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LYNES REALTY
P O
PHONE 912-898-1600 FAX
912-897-1542
www.lynesrealty.com
RENTAL
APPLICATION
($25 application fee)
Property
Address___________________________Applicant_________________________
Date of Birth ______________________________Social
Security_____________________
Spouse/Roommate _________________________ Date of
Birth______________________
Spouse/Roommate SS#_______________ Other
Occupants: _________________________
Do you have pets?_____ Specify_______________Does any occupant smoke?__________
___________________________________________________________________________
RESIDENTIAL HISTORY
Current
Address________________________________________State____Zip__________
Home Phone#________________ Cell
#___________________Pager#_________________
Present
Landlord________________________Phone#______________________________
Previous Address, Landlord & Phone # if less
than 2 years:_________________________
___________________________________________________________________________
Email address:_______________________________FAX___________________________
___________________________________________________________________________
EMPLOYMENT HISTORY
Present
Employer_____________________________Address________________________
Phone#__________________Position____________________Annual Salary____________
Address________________________________Supervisor_________How Long_________
Previous Employer & Phone # if less than 2
years:_________________________________
___________________________________________________________________________
BANK REFERENCE
Bank________________________Phone#_______________Acct. #___________________
__________________________________________________________________________
CREDIT REFERENCE
Name __________________________Phone#_______________Acct.
#________________
Other financial commitments__________________________________________________
__________________________________________________________________________
TRANSPORTATION
Type of
vehicle______________________Tag#____________County__________State____
___________________________________________________________________________
REFERENCES (1 must be local)
Name__________________________Address_____________________________________
Home Phone#___________________Work
Phone#________________________________
Name__________________________Address_____________________________________
Home Phone#___________________Work
Phone#________________________________
___________________________________________________________________________
Are you a co-maker or endorser on any loan or
contract?___________________________
If so, for whom?____________________________Amount?
_________________________
Are there any unsatisfactory judgements
against you or spouse/roommate?____________
If so,
specify_________________________________________________________________
I agree that all information is correct and grant
permission for LYNES to obtain information regarding my credit.
Applicant’s Signature
_____________________________________Date_______________
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