Rental Application

Please complete the following application completely. After completion click the Submit button at the bottom of the page for a print version (Adobe PDF) of the completed form. Print the completed form, Sign, and Mail or Fax to Tarkington Realty. All adult occupants must complete an application. Note: The data collected in this online form is neither stored nor retained electronically by Tarkington Realty Company. The completion of this form is solely used for the purpose of generating a printable application (See our Privacy Policy). Acrobat Reader is required Property: * 1003 Woodmont Blvd 1030 Grassland Drive 1129 Oman Drive 113 White Bridge Road 115 White Bridge Road 117 White Bridge Road 1319 Clifton Lane 1376 Holly Tree Gap Road 1618 Otter Creek Road 1720 Hillmont Drive 2004 Galbraith Drive 2016 Galbraith Drive 204 Old Williamsburg Court 2807 B Brightwood Ave 2809 A Brightwood ave 2809 B Brightwood Avenue 3916 Albert Drive 3919 Albert Drive 4001 General Bate Drive 4024 Albert Drive 4025 Outer Drive 4032 Albert Drive 4106 Kimbark Drive 4115 Lone Oak Road 4117 Lone Oak Road 4119 Lone Oak Road 4411 Lone Oak road 624 Barrywood Drive 903 Buford Place St. Andrews Place Email address: * Applicants Name: * Mr. Mr & Mrs. Mrs. Ms. Miss Soc. Sec. #: * DOB: * Age * Marital Status: * Married Single Divorced Seperated Phone: * Driver's License State: * Tennessee Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Lousiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Texas Utah Vermont Virgina Washington West Virginia Wisconsin Wyoming District of Columbia DL #: * Current Address: * City: * State: *Tennessee Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Lousiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Texas Utah Vermont Virgina Washington West Virginia Wisconsin Wyoming District of Columbia Zip: * How Long: * Rent or Own: *  Rent  Own Landlords Name: Landlords Phone: Reason for Moving: * Former Address: * Additional Occupants Name/Age: Name/Age: Name/Age: Name/Age: Name/Age: Employer Information: Employer: * Position: * Employer Address: * How Long: * Income: * Other Income (optional): Contact Person: Contact Phone: Financial Information: Name of Bank: * Accounts: *  Checking  Savings  Other Credit References: (Local references preferred) Name: * Phone: * Name: * Phone: * Character References: Name: * Phone: * Name: * Phone: * In case of emergency, accident or illness: (Someone not living with you) Name: * Phone: * Address: * Relation: * Doctor: * Phone: * Hospital: * Do you Have Pets: *  Yes  No Number of Pets: Type(s): Weight(s): Age(s): Is There a Co-Applicant ?  Yes  No Co-Appicant Information: Applicants Name: Mr. Mrs. Soc. Sec. #: DOB: Age Marital Status: Married Single Divorced Seperated Phone: Driver's License State: Tennessee Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Lousiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Texas Utah Vermont Virgina Washington West Virginia Wisconsin Wyoming District of Columbia DL #: Current Address: City: State:Tennessee Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Lousiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Texas Utah Vermont Virgina Washington West Virginia Wisconsin Wyoming District of Columbia Zip: How Long: Rent or Own:  Rent  Own Landlords Name: Landlords Phone: Reason for Moving: Former Address: Employer Information: Employer: Position: Employer Address: How Long: Income: Other Income (optional): Contact Person: Contact Phone: Financial Information: Name of Bank: Accounts:  Checking  Savings  Other Credit References: (Local references preferred) Name: Phone: Name: Phone: Character References: Name: Phone: Name: Phone: In case of emergency, accident or illness: (Someone not living with you) Name: Phone: Address: Relation: Doctor: Phone: Hospital: