Cozy Nest Properties, LLC
RENTAL APPLICATION/ Lease
Agreement
PROPERTY ADDRESS:
CITY, STATE, ZIP:
MOVE-IN DATE :
RENT/DEPOSITS AND OTHER FEES
RENT $ SECURITY DEPOSIT $
PET DEPOSIT $ (NON-REFUNDABLE) PET FEE $
KEY FEE $ LOCKOUT FEE $
EVIDENCED BY: CASH CHECK CASHIER’S CHECK MONEY ORDER
APPLICANT INFORMATION
APPLICANT:
HOME PHONE : OTHER PHONE :
EMAIL: SSN:
DL#: STATE BIRTH DATE
CURRENT ADDRESS:
CITY, STATE, ZIP:
LANDLORD NAME / MORTGAGE HOLDER: PAYMENT:
PHONE : FAX : EMAIL ADDRESS:
HOW LONG(?): (PLEASE CHECK ONE) ☐ OWNED OR ☐ RENT
REASON FOR LEAVING:
PRIOR STREET ADDRESS:
CITY, STATE, ZIP:
LANDLORD NAME / MORTGAGE HOLDER: PAYMENT:
PHONE : FAX : EMAIL ADDRESS:
HOW LONG(?): (PLEASE CHECK ONE) ☐ OWNED OR ☐ RENT
REASON FOR LEAVING:
Page 1 of 5
CURRENT EMPLOYER:
PROOF OF INCOME LAST FOUR PAY STUBS BROUGHT IN AND PLACED ON RECORD
HOW LONG(?): EMPLOYED AS:
ADDRESS:
CITY, STATE, ZIP:
PHONE : FAX:
SALARY: $ PER/MO SUPERVISOR:
OTHER INCOME: SOURCE AMOUNT: $
PRIOR EMPLOYER (IF LESS THAN 3 YEARS): PHONE :
HOW LONG? EMPLOYED AS:
SALARY: $ PER/MO SUPERVISOR:
CREDIT REFERENCES: BANK ACCT. #
PERSONAL REFERENCES:
1. NAME: PHONE :
EMAIL: RELATIONSHIP:
2. NAME: PHONE :
EMAIL: RELATIONSHIP:
CO-APPLICANT INFORMATION
CO-APPLICANT:
HOME PHONE : OTHER PHONE:
EMAIL: SSN:
DL(#): STATE: BIRTH DATE:
CURRENT ADDRESS:
CITY, STATE, ZIP:
LANDLORD NAME / MORTGAGE HOLDER: PAYMENT:
PHONE : FAX : EMAIL ADDRESS:
HOW LONG? (PLEASE CHECK ONE) ☐ OWNED OR ☐ RENT
REASON FOR LEAVING
PRIOR STREET ADDRESS:
Page 2 of 5 Applicants Initials: [ ][ ]
CITY, STATE, ZIP:
LANDLORD NAME / MORTGAGE HOLDER: PAYMENT:
PHONE : FAX : EMAIL ADDRESS:
HOW LONG(?): (PLEASE CHECK ONE) ☐ OWNED OR ☐ RENT
REASON FOR LEAVING:
CURRENT EMPLOYER:
HOW LONG(?): EMPLOYED AS
ADDRESS:
CITY, STATE, ZIP:
PHONE : FAX:
SALARY: $ PER/MO SUPERVISOR:
OTHER INCOME: SOURCE AMOUNT: $
IF YOU CHANGE EMPLOYMENT WE MUST BE NOTIFIED
PERSONAL REFERENCES:
1. NAME: PHONE :
EMAIL: RELATIONSHIP:
2. NAME: PHONE :
EMAIL: RELATIONSHIP:
VEHICLE INFORMATION
AUTOMOBILES:
MAKE MODEL LIC PLATE STATE YR COLOR
MAKE MODEL LIC PLATE STATE YR COLOR
MAKE MODEL LIC PLATE STATE YR COLOR
Page 3 of 5
OTHER OCCUPANTS
IN ADDITION TO APPLICANT(S), OTHER PERSONS TO BE AT PREMISES:
NAME/RELATIONSHIP/AGE/OCCUPATION
PETS
PETS? (Y/N) HOW MANY? Cats Dogs Other
IF YES, PLEASE COMPLETE THE PET APPLICATION AND SUBMIT IT WITH THE RENTAL APPLICATION.
