FOR MANAGEMENT USE ONLY:

FORM VALID FOR GEORGIA APARTMENT ASSOCIATION MEMBERS ONLY

DATE FORM PRINTED _ _ _ _ __ _ _ __ _ APARTMENT NO._ _ __ _ __ _ _ __ _ __

APPLICATION FOR OCCUPANCY

APPLICANT: _ _ _ __ _ _ __ _ _ __ __ MOVE-IN DATE REQUESTED: _ __ _ __ APPLICAnON SUBMITTED ON: _ __ _ ______

Property Phone #: _ __ _ __ __ __

LEASING INFORMATION (TO BE COMPLETED BY MANAGEMENT)

1------------------------------------------------------------------~--------------------------__i NAME OF APT. COMMUNITY _ __ _____ __ _ __ _ _____ __ _ _ _ _ APT. NO. or ADDRESS REQUESTED

lEASE TERM DESIRED: APT. TYPE DESIRED

FROM _ _ _ __ _ TO _ _ _ __ BDRMS .

BATHS

DATE OF VISIT TO APTS.

FLOOR PLAN _ _ __

_

MOVE-IN DATE REQUESTED _ __ __ _

RENTAL RATE $ _ _ _ _ _ _ IMO.

CONSULTANT

WHICH APT(S). DID APPLICANT VISIT?

$~r person

APPLICATION FEE (for Crecm Check)

$_ __ _ _ _ NON-REFUNDABLE FEE

(Describe) _ _ __ _ __ _ _ ___

$

GOOD FAITH DEPOSIT(Applied to Security Deposit)

$

OTHER SECURITY DEPOSIT

(Describe) _ _ _ __ __ _ __

$

PET SECURITY DEPOSIT

$

OTHER NON-REFUNDABLE FEE

(Describe)

_

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, Credn, and Criminal Background. A Valid Government Issued Photo ID is Required wnh 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. PERSONALINFORMATION Applicant's Name _ _ _ _ _ _ __ __ _

Birthdate

Last Name FIfSt Social Security OR Individual Tax 10 No._ _ __ _ __ _ _ __

Telephone #: . _ _ __ __ _ __ _ __

Middle Jr/Sr~1I Drivers License No. _ __ __ _ __

Spouse

0 Parent

0 Roommate

Are You Currently in the U.S. Armed Forces or Reserves? Have You Ever Gone By Any Other Name?

0 Yes

What is the Legal Relationship to Co-Applicant, Co-Signor, or

0 Employer

0 Yes 0 No

0 No

Year

Email: ______ _ __ _ __ _ __ _ __ __

Cell Phone 11 : _ _ __ __ _ __ __

Name of Any Co-Applicant, Co-Signor. or Guarantor _ _ _____ Guarantor to Applicant? 0

Mo. Day Expiration Date

State

0 Other

(Describe): _ _ __ _ __ _ _ ______ ______ _ __

If "Yes,' State Your Rank, Service & Duty Station : _ _ __ _ __ _ _ _ __ __ _

If 'Yes: What Names? _ _ __ _ __ _ _ __ _ __ _ _ __ _ __ __ _ __ __

Cny/State/Country in Which You Were Bom _ _ __ __ __ _ __ _ _ _ __ _ _ _ __ __ _ _ __ _ __ _ __ _ __ __ _ __ __ Father's Name/DOB: _ _ __ __ _ __ _ _ __ __ __ __ __

Mothers Malden Name/DOB: _ _ _ __ _ _ __ __ _ __ _ __ __

What is the Reason for Moving from your current residence? _ _ _ __ __ __ _ _ __ __ _ __ _ _ _ __ __ _ __ _ __ __ _ __ _

How did you learn of this oommun!!Y,? 2. OTHER OCCUPANTS AND PETS 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' Names 1. _ _ __ _ _ _ __ _ __ __ __ __ __ _

Ages

Social Security or Individual Tax ID No.

Relationship

2. _ _ _ _ __ __ _ __ __ __ __ __ 3. _ _ _________________________ ___ 4. ____ __

_ __ __ _ _ _ _ __

Do you have pets or service animals? 0 Weight Of Pet (Approx.)

