GEORGIA RESIDENTIAL RENTAL APPLICATION

Property Address: [[Property Full Address]], [[City]], Georgia [[ZIP Code]]
Monthly Rent: $[[Monthly Rent Amount]]
Security Deposit: $[[Security Deposit Amount, capped at one month's rent for unfurnished unit per O.C.G.A. §44-7-31]]
Application Date: [[Application Date]]
Desired Move-In Date: [[Desired Move-In Date]]
Application Fee: $[[Application Fee Amount]] (non-refundable; disclosed and paid in advance)

Landlord / Property Manager: [[Landlord or Management Company Full Name]]
Contact for Application Questions: [[Phone]] | [[Email]]

This is a standard residential rental application for use in Georgia. Georgia does not mandate a specific statewide rental application form. All fees charged in connection with this application must be disclosed to the applicant in advance. This application requests information necessary to evaluate the applicant's qualifications under the landlord's lawful screening criteria., -

Important Disclosures Before Submitting This Application

1. Application Fee: The non-refundable application fee of $[[Application Fee Amount]] must be paid before processing begins. This fee covers the cost of processing the application, including credit and background screening where authorized.

2. Security Deposit Cap: Under O.C.G.A. §44-7-31, the security deposit for an unfurnished residential dwelling unit may not exceed one (1) month's rent. The deposit may not be applied to the last month's rent without the landlord's written consent.

3. Consumer Report Authorization (FCRA): By signing this application, you authorize the landlord or its agent to obtain one or more consumer reports (credit report, criminal background, eviction history, etc.) for the purpose of evaluating your rental application. A separate written authorization or signature is required before any consumer report is ordered.

4. Adverse Action Notice: If any adverse action (denial of application, requirement of cosigner or higher deposit, or other adverse change) is taken based in whole or in part on information contained in a consumer report, you will be provided an adverse action notice as required by the Fair Credit Reporting Act (FCRA), including the name and contact information of the consumer reporting agency and a statement of your rights.

5. Fair Housing: Discrimination based on race, color, national origin, religion, sex, familial status, or disability is prohibited by the federal Fair Housing Act. Georgia does not add protected classes at the state level, but some municipalities and counties have enacted additional protections. All screening criteria are applied consistently and in compliance with applicable fair housing laws.

6. Criminal History: Criminal history inquiries and decisions are made in accordance with applicable HUD guidance on disparate impact and any relevant state or local law. Individualized assessment is performed where required., -

Applicant Information

Primary Applicant Full Legal Name: [[Primary Applicant Full Legal Name]]
Date of Birth: [[MM/DD/YYYY]]
Social Security Number (last 4 or full as authorized): [[SSN Last 4 or Full, only if authorized]]
Driver's License / State ID: [[State and Number]]
Current Phone: [[Primary Phone]]
Email: [[Email Address]]
Current Address: [[Current Street, City, State, ZIP]]
How Long at Current Address: [[Months / Years]]
Current Landlord / Property Manager Name and Phone: [[Name and Phone]]
Reason for Moving: [[Reason]]

Co-Applicant / Additional Adult Occupant Full Legal Name: [[Co-Applicant Full Legal Name or "N/A"]]
Date of Birth: [[MM/DD/YYYY]]
Relationship to Primary Applicant: [[Spouse / Partner / Roommate / Other]]
Phone / Email: [[Phone and Email]]

All Other Proposed Occupants (including minor children):

1. [[Full Name, Age, Relationship]]
2. [[Full Name, Age, Relationship]]
3. [[Full Name, Age, Relationship]]
4. [[Full Name, Age, Relationship]]
5. [[Full Name, Age, Relationship]]

Pets (list all, including type, breed, weight, age):

[[Pet 1 Description or "None"]]
[[Pet 2 Description or "None"]]

Vehicles to be parked at the property (make, model, year, license plate):

[[Vehicle 1 or "None"]]
[[Vehicle 2 or "None"]], -

Rental History (Last 3 Residences)