OTHER INFORMATION
HAS ANY APPLICANT EVER FILED BANKRUPTCY? GIVE DETAILS:
HAS ANY APPLICANT EVER BEEN EVICTED? EXPLAIN:
HAS ANY APPLICANT EVER WILLFULLY REFUSED TO PAY RENT WHEN DUE? EXPLAIN:
HAS ANY APPLICANT OR OCCUPANT EVER BEEN CONVICTED OF A GROSS MISDEMEANOR OR FELONY?
YES OR NO IF YES PLEASE EXPLAIN
HOW LONG DOES APPLICANT PLAN TO LIVE HERE? DOES APPLICANT PLAN TO USE LIQUID FILLED
FURNITURE? TYPE
DOES ANYONE IN THE HOUSEHOLD SMOKE? Y/N
EMERGENCY CONTACT
APPLICANT IN CASE OF EMERGENCY, PERSON TO NOTIFY:
RELATIONSHIP : PHONE :
CO-APPLICANT IN CASE OF EMERGENCY TO NOTIFY: PHONE:
Page 4 of 5
Application is hereby made to premises described as;
The first month’s rent and security
deposit must be paid before moving in. The deposit will be returned after the tenant moves out
if; Tenant gives 30 days written notice in advance of moving - The residence and grounds are
left clean and in good condition - and all appliances, furniture and anything else that was
furnished has been abused or is missing. Any remaining deposit will be refunded after the
inspection of the property is made by the property manager.
Each tenant agrees to be responsible for any damages to the premises caused by themselves or
family/visitors allowed on the premises by the tenant. The tenant is responsible for paying all
utilities.
Each tenant is a tenant at will. If the tenant starts a new month in the property they are
responsible for that month’s rent. ONLY PEOPLE LISTED ON THE LEASE CAN LIVE IN THE
RENTED PROPERTY. NO ONE ELSE IS ALLOWED WITHOUT PERMISSION FROM THE
LANDLORD.
(PAYING RENT ON TIME)
ALL RENT DUES BY THE FIRST 1ST DAY OF THE MONTH. (REGARDLESS OF WHEN YOU MOVED
IN) ALL RENT WILL BE CONSIDERED LATE BY THE (1OTH) DAY OF THE MONTH. RENT NOT
PAID BY THE 10TH YOU WILL HAVE A 20% LATE FEE ADDED!I! LATE RENT NOT PAID BY THE
FIRST DAY OF THE NEXT MONTH WILL RESULT IN AN EVICTION NOTICE!
Rental payments can be made in person or be mailed to: 980 S US HWY 301, Jesup, GA 31546.
If you are paying rent in person it needs to be in our business hours which is 8-5 Monday
through Friday. There is a drop box by the front door if you need to pay your rent after hours. I
just ask you to put it in an envelope with your name and address to be sure we apply to your
account. We now offer online rental payments through our website
(www.cozynestproperties.org) all you would need to do is setup up an account and input your
information and which address you are renting. You can also pay with debit or credit card
there’s just a 3% fee if you do so.
THERE WILL BE A $50.00 FEE FOR ANY RETURNED CHECKS!
*ALL TENANTS ARE RECOMMENDED TO OBTAIN RENTERS INSURANCE“
Applicant’s Signature: Date:
Co-Applicant’s Signature: Date:
Rules and Regulations
If you move in on a day other than the First (1st)The next month’s rent will be prorated.
(SUB-LEASE, BUSINESS, PAINTING, ETC.)
The tenant may not sublease or permit persons other than those listed in the agreement to reside
at the named location without written consent. The tenant will not paint, stencil or wallpaper any
surfaces in the residence without written permission, and in doing so will automatically forfeit the
Rental Deposit. The tenant will pay for the residence to be repainted. The tenant will not add,
change or remove any locks on doors or windows without written consent of the landlord. It is also
understood that no home or commercial business will be conducted from the property as well as
NO SMOKING inside of the residence.
