Rental Application

Please complete separate form for each Adult Resident & Co-signer.

Or mail to: 25 Alexis Drive, Rossville, GA 30741  Phone: 423-653-2384   Email: info@parvinproperties.com

Today's Date: _________________________ Rental Application Address:_______________________________

Applicant's Full Name __________________________________ Spouse(if Married)/Divorced/Single:____________

Applicant's Home Phone _____________________ Cell Phone:________________ Alt. Phone:________________

Email Address: ___________________________________ Fax:_________________________________________

Social Security Number ________________________ Date of Birth ______________________________________

Employer's Name__________________________ Employer's Phone___________________Emp. Fax__________

Employer's Address ____________________________Employer contact person_____________________________

Position _____________________________How Long_________ Salary $___________________Per___________

Name of Bank/City  1. ____________________________________ 2. ___________________________________

Current Address ______________________________Rent or Mortgage(circle)  Amount $_______How Long_____

Current Landlord or Mortgage Co___________________________Phone________________Email:___________

How many people would be living in unit? Adults____Children____ Pets? Descibe:______________________

Automobile(s): 1.Make/Model/YR___________________________ 2.Make/Model/YR________________________

School(s) Attended: 1.________________________2._________________________3.______________________
Church or Organization Affiliation 1__________________________City__________ST___Phone____________

Church or Organization Affiliation 2__________________________City__________ST___Phone____________

Does Applicant, Spouse or other Occupant have a criminal record? __________________________________

If So, Explain: __________________________________________________________________________________

Credit References (Banks, Auto Loans, Credit Cards, Etc) (See Co-Signer below if you do not have proper credit)

1.Company_____________________________Address_________________ Phone__________________________

2.Company_____________________________Address_________________ Phone__________________________

3.Company_____________________________Address_________________ Phone__________________________

Personal References: Professional Contact, Professor, or Business Contact of more than 3 yrs - NOT FAMILY

1.Name_____________________________Relationship____________Address______________________________

City__________________St___Zip______Phone__________________Email ________________________________

2.Name_____________________________Relationship____________Address_______________________________

City__________________St___Zip______Phone__________________Email ________________________________

3.Name_____________________________Relationship____________Address_______________________________

City__________________St___Zip______Phone__________________Email ________________________________

Parents or Co-Signer (Required if you do not have appropriate credit): Name: _____________________________

Relationship:__________ Address _______________________________ Email: _______________________________

City: ______________________________________ST______________ZIP__________________________________

Phone: ____________________FAX:_____________________ Social Security Number ________________________

This Person's Employer_____________________________ Their Employer's Phone___________________________

Other Emergency Contact:___________________________Relationship___________________________________

Phone_________________Address______________________________Their Email____________________________

I have Read and Fully understand the terms and conditions set forth in this application. We give permission to Parvin Properties

and/or personnel working on their behalf to procure a credit check and/or investigate me (Us) to verify the above information to be

true and accurate. I agree to deposit herewith $20.00 (Non refundable) which may be used for a background check. (Ver.030707)

Applicant's Signature _______________________________________________________Date_________________