THE GIBSON GROUP APPLICATION

(931) 624-7357
Clarksville TN 37040

PRIMARY APPLICANT

Name
Last First Middle

Social Security No. Date of Birth ________________ Age

Email Address

Current Mailing Address

City/State/Zip

Telephone
Cell Work

Current Landlord Name Phone

How long _________ Reason for Moving

Previous Address

NON-MILITARY PERSONNEL MUST COMPLETE THE FOLLOWING:

Employer ________________________________________ Position

Work Address
City State/Zip

Supervisor ________________________________ Phone:

How long ____(YRS) &____(MTHS) Monthly Income $________________ Other Income $______________

Retired □Y □N, If Yes, Monthly Income $ _ ______________ Other Income $ _ _________

PREVIOUS EMPLOYMENT IF CURRENT EMPLOYMENT IS LESS THAN TWO (2) YEARS

Previous Employer ________________________________________ Position

Work Address
City State/Zip

Supervisor ________________________________ Phone:

How long ____(YRS) &____(MTHS) Monthly Income $________________ Other Income $______________

Retired □Y □N, If Yes, Monthly Income $ _ ______________ Other Income $ _ _________

1 Rev. 02/28
 MILITARY PERSONNEL MUST COMPLETE THE FOLLOWING:

Unit Commander Phone .

Supervisor Phone Rank .

Years in Service Monthly Income Additional Income .

Retired □Y □N, If Yes, Monthly Income $ Other Income .

ETS Date from Ft. Campbell .

MONTHLY DEBT
How Many? Total Monthly Payment
Total Monthly Personal Loan
Payment Credit Card
Rent/Mortgage
Store Credit Card
Child Care Auto Loan
Child Support
Student Loan
Other
TOTAL
TOTAL

Total Monthly Income ___________________ Total Monthly Debt _____________________

Bank # of Checking Accounts # of Savings Accounts

Have you ever filed bankruptcy □Y □N Type _____________________ Discharge Date

VEHICLES: Color, Make Model, Year

1.

2.

Driver License Number State Expiration Date

CREDIT/PERSONAL REFERENCES – This section must be completed- DO NOT LEAVE BLANK

1. __________________________________________________ Phone ______________________________

2. __________________________________________________ Phone ______________________________

3. __________________________________________________ Phone ______________________________

Do you have an arrest record? □Y □N Ever convicted of a felony? □Y □N

2 Rev. 02/28
 SECONDARY APPLICANT

Name
Last First Middle

Social Security No. Date of Birth ________________ Age

Email Address

Current Mailing Address

City/State/Zip

Telephone
Cell Work

Current Landlord Name Phone

How long _________ Reason for Moving

Previous Address

NON-MILITARY PERSONNEL MUST COMPLETE THE FOLLOWING:

Employer ________________________________________ Position

Work Address
City State/Zip

Supervisor ________________________________ Phone:

How long ____(YRS) &____(MTHS) Monthly Income $________________ Other Income $______________

Retired □Y □N, If Yes, Monthly Income $ _ ______________ Other Income $ _ _________

PREVIOUS EMPLOYMENT IF CURRENT EMPLOYMENT IS LESS THAN TWO (2) YEARS

Previous Employer ________________________________________ Position

Work Address
City State/Zip

Supervisor ________________________________ Phone:

How long ____(YRS) &____(MTHS) Monthly Income $________________ Other Income $______________

Retired □Y □N, If Yes, Monthly Income $ _ ______________ Other Income $ _ _________

3 Rev. 02/28
 MILITARY PERSONNEL MUST COMPLETE THE FOLLOWING:

Unit Commander Phone .

Supervisor Phone Rank .

Years in Service Monthly Income Additional Income .

Retired □Y □N, If Yes, Monthly Income $ Other Income .

ETS Date from Ft. Campbell .

MONTHLY DEBT
How Many? Total Monthly Payment
Total Monthly Personal Loan
Payment
Credit Card
Rent/Mortgage Store Credit Card
Child Care
Auto Loan
Child Support
Student Loan
Other
TOTAL
TOTAL

Total Monthly Income ___________________ Total Monthly Debt _____________________

Bank # of Checking Accounts # of Savings Accounts

Have you ever filed bankruptcy □Y □N Type _____________________ Discharge Date

VEHICLES: Color, Make Model, Year

1.

2.

Driver License Number State Expiration Date

CREDIT/PERSONAL REFERENCES – This section must be completed- DO NOT LEAVE BLANK

1. __________________________________________________ Phone ______________________________

2. __________________________________________________ Phone ______________________________

3. __________________________________________________ Phone ______________________________

Do you have an arrest record? □Y □N Ever convicted of a felony? □Y □N

4 Rev. 02/28
 OTHER INFORMATION

Size of Household_________________ Adults_______________ Children

LIST ALL OTHER PERSONS RESIDING AT THIS ADDRESS INCLUDE CHILDREN’S AGES

EMERGENCY CONTACT (not living in the home)

Name Relationship ______________________

Address
Street City/State/Zip

Phone Number __________________________________ Email

I understand by signing this application that I am giving The Gibson Group permission to obtain a credit report to
assist in qualifying me to rent property.

Applicant 1 Signature __________________________________________ Date____________________

Applicant 2 Signature ______________________________________________ Date ___________________

OFFICIAL OFFICE USE ONLY

Credit Verification □Y □N Employment Verification □Y □N Accepted □Y □N

Deposit □Y □N Amount __________ Date of Possession __________________

5 Rev. 02/28