Current / Most Recent Rental

Address: [[Full Address]]
Landlord / Manager Name: [[Name]]
Landlord Phone / Email: [[Phone and Email]]
Monthly Rent: $[[Amount]]
Dates Occupied: [[From Date, To Date]]
Reason for Leaving: [[Reason]]

Previous Rental

Address: [[Full Address]]
Landlord / Manager Name: [[Name]]
Landlord Phone / Email: [[Phone and Email]]
Monthly Rent: $[[Amount]]
Dates Occupied: [[From, To]]
Reason for Leaving: [[Reason]]

Second Previous Rental (if within last 5 years)

Address: [[Full Address]]
Landlord / Manager Name: [[Name]]
Landlord Phone / Email: [[Phone and Email]]
Monthly Rent: $[[Amount]]
Dates Occupied: [[From, To]]
Reason for Leaving: [[Reason]]

Have you ever been evicted, had an eviction filed against you, or been asked to vacate for any reason? [[Yes / No]]

If yes, explain in detail (dates, location, outcome): [[Full Explanation]], -

Employment and Income Information

Current Employer (Primary Applicant): [[Employer Name]]
Position / Title: [[Job Title]]
Employer Address: [[Address]]
Supervisor / HR Contact: [[Name and Phone]]
Dates Employed: [[From, Present or To]]
Gross Monthly Income: $[[Gross Monthly Income Amount]]
Other Income Source 1 (e.g., alimony, disability, investment): [[Source]] $[[Monthly Amount]]

Current Employer (Co-Applicant): [[Employer Name or "N/A"]]
Position / Title: [[Job Title]]
Gross Monthly Income: $[[Gross Monthly Income Amount]]

Other Household Income Sources: [[Description and Amounts]]

Total Combined Gross Monthly Household Income: $[[Total Amount]]

Bank / Financial Institution References (optional but helpful):

Bank Name: [[Bank Name]]
Account Type: [[Checking / Savings]]
Approximate Balance Range (optional): [[Range]], -

Personal References (Non-Relatives, Not Landlords Listed Above)

1. Name: [[Reference 1 Full Name]] Phone: [[Phone]] Relationship: [[Relationship]] Known How Long: [[Years]]

2. Name: [[Reference 2 Full Name]] Phone: [[Phone]] Relationship: [[Relationship]] Known How Long: [[Years]]

3. Name: [[Reference 3 Full Name]] Phone: [[Phone]] Relationship: [[Relationship]] Known How Long: [[Years]], -

Emergency Contact

Name: [[Emergency Contact Full Name]]
Relationship: [[Relationship]]
Phone: [[Phone]]
Address: [[Address]], -

Screening Authorization and Certification

Applicant(s) Certification

I/we certify that all information provided in this application is true, complete, and accurate to the best of my/our knowledge. I/we understand that any false, misleading, or incomplete statement may result in denial of this application or termination of any tenancy that results.

I/we authorize the landlord, property manager, and their agents to:

• Verify all information provided, including employment, income, rental history, and references.
• Obtain consumer reports (credit, criminal, eviction, and other background screening) as permitted by law and as authorized below.
• Contact current and former landlords, employers, and references.

Separate Written Authorization for Consumer Reports (FCRA Requirement)

I/we hereby authorize [[Landlord / Property Manager / Screening Company Name]] to procure one or more consumer reports on me/us for the purpose of evaluating this rental application. This authorization is given voluntarily and I/we understand that a consumer report may include information about my/our credit history, criminal record, eviction history, and other public records.

This authorization is signed on [[Authorization Date]].

Primary Applicant Signature: _______________________________ Date: [[Date]]

Printed Name: [[Primary Applicant Full Legal Name]]

Co-Applicant Signature: _______________________________ Date: [[Date]]

Printed Name: [[Co-Applicant Full Legal Name]]

Note: A separate signature or initial on this authorization section (or a standalone FCRA disclosure form) is required before any consumer report is ordered., -

Application Fee Receipt and Disclosure

Application Fee Amount: $[[Application Fee Amount]] (non-refundable)

Fee covers: processing of application, credit and background screening (if authorized), administrative costs.

