Application – Strickland Properties

Strickland Properties

2460 Hwy. 21 S. Rincon GA 31326 (912) 754-6422

Applicant 1

Applicants Name *

First

Middle

Last

Date of Birth *

SSN *

Drivers Lic *

Email *

Phone *

Co-Applicant

Co-Applicants Name *

First

Middle

Last

SSN *

Drivers Lic *

Has either ever been evicted? *

Name of all other Residents:

Name

First

Last

Relationship

Date of Birth

Name

First

Last

Relationship

Date of Birth

Name

First

Last

Relationship

Date of Birth

Name

First

Last

Relationship

Date of Birth

Emergency Contact

Emergency Contact Name *

First

Last

Emergency Relationship *

Emergency Phone *

Emergency Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Resident History 1

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Own / Rent *

How Long Did You Stay at This Address? *

Rent Amount: *

Appt Name

Apt Manager *

Phone *

Reason for Leaving *

Resident History 2

Address

Address Line 1

Address Line 2

City

State

Zip Code

Own / Rent

How Long Did You Stay at This Address? (copy) *

Rent Amount:

Appt Name

Apt Manager

Phone

Reason for Leaving

Employment History

Employer #1

Employer 1 *

Employer Address 1

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Supervisor *

Phone *

Length of Employment *

Income *

Per Hour
Week
Month
Year

Employer #2

Employer 2

Employer Address 2

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Supervisor

Length of Employment

Income

Per Hour
Week
Month
Year

Bank / Credit Reference

Bank

Branch

City

Vehicles

Year

Make

Model

Color

Tag #

Year

Make

Model

Color

Tag #

Year

Make

Model

Color

Tag #

Any recreational vehicles

Specify info on RV info

Final Steps

Checkboxes *

I heareby Authorize you to check my credit history and do a criminal background check with Microbilt. You may retain my credit report and criminal background check in your file, wheather or not credit is extended

Date *

Applicant SSN

Applicant Address

Address Line 1

Address Line 2

City

State

Zip Code

Date

Co-Applicant SSN

Co-Applicant Address

Address Line 1

Address Line 2

City

State

Zip Code