Elegant Island Properties - RENTAL APPLICATION

Employer:*

Position:*

Employer Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Supervisor:*

Business Phone:*

Length of Time at Present Job:*

Annual Income:*

APPLICATIONS ARE NOT ACCEPTED ON A FIRST COME, FIRST SERVED BASIS. O.C.G.A §10-6A-6 requires brokers to present ALL offers to lease to the landlord/owner. The landlord/owner reserves the right to accept the best offer based on economic considerations. These considerations include, but are not limited to, the move-in date of the applicant, the rental rate offered by the applicant, any concessions requested by the applicant, and the creditworthiness of the applicant. Applicants are encouraged to obtain and review the Georgia Landlord Tenant Handbook which is available at www.dca.ga.gov.

Application is hereby made to rent the premises generally described as*

(“Property”).

The multiple listing service number for this property, if known, is*

1. Lease Term. The term of the lease of the Property for which Applicant is applying shall start on

(“Commencement Date”) and end on

2. Proposed Monthly Rent.

Lease Application Fee. Applicant has paid a nonrefundable Lease Application Fee of $

to process this Rental Application, determine Applicant’s credit worthiness to lease the Property and conduct a background investigation ofApplicant.

4. Authorization to Do Credit and Background Check. Applicant hereby authorizes Owner and any authorized agent of Owner (“Agent”) to
do whatever background and credit check on Applicant that the Owner or Agent deem appropriate. This may include among other things
obtaining one or more credit reports on Applicant. Such credit report(s) may be obtained before and during the term of the Lease and after
the expiration or termination of the Lease as part of any effort to collect rent, costs, fees and charges owing under such Lease. Applicant
acknowledges that merely requesting such reports may lower Applicant’s credit score and Applicant expressly consents to the same.

5. Reservation Fee. A reservation fee of $

By*

CheckCashMoney order

is being made along with this rental application. If Applicant’s application is approved and a lease is entered into between Owner and Applicant the fee shall be applied towards Applicant’s rent as referenced in said lease. If Applicant’s application is denied, this Reservation Fee shall be refunded to Applicant without interest. If the Applicant’s application is approved, and Applicant fails to execute Owner’s standard lease agreement for the Premises prior to the Commencement Date (or to pay the required rent thereunder such that the lease does not Commence), then Owner may retain the Reservation Fee as liquidated damages, it being acknowledged and agreed that the same is a reasonable preestimate of Owner’s damages for not seeking to rent the Property to others during this time period and not a penalty.

6. Use of Information. The information in this application or obtained as a result of the authorization given herein by Applicant will not be
sold or distributed to others. However, Owner or Agent may use such information to decide whether to lease the Property to Applicant and
for all other purposes relative to any future lease agreement between the parties including the enforcement thereof.

7. Application Does Not Create a Lease. This application, even if accepted, shall under no circumstances be considered a lease
agreement between Applicant and Owner or an offer to lease. No lease shall exist between Applicant and Owner unless and until the
parties enter into a formal Lease Agreement and Applicant pays all required fees, deposits and advance rent.

8. Warranty of Applicant. Applicant hereby warrants that the information supplied above is complete and accurate and that the breach of
this warranty by Applicant may result in the termination of any Lease entered into with Applicant by Owner.

9. Commitment to Equal Housing. Owner and Agent are committed to providing equal housing opportunities to all rental applicants
regardless of race, color, religion, national origin, sex, familial status, disability, sexual orientation or gender identity.

10. Reason for Denial. If this Application is denied, Owner or Agent shall within ten (10) days thereafter and upon the written request of
applicant, state the basis for said denial to Applicant.

I, the undersigned, understand that Type a label (Broker/Management) is the Agent and representative for the owner of the Property and will be paid a fee by the owner. I also understand that this Property is being leased “AS-IS” in its present condition. I understand that Management prefers that I see the Property in person and conduct any inspections of the Property which I might desire, at my own expense, prior to applying for the Property.

THIS FORM IS COPYRIGHTED AND MAY ONLY BE USED IN REAL ESTATE TRANSACTIONS IN WHICH Ariel Lawless IS INVOLVED AS A REAL ESTATE LICENSEE. UNAUTHORIZED USE OF THE FORM MAY RESULT IN LEGAL SANCTIONS BEING BROUGHT AGAINST THE USER AND SHOULD BE REPORTED TO THE GEORGIA ASSOCIATION OF REALTORS® AT (770) 451-1831.
Copyright© 2025 by Georgia Association of REALTORS®, Inc. F901, Rental Application, Page 1 of 3, 01/01/25

I have visited the Property and had the opportunity to inspect it. I understand that I am accepting the Property "as is" except for anystipulations, changes or modifications that are listed as contingencies of this application. If any stipulations cannot be met, or an acceptablecompromise agreed to by all parties, I understand that any fees I have paid with the submission of this Rental Application will be returned tome.I have not yet visited or seen the Property in person. Nor am I relying on any information, photos, or any other representations of theAgent through whom I learned of this Property except for information the Agent provided to me in writing. However, I understand that if myapplication is approved, any fees I have paid with the submission of this Rental Application are non-refundable and any obligations under thelease I sign are fully enforceable. Having not viewed the Property will in no way be a reason for any refund or cancellation of the agreement.

Name*

First NameLast Name

SS #:*

Date of Birth:*

Date

Driver's License #:*

Driver’s License State:*

Home Phone:*

Please enter a valid phone number.

Work:*

Please enter a valid phone number.

Cell:*

Please enter a valid phone number.

Email*

example@example.com

Emergency Contact Information:*

Spouse/Significant Other Name (must fill out a separate application):*

Names and ages of individuals under 18:*

Pets?*

YesNo

What Kind?

How Many?

Pet Weights:

Current Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How Long?*

Current Lease Amount: $*

Landlord Name:*

Phone #:*

Please enter a valid phone number.

Landlord Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reason for Leaving:*

Previous Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How Long?*

Current Lease Amount: $*

Landlord Name:*

Phone #:*

Please enter a valid phone number.

Reason for Leaving:*

Employer:*

Position:*

Employer Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Supervisor:*

Business Phone:*

Length of Time at Present Job:*

Annual Income:*

Employer:*

Position:*

Previous Employer:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Supervisor:*

Business Phone:*

Length of Time at Present Job:*

Annual Income:*

Do you have a legal right to be in the United States?*

Yes, I am a U.S. CitizenYes, I have valid documentation from the Bureau of Citizenship and Immigration ServiceNo

If you answered "YES" because you are a non-U.S. citizen with valid visa documentation, please provide:

Reason you are in the US:

Visa Type:

Visa Expiration Date:

Date

Have you ever been asked to move out of a residence?*

YesNo

Have you ever been party to an eviction?*

YesNo

Are you a registered sex offender?*

YesNo

Do you have liquid furniture? (i.e. waterbed)*

YesNo

Do you have renter insurance?*

YesNo

Have you ever filed bankruptcy?*

YesNo

Has bankruptcy been discharged or dismissed?*

YesNo

Have you ever had any debt collection actions against you?*

YesNo

Please verify that you are human*

RENTAL APPLICATION

INFORMATION ABOUT APPLICANT.

B. Residence History

C. Employment

D. Other Matters