Rental Application

Complete the application below for Warrior Creek Cottage at 281 Ford Street, Poulan, GA 31791.

Complete all required fields. Current-rental details apply only if you are renting now.

No payment is collected with this form. Warrior Creek Cottage will contact you about next steps and any screening fee.

Application received

Thank you for applying to Warrior Creek Cottage. Your application has been submitted for review. We will contact you about next steps.

Applicant information

Full name

Email address

Phone number

Preferred contact method

If you select Phone call, please enter a phone number above.

Move-in details

Preferred move-in date

YYYY-MM-DD

Total people moving in

Other adult applicants (if applicable)

List each other adult who will apply with you. Leave this blank if you are the only adult applicant. Do not list children’s names or anyone’s date of birth.

Pets and parking

Number and types of pets

Assistance animals are not pets. Contact Warrior Creek Cottage separately about an accommodation request; do not include medical details here.

Number of vehicles needing parking

Rental information

Current housing

Current housing situation

If you currently rent, provide your rental address, how long you have lived there, and your landlord’s name and phone number or email. If you do not currently rent, enter “Not currently renting.” No address is needed.

Current rental details

Current monthly rent ($), or Not currently renting

Reason for moving

Previous landlord reference (optional)

You may contact the landlords or property managers listed above about my rental history.

Income and support

List the income or support your household expects to use for rent. This may include work, self-employment, benefits, retirement, assistance, or another source. You do not need to be employed to complete this form.

For each source, include the adult applicant’s name, employer or source name, type of income or support, monthly amount, and how long it has been received. If employed, include the job title. If there is no current income or support, enter “No current income or support” and put 0 for the amount.

Household income or rent-support sources

Total monthly household income and rent support ($)

Add the monthly amounts from all sources listed above. Use amounts before taxes where applicable, and count each source only once. Commas are accepted.

Additional income or support details (optional)

Additional information

Additional notes or questions

Review and submit

Please review your answers above before submitting.

Type your full name to confirm this application

I confirm that this information is accurate to the best of my knowledge and that Warrior Creek Cottage may contact me about this application.

This is an application, not a lease or a guarantee of approval. Do not include Social Security numbers, dates of birth, bank or account details, or identification documents.

When you submit, your answers will be saved privately in the website’s form dashboard for authorized site staff and emailed to warriorcreekcottage@gmail.com for review.