Yes

____

0 No

[NOTE : No Deposft is required for Service Animals] Has Pet Ever Bitten or Attacked Anyone? 0

Yes

0 No

Describe Breed, Age, Type & Size of All Pets or Service Animals

3. EMPLOYMENT HISTORY 1.

APPLICANT'S CURRENT EMPLOYER :

Company Name:

Address: ___ __ __________ _ _________ _____ __ _ Phone No. _ _ __ __ __ __

cny ___ _ __ _ _

Supervisors Name _ __ _____ __ _ __ _ _ _ __ ____

Job Description _ __ _ __ __ _ __ ______ _ __ __ __ __ _ __ _

State ___ __

Zip _ _____

Monthly Income (Gross) $ _ __

_ __

Employment Dates: From: _ __ __ _ To: _ _ __ __

·PROVIDE SOURCE OF INCOME TO PAY RENT IF YOU ARE NOT CURRENTLY EMPLOYED (SEE SECTION 9): _ __ _ __ __ _ _ _ _ _ __ __ _ 2_

APPLICANT'S PREVIOUS EMPLOYER: Company Name: _ __ __ __ _ __ __ __ __ _ _ __ _ _ __ _ __ __ __ __ __ _

cnv _____ _

Address: Phone No, _ _ _ __ __ __ _

Supervisors Name _ _ _ _ _ __ _ _ __ __ _ __

Job DeSCription

Copyright © September, 2003 by Atlanta Apartment Association, Inc. - Form # 9411

State ____

_ __

Zip _ _____

Monthly Income (Gross) $ _ __ _ __

Employment Dates: From:

INITIALS _

_

To:

Page 1 of 4

,

4. RENTAL HISTORY 1. APPLICANT'S CURRENT RESIDENCE:

Name of Owner and/or Apartment Community: _ _ _ _ _ _ ______ _ _ _ _ _______ _ __ ._ __ __

Current Address _ _ __ __ _ _ _ _ _ _ _ _ _ _ __ __ _ __ _ __ __ Monthly Rent Pm!. $ _.

From:

2. APPLICANT'S PREVIOUS RESIDENCE: Pre~usAddre~.

State

Zip

- ----

Name of Owner and/or Apartment Community: ______ _ __ _ _ _ _ __ _ __ _ __________

_ __ __ __ __ _ __ _________ _ __ __ _ _ __

Monthly Rent Pm!. $ _ _ _ _ __

City _ _ _ _ _ __

PhoneNo. _ __ _ __ _ _ __ _ __ _ __ _ __ __

To : _ ____ __

City _ _ __ __ _

Zip _ _ _ _ __

State

Phone No. _ __ _ _ __ _ __ _ __________ __ ____

From: _______ _ To: _ _ _ _ __

Reason for Leaving:

5. AUTOMOBILE Make (Ford, etc.)

Year

Model (Taurus, ele.)

County

State

Liceose Tag No.

Color

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

Relalionship

Phone

Addre~

City

State

Zip

2. Name of Person Other Than Family Member

Relationship

Phone

City

Address

State

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 CredH Card Acct. No. _ __ _____ _ _ _ _ ____ Balance $ _ __

_

Balance $

Other Monthly Debt

CredH Card Acct. No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Balance $ _____ Car Loan With

Balance $

9. OTHER INCOME OR SOURCE OF SUPPORT Alimony/Child Support Public ~istance Social Security Retirement Other

$ $ $ $ $

Name and Address of Payor Name of Assistance Program Description of Benefits Name or Source of Payment 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 ADDmoNAL DETAILS. 1. Have You or Any Person Who Will Be Occupying the Apt. Ever Been Evicted or a Defendant in an Eviction Action? 2. Is Any Apt. Community or Previous Landlord Trying to Collect Money from You or Any Person Who Will Be Occupying the Apt.? 3 . Have You or Any Person Who Will Be Occupying the Apt. Ever Filed, Been Discharged From. or Currently Under a Bankruptcy? 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 (8) 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 Posaesslon or Sale of Drugs? 5. Have You or Any Person Who Will Be Occupying the Apt. Ever Been Asked to Move Because of an aUeged lease violation of any kind? 6. Have You Ever Lived in This Apartment Community Before? 7. Are You Unemployed? Date of employment Name of current employer List below three names of reference from current employer.

