Office: 770.378.8652 Email: massengale.assoc@gmail.
com LEASE APPLICATION
Please complete a separate application for each non- married individual adult. Incomplete applications will delay the process.
Property Address:_________________________________________ Lease Amount: $ _________________
Applicant Information
Full Name: Date of birth: Current address: City: Own Rent (Please circle) State: Monthly payment or rent: $ ZIP Code: How long? SSN: Phone:
Employment Information
Current employer: Employer address: Supervisor: City: Position: State: Hourly Salary (Please circle one) Phone: Fax: ZIP Code: Monthly income: $ How long?
Emergency Contact
Name of a person NOT residing with you: Address: City: Relationship: State: ZIP Code: Phone:
Co-applicant Information, if Married
Full Name: Date of birth: Current address: City: Own Rent (Please circle) State: Monthly payment or rent: ZIP Code: How long? SSN: Phone:
Previous address: City: Owned Rented (Please circle) State: Monthly payment or rent: ZIP Code: How long?
Co-applicant Employment Information
Current employer: Employer address: Supervisor: City: Position: State: Hourly Salary (Please circle one) Phone: Fax: ZIP Code: Monthly income: $ How long?
References
Name:
1. 2. 3.
Address:
Phone:
Vehicles (Include vehicles belonging to other proposed occupants)
Make
Model
Color
Year
License Plate
Applicant Driver License #:____________________ State:_________________ Expires:_______________ Co-Applicant Driver License #:____________________ State:______________ Expires:_______________
Last Three Years of Residential History and Landlord(s) Information (starting with current address)
Landlords Name: Street Address: City: Monthly Rent Amount: $ Landlords Name: Street Address: City: Monthly Rent Amount: $ Landlords Name: Street Address: City: Monthly Rent Amount: $ State: State: State: Landlords Phone Number: Apt. #: ZIP Code: How long? Landlords Phone Number: Apt. #: ZIP Code: How long? Landlords Phone Number: Apt. #: ZIP Code: How long?
Financial Information
Other verifiable source of income: Other verifiable source of income: Are wages currently being garnished? Yes or No If yes, why?
Monthly amount: $ Monthly amount: $ How much?
Occupants (List ALL children who will be living in the home. Persons not listed are NOT authorized to
live in the property. Unauthorized persons are considered a lease violation.)
Name: Name: Name: Name:
Pets
Relationship: Relationship: Relationship: Relationship:
D.O.B D.O.B D.O.B D.O.B
Do you have any pets? Yes / No (Please circle) Type: Type: Breed: Breed:
If yes, how many? Weight: Weight:
Agreement & Authorization Signature
Signing below indicates that you have read and agree with the following statement:
I understand that this application fee is non-refundable and will not be refunded under any circumstances. If this application is accepted I will be notified by telephone or other means of such acceptance. I declare that everything I have stated in this application is true, correct and complete. I authorize Massengale and Associates to verify this information in whatever way they deem appropriate, including the acquisition of one or more credit and/or criminal background reports. I further authorize my employer to release any requested information in connection with my employment to Massengale and Associates. Applicant(s) agree that upon cancellation of this agreement by them for any reason, applicant(s) shall forfeit entire amount of deposit.
Massengale & Associates is NOT responsible for homes that are in foreclosure, has liens or in bankruptcy.
Signature of applicant: Signature of co-applicant:
Date: Date:
Additional information: (yes or no)
Have you ever abandoned a rental property, vacated with a balance due or been asked to move because of alleged lease violations of any kind? ________ If yes, please explain __________________________________________
Have you or any person who will be occupying the property ever been evicted for violating your lease or nonpayment of rent? _________ If yes, please explain _________________________________________________
Is any previous apartment community or landlord trying to collect money from you or any person who will be occupying the property? __________ If yes, please explain ___________________________________________
Have you ever been foreclosed on, declared, been discharged from or taken personal or business bankruptcy? _________ If yes, please explain ________________________________________________________________
Have you or any person who will be occupying the property ever been convicted, charged, arrested, indicted, plead guilty or no contest, or received deferred adjudication or probation to (a) any felony? (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? ___________ If yes, please explain: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________
Tenant Document Checklist:
Please include the following documents with your completed application (for each applicant). ______ Copies of two forms of ID (Picture State ID & Social Security Card)
_______ $50.00 (single) or $75.00 (married couples) application fee _______ Copies of 3 most recent paycheck stubs _______ Copies of documentation for any other verifiable income (self-employment, alimony, child support, disability, SSI)
