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ONLY CLEAN & RESPONSIBLE PEOPLE WHO PAY RENT ON TIME MAY APPLY with valid Picture ID PHONE: (706) 945-1988 P.O. BOX 3003 EVANS, GEORGIA 30809 FAX: (706) 550-0128
Jr. Sr.?
List your Addresses for the Previous 5 years
Employment and Income
( month week hours )

month week hour
1yr 2yr 3yr+
If accepted the following persons will be living with me (AGE of each)

Credit References

Lender Purpose of loan Balance Monthly Payment
EMERGENCY CONTACTS including help to pay rent

Your requested move-in date:
Other comments or explanations:
This agreement made this date by and between CSRA Property Group, LLC manager for the Owner, hereinafter “Landlord” and the below signed, hereafter “Applicant”. The Applicant shall pay to the Landlord nonrefundable fee upon the execution of this agreement in the amount listed on application to cover the administrative costs, expenses, and time of the Landlord to verify information submitted by the Applicant. Applicant authorizes the Landlord, his employees, agents, or representatives to make any and all inquiries necessary to verify the information provided herein, including but not limited to direct contact with Applicant’s employer, landlords, credit, neighbors, police, government agencies and any and all other sources of information which the Landlord may deem necessary and appropriate within his sole discretion. The Applicant represents to the Landlord that the application has been completed in full and all the information provided for herein is true, accurate and complete to the best of the Applicant’s knowledge and further, agrees that if any such information is not as represented, or if the application is incomplete the Applicant may, at the Landlord's sole discretion, be disqualified. The Applicant provides the information contained on this form. Landlord is not liable to the Applicant, his heirs, executors, administrators, or assigns for any damages of any kind, actual or consequential by reason of the verification by the Landlord of the information provided by the Applicant, and Applicant hereby releases the Landlord, his agent, employees and representatives from any and all actions, causes of action of any kind or nature that may arise by virtue of the execution or implementation of the agreement provided herein. This property requires a Security Deposit equivalent to one month’s rent plus $20 application fee that must by paid in full before any rental agreement is made or a non-refundable binding fee for Rent To Own. Animal deposit(s) are in addition to security deposit. Applicant, once approved, must obtain renter’s insurance and Landlord will attempt to contact the Applicant by the phone numbers listed on this application. Applicant has 24 hours from time of approval to fulfill rental agreement by producing all monies required and signing all rental agreement papers. If Applicant fails to perform within 24 hours of Landlord’s approval, Applicant may be disqualified and Landlord may rent this home to the next qualified Applicant. Our required standards for qualifying to rent a home are simple and fair. They are:
  • All homes are offered without regard to race, color, religion, national origin, sex, disability or familial status.
  • Each adult occupant must submit an application.
  • Your gross monthly income must equal approximately three times or more the monthly rent.
  • A favorable credit history.
  • Be employed and be able to furnish acceptable proof of the required income.
  • Good references, housekeeping, and property maintenance from your previous Landlords.
  • Limit the number occupants to 2 per bedroom.
  • Compensating Factors can include additional requirements such as double deposit or rent paid in advance for applicants who fall short of above criteria.
The Applicant authorizes release of all information to CSRA Property Group.
There is a $20.00 processing fee to process each application.

OFFICE USE ONLY, Do NOT Write Below This Line
Received By: App Fee Viewed Property Picture ID Copy Salesperson


We are local investors who are committed to providing homes to everyone who desires to become home owners.We do maintain multiple state real estate licenses to better serve you. We are not real estate agents!


Address: P.O. Box 3003
Evans, GA 30809

Phone: 706-945-1988

Fax: 706-550-0128

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