Text Version of Rental Application Please complete separate form for each Adult Resident & Co-signer. FAX: 423-755-5448 or 706-866-8878 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_________________________ 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 and YR: 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 or Business Contact, Professor, Advisor for 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______________________ OtherEmergencyContact:__________________________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.050407) Applicant's Signature ________________________________________________Date_________________