Myrtle Beach Rental Application

Fill out the application as completely as possible
If you have problems call us at 843-455-9567

E-mail Address: *
What Property are you Applying for?
Full Name
Phone Number
Date of Birth
Social Security Number
Current Address
Co-Applicate Name
Phone Number
Date of Birth
Social Security Number
Current Address
Do You have any Pets?
Current Address
Date Moved In?
Reason for leaving?
Owner/Agent/Landlord
Owner/Agent Phone Number
Previous Address
Date Move in/out
Reason For Leaving?
Owner/Agent/Lanlord
Have you Declared Bankruptcy in last 7 years?	Yes No
Have you ever been evicted?	Yes No
Have you ever been late paying rent?	Yes No
Have you ever intentionally refused to pay rent?	Yes No
Current Employer
Date employeed from
Supervisors Name
Phone Number
Salary/Income
Previous Employer
Date employeed from
Supervisors Name
Phone Number
Salary/Income
Reference name
Reference Phone Number
Driver Liscense Number
Drivers Liscense State
Vehicle Make/Model
Vehicle Year
Liscense Plat Number
Additional Information
Applicate Signature
Co-Applicate Signature


* Required

Magnolia Property Management, LLC
843-455-9567
Po Box 986
Murrells Inlet, SC 29576