Geaux Home Rentals

23299 Cinder Dr

Denham Springs, LA 70726

$1,775/mo

Section 1:Personal Information

Full Name*

Date of Birth*

Email Address*

Phone Number*

Desired Move-in Date*

Applying As*

Section 2:Additional Occupants

List anyone else who will be living in the property.

Section 3:Guarantor / Co-signer

Only fill this out if applicable.

Guarantor Name

Guarantor Email

Guarantor Phone

Section 4:Current Residence

Housing Type*

Street Address*

City*

State*

Zip Code*

Date From (Month/Year)*

Date To (Month/Year or Present)*

Monthly Rent*

Landlord/Manager Name*

Landlord Email

Landlord Phone*

Section 5:Previous Residence(s)

Section 6:Current Employment & Income

Work Status*

Employer Name*

Job Title*

Gross Monthly Income*

Date From*

Date To*

Supervisor Name

Supervisor Phone

Supervisor Email

Section 7:Previous Employment

Section 8:References

Reference 1

Name*

Phone*

Relationship*

Length of Acquaintance

Section 9:Pets

I have pets

Section 10:Screening Questions

Additional Information

Section 11:Authorization & E-Signature

I hereby authorize a review and full disclosure of all records concerning myself. I authorize current and past landlords, employers, financial institutions, personal references, and courts of law to release information regarding my rental, employment, credit, and/or criminal history. I agree to indemnify and hold harmless Geaux Home Buyers LLC and its agents from claims arising from complying with this request. A copy of this authorization may be accepted as an original.

I agree to the above authorization*I agree to receive SMS updates about my application from Geaux Home Rentals. Message & data rates may apply. Reply STOP to unsubscribe.

Typed Full Legal Name (E-Signature)*

Date: 4/19/2026

Rental Application