Application to Lease

Leslie's Properties

APPLICATION

Please print the application below first, then complete it and fax or email it to us.
We will respond to your application immediately.

Or you may call us to apply over the phone.

Thank you,

Mark and Leslie Buzzotta

markabuzzotta@gmail.com

tel: 678-887-4599
Fax: 678-278-1209

APPLICATION

BY COMPLETING AND SUBMITTING THIS APPLICATION, THE APPLICANTS

UNDERSTAND ALL INFORMATION PROVIDED WILL BE VERIFIED.

Please list the names and ages of all people that will live in the house:

____________________________________________________

____________________________________________________

_____________________________________________________

_____________________________________________________

_____________________________________________________

_____________________________________________________

Please list and describe all the pets that will live in the house or on the property:

_____________________________________________________

_____________________________________________________

Each adult who will live in the house must be included on this application

FIRST ADULT

Name of resident:________________________________________

SS#________________________________

Date of Birth____________________

email____________________________________________

All Telephone Numbers________________________________________________

Driver’s Lic #___________________________State________________________

Present Address______________________________

City_________________State___________

How long at this address__________

Landlord Name___________________Tel#___________________

Prior Address_______________________________________

City________________State_____________

How long at this address ________________

Landlord Name_______________________Tel#_______________________

Employment

Company name___________________________________

Your position_______________________________

Company Street Address____________________________

City________________State________ Zip_______

Tel#__________________________

Current Salary___________ How long_____________________

Contact Person_______________________________________

SECOND ADULT

Name of Resident:_____________________________________

SS#___________________________

Date of Birth____________________

email_____________________________________________

All Telephone Numbers _______________________________________________

Driver’s Lic #____________________________State________________________

Present Address_________________________

City_________________State___________

How long at this address__________

Landlord Name___________________Tel#___________________

Prior Address___________________________

City________________State_____________

How long at this address________________

Landlord Name_______________________Tel#_______________________

Employment

Company name___________________________________

Your Position_______________________________

Company Street Address_________________________________

City________________State________ Zip_______

Tel#__________________________

Current Salary_____________ How long____________

Contact Person________________________________

Will additional adults live in this house?_______________

LIST ALL VEHICLES

Make/Model________________________year____color_____Tag#________State______

Make/Model_________________________year____color_____Tag#__________State_____

Make/Model___________________year____ color______ Tag#________ State_____

Are there additional vehicles that are owned by the applicants and

will be parked at this house?__________

BANK INFORMATION

List Names of all Bank(s) used by each Adult______________________________________

___________________________________________________________________________

List Names of Bank(s) or institutions that have issued all Adults a credit card (not debit card):

____________________________________________________________________

____________________________________________________________________

Have any Adult applicants listed filed for bankruptcy?_________

If so, which Adult(s)______________________________ When_________

Have any of the Adults listed been served an eviction notice
or asked to vacate?_____________________

If so, which Adults_______________________________ When__________

Have any of the adults been convicted of a Felony? ______________

Which Adult(s)________________

What was the offense__________________________________________

This application will be considered without any discrimination due to

race, color, national origin, religion, sex, sexuality, familial status or disability.

All the adults listed on this application declare under the penalty of perjury that all the information

listed in this application is true and correct.

All Adults listed in this application authorize

Mark A. Buzzotta to investigate their credit, residential, criminal and employment history.

All adults listed indemnify this landlord of any liability related to the information.

All of the information

obtained is used solely for Leasing our properties, and is not shared, sold or

provided to any other party whatsoever.

_____________________________________________________ Date___________________

Applicant’s Signature

_____________________________________________________ Date___________________

Applicant's Signature