o

o

I have fully and truthfully answered Questions 1-7 above.

o

DYes DYes DYes DYes

0 0 0 0

No

No No No

0 Yes 0 No 0 Yes 0 No 0 Yes 0 No

Appllcanfs Initials:

Provide Additional Imormation Here to Explaln the Answers to Questions 1-7 above:

Copyright © September, 2003 by Atlanta Apartment Association, Inc.• Form # 9411

011020060158402

INITIALS _ _ __

Page 2 of4

11. APPLICANT'S AGREEMENT AND UNDERSTANDING REGARDING SUBMISSION OF THIS APPLICATION FaJse or Misleading Information. The failure to fill out all sections of this form may resuh In the denial of your application.

Providing false or misteading information could resuh in denial ot your rental

application or tennlnation 01 your rental agreemen1. It Is our policy to disapprove the application 01 any person wtlo could represent a threat to the health, safety. and wetlare 01 the other residen1s. occupanlS, visitors. and staff of the apartment community. Inappropriate or abusive conduct during the application process by the applicant or those desiring to rent an apartment will resuft in denial of the remai application.

Equal Housing Opportunity Policy. h Is Management's policy to provide housing

to< all applicants without regard to race, color, religion , national ongin, sex, IamIDal status, or disability. Management and the

owner 01 this apartment community are Equal Housing Opportunity pfO\liders. h is also Management's policy to provide or allow reasonable accommodations and modifications to our ren1al policies and apartment community to persons with demonstrated dlsabilhles. "applicabie, the applicant or resident must provide sufficient information about the need lor any such accommodation or modification and allow Management sufficient tlme to review and approve the same.

Because the property already meets all accessibility requirements. the cost 01 most modilicatioos will be the responsibility 01 the applicant or

resident Applicant or resktent agrees to provide or supplement information regarding any such requests for accommodations or modiftCations promptly in writing upon management's request.

Good Faith Deposit. Applicant understands and agrees that the Good Faith Oepos~ and other Deposhs or Non-Refundable lees paid will be retumed ~ applicant is not accepted as a residen1. Applicant will have 72 hours after submhtlng this application to withdraw the appficatlon and receive a full refund 01 the Good Faith Oepos~. The notice 01 withdraWal must be in writing. The application lees, ho_v...,

are non-refundable.

~

Applicant does not whhdraw the application within lhe time specified above and Applicant is approved lor occupancy, the Applicant agrees to sign a rental agreement and taKe possession

01 an apartmen1_ II the AppUcant does nol withdraw the application by .rlllsn notlce within the time specified above and Ia approved lor occupancy but falla or refuses to sign a rental agreement and take p"""""sfon of the apartment on or before the anticipated move-In date (above), the Good Faith Deposit and other deposits or non-refundable lees shall be retained by Management as liquidated damages. II the number of houre to withdraw the appllcatfon Is nol specified above, AppUcant will onty have 24 houns to withdraw the eppllcatfon and receive a refund of the good lalth deposH and other deposita 8nd non-refundable fees. Applicant acknowledges thai the Good Faith

Depos~

is not a security deposit; however, upon signing a rental agreement lhe Good Faith

Oepos~ witl

be applied lowarci

any Security DeposH or Non·Refundable Fees specified in the Rental Agreement. In the evern Applicant defaults under the terms 01 this Application , Applicant acknowledges thai Management shall Keep the Good Faith OeposH and other deposits and n()(}-refundable lees as liquidated damages which are compensation

to< holding the apartment 011 the marlt:truun: TcftI'llI.

Use the listing to identify and contact the communities which you are interested in directly. Make the leasing agent aware that your employer is a member of the National Preferred Employer Program (NPEP) and bring the listing with you when you visit the community. You are entitled to the discounts listed for each community. Once you have signed a new lease at an NPEP community, contact us to request your Free Welcome Gift which includes a calling card and two movie tickets.* You can request your Free Welcome Gift by visiting www.npep.com or by calling 1-877-629-6082

If you have any questions about NPEP, send an email to [email protected] or call toll-free at 1-877-629-6082. "While supplies last