Fee paid by: [[Cash / Check # / Money Order / Electronic Payment, Receipt Number: [[Receipt ID]] ]]

Date Paid: [[Date]]

I acknowledge that the application fee amount and that it is non-refundable (except where required by law) was disclosed to me before I paid the fee.

Applicant Initials: [[Initials]], -

Landlord / Manager Use Only (Do Not Write Above This Line)

Date Application Received: [[Date]]
Application Fee Received: [[Yes, Amount / No]]
Complete Application: [[Yes / No, Missing Items: [[List]]]]
Consumer Report Ordered: [[Date, Company Used: [[Screening Company]]]]
Report Reviewed By: [[Reviewer Name / Initials]]
Decision: [[Approved / Approved with Conditions / Denied]]
Conditions (if any): [[e.g., Additional Deposit, Cosigner, Higher Rent, Pet Deposit]]
Denial Reason (if denied, must be documented for adverse action notice): [[Specific Reason(s)]]

Adverse Action Notice Sent (if applicable): [[Date]] Method: [[Certified Mail / Email / Hand Delivery]]

Notes:

[[Internal Notes]], -

Additional Georgia-Specific Information and Applicant Rights

Security Deposit (O.C.G.A. §44-7-31 and §44-7-34)

• Maximum for unfurnished unit: one (1) month's rent.
• Must be deposited in an escrow account or secured by a surety bond in Georgia.
• Landlord must provide written notice of the location of the deposit.
• Within thirty (30) days after termination of the tenancy and surrender of the premises, the landlord must return the deposit or provide an itemized statement of deductions with supporting evidence.
• The deposit secures performance and may be applied to unpaid rent, damage beyond ordinary wear and tear, and cleaning.
• Tenant may not unilaterally apply the deposit to the last month's rent.

Move-In / Move-Out Checklist (O.C.G.A. §44-7-33)

Before collecting a security deposit, the landlord must provide the tenant a separate written list of existing damage to the premises. The tenant has the right to inspect and note additional damage. Both parties should sign the checklist. A move-out inspection should be conducted with the tenant present if requested.

Fair Housing and Local Protections

Federal protected classes: race, color, national origin, religion, sex (including sexual orientation and gender identity per recent interpretations), familial status, disability.

Georgia does not add protected classes statewide. Certain cities and counties may have additional local ordinances. Landlords must comply with all applicable federal, state, and local fair housing laws.

Retaliation Prohibited

A landlord may not retaliate against a tenant for exercising legal rights, complaining about habitability, or reporting code violations.

Servicemembers Civil Relief Act

Active-duty military personnel may have special rights regarding termination of leases and other protections., -

Checklist for Applicant (Complete Before Submitting)

1. All adult proposed occupants have completed and signed the application.
2. Application fee has been paid and receipt acknowledged.
3. Separate written authorization for consumer reports has been signed.
4. All rental history, employment, and reference information is complete and accurate.
5. Any pets, vehicles, or special requests have been listed.
6. A copy of this application and all disclosures has been retained by the applicant., -

Disclaimer

> Template, not professional legal advice. This Georgia Residential Rental Application is a sample form. Georgia law does not prescribe a mandatory form. Application fees must be disclosed in advance and are subject to the landlord's actual costs. Security deposit rules, screening practices, and adverse action requirements are governed by O.C.G.A. §44-7-31 et seq. and the federal Fair Credit Reporting Act. Landlords and applicants should verify current requirements, use current screening provider forms where required, and consult legal counsel for specific situations. Forms and practices should be reviewed periodically for changes in law or local ordinance.

Primary Sources (as of June 2026):

• O.C.G.A. §44-7-31 (Security deposits, cap and handling)
• O.C.G.A. §44-7-33 (Move-in damage list)
• O.C.G.A. §44-7-34 (Return of security deposit)
• Fair Credit Reporting Act (15 U.S.C. §1681 et seq.)
• Fair Housing Act (42 U.S.C. §3601 et seq.)
• HUD guidance on criminal background screening and disparate impact
• Georgia Real Estate Commission / Association resources on rental practices

*End of Georgia Residential Rental Application template.*