Rental Application

Southern Key Realty

220 North Main Street Suite 101

STATESBORO, GA 30458

Phone:  (912) 764-5397 (KEYS)                      darla@southernkeyrealty.com

              Rental Application        

                                        

Name: _______________________________________________________________________________

 

Social Security Number:_________________________    Date of Birth:_________________________

Present Address: ____________________________City_________________State_______Zip_______

Cell Phone No._________________________            E-mail address: ___________________________                        

Gender:   ( ) Female            ( ) Male                                  Race:   ( )White        ( ) Black        ( ) Other

Driver’s License (State/No./Expiration Date):________________________________________________

 Student class standing          (  )Freshman        (  )Sophomore        (  )Junior                                           

 for the upcoming year        (  )Senior              (  )Graduate            (  )Not Applicable

Other persons who will occupy apartment:

1)_________________________________________________Relationship:_______________________

2)_________________________________________________ Relationship:_______________________

3)_________________________________________________ Relationship:_______________________

Applicants Present Employer:_________________________________    Work No._________________

Address:__________________________________City_______________State____________Zip______

Parent/Sponsor Name: _______________________________________  Phone No. _________________

Address___________________________________City_______________State____________Zip______

 

Parent/Sponsor Employer: ____________________________________ Work No. _________________

Employer Address:______________________________City_________________State______________Zip_______

 

Parents E-Mail Address: ___________________________________________________________________________

The undersigned represents that the information given above is true and complete.  The undersigned further understands and agrees that this information may be used to determine the applicant’s qualification and to facilitate the collection of any amounts due and owing under a subsequent lease.

 

Signature of Applicant:___________________________________________    Date_______________________

 

Applicant has paid an application fee of $50.00, the receipt of which is hereby acknowledged.  This application fee is non-refundable.

Application and fee received by: ________________

(Rev. 06/11/2015)