FORM VALID FOR GEORGIA APARTMENT ASSOCIATION MEMBERS ONLY
APPLICATION FOR OCCUPANCY
Select LLC: *
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Property Fax #: *
Property Phone #: *
LEASING INFORMATION (TO BE COMPLETED BY MANAGEMENT)
NAME OF THE APT. COMMUNITY:  
APT. NO. or ADDRESS REQUESTED:  
COMMUNITY ADDRESS:  
Note: Each Person Who Is An Applicant, Guarantor or Co-Signor Must Fully Complete a SEPARATE Application and Meet ALL Rental Qualification Requirements for Employment (Or Source of Income for Paying Rent), Rental History, Credit, and Criminal Background. A Valid Government Issued Photo ID is Required with this Application and at the Time of Move-In. Submitting this application gives Management permission to check Applicant''s credit, rental, employment, and criminal history. This form may be used for approving occupancy of any single family home, mobile home, or other living space, and the word "apartment" includes any kind of landlord and tenant or occupancy agreement.
IN ORDER TO BE APPROVED FOR OCCUPANCY, ALL QUESTIONS MUST BE FULLY AND COMPLETELY ANSWERED.
1. PERSONAL INFORMATION
Applicant's Name: *
Birthdate: *
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Social Security OR Individual Tax ID No.: *
Driver's License No.:  
State:  
Expiration Date:  
Telephone #:  
Cell Phone #:  
Email:  
Name of Any Co-Applicant, Co-Signor, or Guarantor:  
What is the Legal Relationship to Co-Applicant, Co-Signor, or Guarantor to Applicant?  
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Are You Currently in the U.S. Armed Forces or Reserves?  
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If "Yes", State Your Rank, Service & Duty Station:  
Have You Ever Gone By Any Other Name?  
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If "Yes", What Names?  
City/State/Country in Which You Were Born:  
Father's Name/DOB:  
Mother's Maiden Name/DOB:  
What is the Reason for Moving from your current residence?  
I learned of this community from:  
2. OTHER OCCUPANTS AND PETS OR SERVICE ANIMALS IN HOUSEHOLD
Persons and Pets who are not listed below are NOT authorized to live in the apartment. Unauthorized occupants and pets will be a lease violation.
State All Other Occupants
Occupant #1
Name:  
Age:  
Relationship:  
Social Security or Individual Tax No:  
Occupant #2
Name:  
Age:  
Relationship:  
Social Security or Individual Tax No:  
Occupant #3
Name:  
Age:  
Relationship:  
Social Security or Individual Tax No:  
Occupant #4
Name:  
Age:  
Relationship:  
Social Security or Individual Tax No:  
Do you have pets or service animals?  
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[NOTE: No Deposit is required for Service Animals]
Has Pet Ever Bitten or Attacked Anyone?  
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Weight Of Pet (Approx.):  
Describe Breed, Age, Type & Size of All Pets or Service Animals:  
3. RENTAL HISTORY
APPLICANT'S CURRENT RESIDENCE:
Name of Owner and/or Apartment Community:  
Current Address:  
City:  
State:  
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Zip:  
Monthly Rent Pmt. $:  
From:  
To:  
Phone No.:  
APPLICANT'S PREVIOUS RESIDENCE:
Name of Owner and/or Apartment Community:  
Previous Address:  
City:  
State:  
v
Zip:  
Monthly Rent Pmt. $:  
From:  
To:  
Phone No.:  
Reason for Leaving:  
4. EMPLOYMENT HISTORY
1. APPLICANT'S CURRENT EMPLOYER:
Company Name:  
Address:  
City:  
State:  
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Zip:  
Phone No.:  
Supervisor's Name:  
Monthly Income (Gross) $:  
Job Description:  
Employment Dates From:  
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Employment Dates To:  
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*PROVIDE SOURCE OF INCOME TO PAY RENT IF YOU ARE NOT CURRENTLY EMPLOYED (SEE SECTION 9):  
2. APPLICANT'S PREVIOUS EMPLOYER:
Company Name:  
Address:  
City:  
State:  
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Zip:  
Phone No.:  
