous Rental History

Employment

Applicant #1: Next of Kin\Emergency Contact

Applicant #2

Vehicle Information

Current or Previous Rental History

Previous Rental/Residence History

Present Employment

Applicant #2: Next of Kin\Emergency Contact

Other residents that will live in the Unit

Pet

Final Signature Section