All new applications are $55. You may submit your application fee at any time, but your applications will only be processed after your fee is submitted. Registrations submitted without an application fee will be discarded after 7 (seven) days. Please take your time and answer each question. Once your application is approved, you may either mail your security deposit, or make an online payment.

We will reserve the requested property as soon as we have received your deposit payment. Please note that any returned checks will lose priority. We look forward to placing you!

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Applicant Information

Please Select the Property for Which you are Applying   
115 W Peachtree Pl, Unit 616, Atlanta 30313 990 Lena St NW, Atlanta, GA 30314 4756 Feather Creek CT, Stone Mountain, GA 30087 300 Peachtree St NW, Unit 19G, Atlanta, GA 30308 9915 Davis Lake Pkwy, Charlotte, NC 28269
your name*:   

phone number*:

e-mail address*:

Date of Birth*(MMDDYYYY)

SSN* (XXXXXXXXX)
confirm:
Driver's License No.*
State:

Current Address 1*:

Current Address 2:

Current City*:

Current State*:

Current ZIP Code*:

Currently Own or Rent?*:
Own Rent
Current Monthly Payment/Rent?
$
How Long at Current Address?*:
Month(s) Year(s)
Previous Address 1*:

Previous Address 2:

Previous City*:

Previous State*:

Previous ZIP Code*:

Previously Own or Rent?*:
Own Rent
Previous Monthly Payment/Rent?*
$
How Long at Previous Address?*:
Month(s) Year(s)

Employment Information

Current Employer*:   

Supervisor Name*:   

Supervisor Phone*:

Supervisor Email Address*:

How Long at Current Employer?*:
Month(s) Year(s)
Employer Address 1*:

Employer Address 2:

Employer City*:

Employer State*:

Employer ZIP Code*:

Position*:

Hourly or Salary?*:
Salary Hourly
Annual Income?*
$

Emergency Contact

Name of a person not residing with you*:   

Emergency Contact Phone*:

Emergency Contact E-Mail Address:

Emergency Contact Address 1*:

Emergency Contact Address 2:

Emergency Contact City*:

Emergency Contact State*:

Emergency Contact ZIP Code*:

Relationship*:

Are there any special circumstances that you need to share with us

Co-Applicant Information (Skip to end if not applicable)

Co-Applicant name:   

Co-Applicant phone number:

Co-Applicant e-mail address:

Co-Applicant Date of Birth (MMDDYYYY)

Co-Applicant SSN (XXXXXXXXX)
confirm
Co-Applicant Driver's License No.*
State:

Co-Applicant Current Address 1:

Co-Applicant Current Address 2:

Co-Applicant Current City:

Co-Applicant Current State:

Co-Applicant Current ZIP Code:

Co-Applicant Currently Own or Rent?:
Own Rent
Co-Applicant Current Monthly Payment/Rent?
$
Co-Applicant How Long at Current Address?:
Month(s) Year(s)
Co-Applicant Previous Address 1:

Co-Applicant Previous Address 2:

Co-Applicant Previous City:

Co-Applicant Previous State:

Co-Applicant Previous ZIP Code:

Co-Applicant Previously Own or Rent?:
Own Rent
Co-Applicant Previous Monthly Payment/Rent?
$
Co-Applicant How Long at Previous Address?:
Month(s) Year(s)

Co-Applicant Employment Information

Co-Applicant Current Employer:   

Co-Applicant Supervisor Name:   

Co-Applicant Supervisor Phone:

Co-Applicant Supervisor Email Address:

Co-Applicant How Long at Current Employer?:
Month(s) Year(s)
Co-Applicant Employer Address 1:

Co-Applicant Employer Address 2:

Co-Applicant Employer City:

Co-Applicant Employer State:

Co-Applicant Employer ZIP Code:

Co-Applicant Position:

Co-Applicant Hourly or Salary?:
Salary Hourly
Co-Applicant Annual Income?
$

References

Reference 1 Name*:   

Reference 1 phone number*:

Reference 1 e-mail address:

Reference 1 Address 1:

Reference 1 Address 2:

Reference 1 City:

Reference 1 State:

Reference 1 ZIP Code:


Reference 2 Name*:   

Reference 2 phone number*:

Reference 2 e-mail address:

Reference 2 Address 1:

Reference 2 Address 2:

Reference 2 City:

Reference 2 State:

Reference 2 ZIP Code:

Consent to Background Check

             I hereby give consent for a consumer report or employment or tenancy purposes. I hereby authorize, without reservation, and law enforcement agency, administrator, state agency, repository, former employer, corporation, credit agency, educational institution, city, state, federal court, military institution, information service bureau, employer or insurance company contacted by Backgrounds USA, to furnish any and all information. I do understand the investigation will include information from law enforcement agencies and public records information, such as credit, social security, criminal, motor vehicle and worker's compensation in accordance with the American with Disabilities Act. This report will include information as to my character work habits, performance and experience, along with the reasons for termination of past employment from previous employers. This releases the aforesaid parties from any liability and responsibility for collecting the above information at any time.

According to the Fair Credit Reporting Act (Law 91-508) SS 606:
A person may not procure or cause to be prepared an investigative consumer report on any consumer unless it is clearly and accurately disclosed to the consumers that an investigative consumer report including information as to his character, general reputation, personal characteristics and mode of living and employment history, whichever are applicable, may be made. I also understand that if I am denied employment because of the consumer investigation, it is my right to have the name of the agency or agencies disclosed to me within the time allowed. This authorization, in original or copy form, shall be valid for this and any further reports or updates that may be requested.

  Please Type 'I AGREE' to signify your agreement with the above statement

Signature by Applicant*             Date(MMDDYYYY)   

Signature by Co-Applicant        Date(MMDDYYYY)