Supervisor's Name:  
Monthly Income (Gross) $:  
Job Description:  
Employment Dates From:  
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Employment Dates To:  
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5. AUTOMOBILE
Year:  
Make (Ford, etc.):  
Model (Taurus, etc.):  
Color:  
License Tag No.:  
State:  
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County:  
Describe Any Other Vehicle, Boat, or Trailer You Are Requesting to Use or Store at the Apartment Community:  
6. CONTACT PERSONS
1. Name of Family Member, Other Than Spouse:  
Phone:  
Relationship:  
Address:  
City:  
State:  
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Zip:  
2. Name of Person Other Than Family Member:  
Phone:  
Relationship:  
Address:  
City:  
State:  
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Zip:  
7. BANKING REFERENCE
Checking Acct. (Bank Name):  
Acct. No.:  
Savings Acct. (Bank Name):  
Acct. No.:  
Address of Branch:  
Phone:  
Bank Loan:  
Monthly Payment $:  
Loan No.:  
8. CREDIT INFORMATION
Credit Card Acct. No.:  
Balance $:  
Credit Card Acct. No.:  
Balance $:  
Other Monthly Debt:  
Balance $:  
Car Loan With:  
Balance $:  
9. OTHER INCOME OR SOURCE OF SUPPORT
Alimony/Child Support $:  
Name and Address of Payor:  
Public Assistance $:  
Name of Assistance Program:  
Social Security $:  
Description of Benefits:  
Retirement $:  
Name or Source of Payment:  
Other $:  
Describe Other Sources:  
10. MANDATORY SCREENING QUESTIONS
YOU MUST ANSWER EACH OF THESE QUESTIONS. IF YOU ANSWER "YES" TO QUESTIONS 1-7, YOU MUST PROVIDE ADDITIONAL DETAILS.
1. Have You or Any Person Who Will Be Occupying the Apt. Ever Been Evicted or a Defendant in an Eviction Action? *
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2. Is Any Apt. Community or Previous Landlord Trying to Collect Money from You or Any Person Who Will Be Occupying the Apt.? : *
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3. Have You or Any Person Who Will Be Occupying the Apt. Ever Filed, Been Discharged From, or Currently Under a Bankruptcy? *
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4. Have You or Any Person Who Will Be Occupying the Apt. Ever Been Convicted, Charged, Arrested, Indicted, Plead Guilty or No Contest, or Received Deferred Adjudication or Probation to (A) Any Felony? Or (B) Any Misdemeanor Involving a Sexual Offense, Stalking, Illegal Use or Possession of Weapons, Assault, Battery, Theft, Fraud, Bad Checks, Criminal Damage to Property, Trespass, Vandalism, Illegal Possession or Sale of Drugs? : *
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5. Have You or Any Person Who Will Be Occupying the Apt. Ever Been Asked to Move Because of an alleged lease violation of any kind? *
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6. Have You Ever Lived in This Apartment Community Before? : *
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7. Are You Unemployed? *
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Do you have a legal right to be in the United States?  
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If you answered "Yes" because you are a non-U.S. citizen with proper visa documentation, please provide:
Reason you are in the U.S.:  
Visa Type:  
Visa Expiration Date:  
I have fully and truthfully answered Questions 1-8 above. Applicant's Initials: *
Provide Additional Information Here to Explain the Answers to Questions 1-8 above:  
INITIALS: *
Payment Option: *
Cardholder First name: *
Cardholder Last name: *
Card Number: *
payment_method
Expiration Date: *
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CID/CVV2: *
Billing Phone: *
Email: *
Billing Address: *
Billing City: *
Billing State: *
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Billing Zip: *
Application Fee: *
*
I agree to the terms and conditions.
Payment Confirmation
Application Fee:

SubTotal: $0

Service Fee: $0

Total:

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