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Zanesville
Cambridge
Byesville
Availability
Contact Us
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Rental/Credit Application
Date
*
Property Applying for:
*
Interviewed By
PERSONAL INFORMATION
Full Name
*
Social Security
*
Birth Date
*
Phone
*
Drivers License #/State
*
Email
Present Address
*
City/State/Zip
*
Dates lived at address
*
Rent $
*
Utilities you paid
*
Landlord
*
Phone
*
Reason for leaving?
*
Prior Address
City/State/Zip
Dates lived at prior address
Reason for Leaving?
Prior Landlord
Phone
How many will be living in this unit?
Adults
*
Children
*
Name(s) and Relation
Current Employer
*
Occupation
*
Current Salary
*
Dates Employed at this job
*
Supervisor
*
Telephone
*
Other Income List Here (child support, disability, etc)
Previous Employer
Occupation
Current Salary
Dates Employed at this job
Supervisor
Telephone
2ND TENANT INFORMATION
Full Name
Social Security
Birth Date
Phone
Drivers License #/State
Email
Employer
Occupation
Current Salary
Dates Employed at this job
Supervisor
Telephone
Other Income List Here (child support, disability, etc)
Previous Employer
Occupation
Current Salary
Dates Employed at this job
Supervisor
Telephone
BANK/FINANCIAL/CREDIT CARD INFORMATION
Checking's or Savings?
If so, which Bank/Institution:
Credit Card #1:
VISA
MC
Discover
Balance: $
Average Monthly Payments: $
Credit Card #2:
VISA
MC
Discover
Balance: $
Average Monthly Payments: $
Loans:
Type of Loan
Name of Creditor
Amount Owed
Monthly Payments
Other Major Obligations (Child Support, Hospital Bills, Rent to Own, etc)
Type
Payee
Amount Owed
Monthly Payments
EMERGENCY CONTACT INFORMATION & PERSONAL/CREDIT REFERENCES
Name
Phone #
Relationship
Address - Street, City, State, Zip
References:
Name:
Relationship:
Telephone:
Reference #1
Reference #2
Reference #3
OTHER INFORMATION
Vehicle Make & Model
Year
Color
Plate #
State
HAVE YOU EVER
1: Been served an eviction notice or been asked to vacate a property you were renting?
*
Yes
No
When and Why?
*
2: Been convicted of a felony?
*
Yes
No
When and What Felony
*
3: Filed for bankruptcy?
*
Yes
No
How many times and when?
*
4: Willfully or intentionally refused to pay rent when due?
*
Yes
No
When and Why?
*
5: Been sued?
*
Yes
No
When and Why?
*
6: Sued someone else?
*
Yes
No
When and Why?
*
7: Does anyone currently smoke or vape?
*
Yes
No
8: Do you have any pets?
*
Yes
No
what kind and how many?
*
9: Do you have any water-filled furniture you want to have in the rental property?
*
Yes
No
Explain What
*
10: How were you referred to us?
*
What date do you want the lease to begin?
*
Will you have both 1st month rent plus deposit?
*
Any reason you can't establish an electric account?
*
Yes
No
Explain Why
*
Agreement & Consent to Background Check
I believe that the statements I have made are true and correct. I hereby authorize the verification of information I provided, communication with any and all names listed on this application and for the issuer of this form to conduct a background check to obtain additional information on credit history, criminal history and all Unlawful Detainers. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a home or apartment and does not constitute a rental or lease agreement in whole or in part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund.
Signature:
*
Date:
*
Submit