The tenant shall permit agents and workmen to enter the residence with liability to inspect the
premises or to make repairs. This residence is covered with fire insurance. Tenants contents are
NOT covered for fire theft, or damages. THE PROPERTY OWNER IS NOT RESPONSIBLE FOR ANY
INJURY OR DEATH THAT OCCURS ON THE PROPERTY
(FIGHTING OR LOUD NOISE)
Tenant’s, family“and guests shall not fight, cause trouble, make or permit loud noise, parties or
otherwise disturb others in the immediate area, No obnoxious or drunken behavior, cursing or
yelling is allowed. The property or premises is not to be used for unlawful, improper or offensive
purposes.
IF THE LAW HAS TO COME FOR ANY REASON, ON MORE THAN ONE
OCCASION, ***YOU WILL BE EVICTED***
ALL VEHICLES WHICH ARE NOT IN RUNNING CONDITION WILL BE TOWED (AFTER A 30 DAY
NOTICE)
AT THE TENANTS EXPENSE. Tenants will not leave junk vehicles, trash, old appliances, mattresses
or rubbish of any kind outside the residence. All sidewalks, driveways, entry ways, etc. will be
always kept open, DO NOT BLOCK THEM.
A trash can is provided for trash, Garbage or Rubbish. USE IT. The tenant must make sure the
trash, etc. goes into the trash can — NOT ON THE GROUND. Mattresses, large appliances or any
other large items need to be disposed of and it is the responsibility of the tenant to do so.
Tenant(s) agree to keep premises inside and out clean and free from trash. Tenant(s) will be
responsible for keeping the yards cut and maintained. Tenant(s) will keep all bathrooms, sinks,
toilets and any other plumbing clean and free of debris of any kind. DO NOT POUR GREASE IN
SINK OR DRAINS. Do not put toys, diapers, condom s, paper towels, tampons, etc. in sinks or
toilets.
TENANT WILL KEEP THE RESIDENCE CLEAN. DO NO HANG ANY LAUNDRY, CLOTHING, SHEETS,
ETC., FROM ANY DOOR, WINDOW, RAIL, PORCH OR BALCONY, NOR AIR OR DRY ANY OF THE
SAME WITHIN ANY YARD AREA OR SPACE.
NO ILLEGAL ACTIVITIES of any kind are permitted inside or outside the property. Including but not
limited to:” Buying or selling Drugs, smoking or using any illegal substances, drunken rage, buying
or selling stolen goods, prostitution, etc. IF ANYONE IS SUSPECTED OF ANY ILLEGAL ACTIVITIES,
YOU WILL BE EVICTED.
Tenants are responsible for any and alI damage or destruction to the residence including
damage to walls, doors, floors, carpet, windows, etc.
Tenant is responsible for keeping the residence clean and free of rodents, trash etc. IF YOU
KEEP YOUR RESIDENCE CLEAN IT WILL KEEP RODENTS AND INSECTS AWAY. If roaches/
rodents are found within the residence, treatment will be at the tenant’s expense.
NO PETS OF ANY KIND ARE ALLOWED INSIDE OR OUTSIDE THE RESIDENCE OR ON THE
PREMISES.UNLESS APPROVED BY THE LANDLORD AND A PET DEPOSIT OF $500 IS
REQUIRED. IF YOU HAVE A PET AND HAVEN'T PAID YOUR PET DEPOSIT WILL RESULT IN
IMMEDIATE EVICTION AND LOSS OF DEPOSIT. OUTSIDE DOGS MUST BE IN A KENNEL & NOT
TIED UP.
Tenants will abide by and be bound by any and all rules and regulations affecting the premises.
These may be changed by the landlord if the need arises, and new leases will be given to the
tenants to sign.
PLEASE NOTE THE ABOVE LISTED RULES AND REGULATIONS ARE GROUNDS FOR EVICTION
According to Georgia Law, the eviction notice does not have to be written, it can be given
orally. If an eviction notice is given and the tenant refuses to move out of the home or pay the
rent that’s due, then the landlord can file an affidavit with the court to begin the Eviction
Lawsuit. The Eviction Lawsuit is also called a Dispossessory Proceeding (See GA. Code Ann. 44-
7-50).
Applicant Name Applicant Signature
Date Date
Co- Application Name Co-Applicant Signature
Date Date
Cozy Nest Properties, LLC Owner/Operator
Date
