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Quick Rental Application


Applicant Information

(fields marked with an asterisk (*) are required fields
*First Name:
 *Last Name:
 Yes
No
Smoke?:
Yes
No
*Contact Phone:

Day
Evening
 *Email:
*Employer:

*Monthly Pre-tax Income:
$
*Employer Address:

*City:
 *State:
Employer Contact Name:
 Employer Contact Phone:
*Start of Employment:
mm/dd/yyyy 		*End Date of Employment:
mm/dd/yyyy

Rental References

(Please provide 5 years rental history)
*Current Rental Address:
 *City:
 *State:
*Landlord/Managment Contact Name:
 *Landlord/Managment Contact Phone:
*Start of Residence:
mm/dd/yyyy 		*End Date of Residence:
mm/dd/yyyy
Previous Rental Address:
 City:
 State:
Landlord/Managment Contact Name:
 Landlord/Managment Contact Phone:
Start of Residence:
mm/dd/yyyy 		End Date of Residence:
mm/dd/yyyy
Type of Property Desired:
Single Family
Condo/Highrise
Townhome
Commercial Space
Other
Montly Rent Desired:
less than $700
$700-900
$900-1100
$1100-1300
$1300 or more
Desired Area:
Metro Atlanta
Suburban Atlanta
Other Georgia
Metro Miami
Suburban Miami
Other Florida
Bedrooms (minimum):
1
2
3
4
5 or more
Bathrooms (minimum):
1
2
3
4 or more
Additional comments for agent:

Keywords:
Atlanta, Miami, real estate, downtown miami, downtown atlanta, south florida condos, investment property, atlanta foreclosures, miami foreclosures, atlantic station, buckhead, midtown, mid-town, miami beach, north miami, hallandale, aventura, hollywood, biscayne, high rise, luxury, beachfront, boating, Prudential, Prudential Real Estate, Prudential Georgia, Prudential First Realty, Jay Rock, Leigh Reed