Apply - Old - Main St Properties

* Indicates required field

Today's Date *

Your First Name *

Your Middle Name *

Your Last Name *

Email *

Mobile Phone Number *

Social Security Number *

Drivers License Number *

Do you currently own or rent? *

Own Rent

Current Address *

Line 1

Line 2

City

State

Zip Code

Country

Where did you live prior to the address above? Please include the landlord (with phone number), address and dates of residence. *

How long have you lived here? *

Current Landlord or Mortgage Holder? *

Landlord Phone Number *

What is your monthly payment? *

Reason for Moving? *

Are you a student? *

Do you have a car? *

Do you own a pet? *

Have you ever had a utility bill in your name? *

If yes, what was the name of the company and dates of service? *

Have you ever had a phone bill in your name? *

If yes, which carrier, date of service, and phone number? *

How many bedrooms do you need? *

Employer Name *

Job Title/Position *

How long have you worked here? *

Supervisors Name *

Supervisors Phone Number *

A LANDLORD HAS THE RIGHT TO ASK FOR PROOF OF A TENANT’S ABILITY TO PAY RENT AND FOR PAST RENTAL REFERENCES. BASED UPON THE REPLY TO THESE AND OTHER QUESTIONS REGARDING A RESIDENT’S LEVEL OF PERSONAL RESPONSIBILITY, THE LANDLORD HAS THE RIGHT TO SELECT THE RESIDENT(S) BEST SUITED FOR THE UNIT.

Bank Account(s) *

Name of Bank *

Bank Address *

How much money is available monthly for your rent from these sources...

Job *

Savings *

Checking *

Parents *

ADC *

GA *

Other *

Grants/Loans *

Social Security Payments? *

Emergency Contact(s) - w/phone & address *

Who will be living with you in our unit? *

The Undersigned hereby unconditionally agrees to guarantee payment of rent and any costs for damages to rental property that may occur during the tenancy of the below listed tenant. The undersigned has been fully advised of the possibility that payment may be necessary and agrees to make full payment upon contact by the Landlord. Receipt of a copy of this agreement is hereby acknowledged. *

The information provided is true and correct as of the date I signed this Guarantee of Performance Agreement. I have read and fully understand this guarantee of Performance Agreement before signing. *

Guarantor Name *

Place of Employment *

Mobile Phone Number *

Work Phone Number *

Home Address *

Social Security Number *

Date of Birth *

Drivers License Number *

Electronic Signature (Type Full Name) *

Name of your elementary school? *

Submit