GREENWOOD RENTAL AGENCY, INC.
220 Magnolia
Greenwood, SC 29646
(864) 223-8128
Rental Application
Thank you for your interest in our
apartments. Please complete all
requested information on this form.


Type and Size of Apartment Wanted: _________________________________________________

Desired Date of Occupancy: ________________________________________________________

PERSONAL INFORMATION
APPLICANT'S FULL NAME: _________________________________________________________
Date of Birth: _____________________________________________________
Other Residents    
     
     
     
     
     

Do You Own Furniture? ____________    Pets? _________________________________________
Other Remarks: __________________________________________________________________

RESIDENCE HISTORY
PRESENT ADDRESS: _____________________________________________________________
Present Telephone: _______________________ Length of Time at Present Address: ____________
Present Landlord or Mortgage Holder: ___________________________ Telephone: _____________
Amount of Rent $_________________ Reason for Moving: _________________________________
PREVIOUS ADDRESS: _____________________________________________________________
Lenth of Time at Previous Address: ____________________________________________________
Previous Landlord or Mortgage Holder: __________________________ Telephone: _____________
Amount of Rent $_________________ Reason for Moving: _________________________________

EMPLOYMENT INFORMATION
EMPLOYED BY: ______________________________________________ How Long? ___________
Employer's Address: _________________________________________ Telephone: _____________
Position Held _____________________________________________________________________
Social Security No. ________________________________ Supervisor: _______________________
CO-RESIDENT'S EMPLOYER ____________________________________ How Long? ___________
Employer's Address: _________________________________________ Telephone: _____________
Position Held _____________________________________________________________________
Social Security No. ________________________________ Supervisor: _______________________

OTHER INFORMATION
Number of Automobiles (including Company Cars) _______ Driver's License No. __________________
Make: __________________ Year ______ Color ______ Tag No. _________________ State ________
Make: __________________ Year ______ Color ______ Tag No. _________________ State ________
Make: __________________ Year ______ Color ______ Tag No. _________________ State ________
Household Income $_______________ Per ________________
Other Remarks: _____________________________________________________________________
__________________________________________________________________________________
In Case of Personal Emergency, Notify: ______________________________ Relationship: __________
Address: ___________________________________________ Telephone: ______________________

I hearby make application for an appartment and certify that this information is correct. I authorize you to contact any references that I have listed. I am aware that you will be running a Credit Reference from your Credit Bureau.

APPLICANT'S SIGNATURE ___________________________

CO-SIGNED: ______________________________________

DATE SIGNED: ____________________________________

---------------- FOR OFFICE USE ONLY - DO NOT WRITE BELOW ----------------
Date Application Received ___________________ Received By _______________________________
REFERENCE VERIFICATION
REMARKS
Present Landlord  
Previous Landlord  
Employment  
Co-Resident Employ.  
Bank  
Credit (1)  
Credit (2)  
Credit (3)  
Other  
   
   
   
RECORD OF ADVANCE DEPOSITS RECEIVED
Date
Description
Amount
    $
    $
    $

THIS APPLICATION: Approved Not Approved

Date: _____________________________________
By: _______________________________________
Assigned to Apt. No. _________________________
Apartment Address: _________________________
_________________________________________
Move-In Date ______________________________