Rental Application


Call Don at 614-496-1183
Fax to 614-846-2140

Rental Property Address

Address:

City:

State:

Zip Code:


Applicant Information

Full Name:

Date of Birth:

Home Phone:

Social Security Number:

Other Phone Number:

Email Address (Optional):


Please Give Residential History (Last 3 years)

Address

City

State

Zip

Moved in date

Landlord

Owner Phone#

Rent Per Month $

Was your rent kept current?

Reason for Leaving

 

 

_____________________________________________________________________

 

Address

City

State

Zip

Moved in date

Landlord

Owner Phone#

Rent Per Month $

Was your rent kept current?

Reason for Leaving


Please Describe Your Credit History



Have you declared bankruptcy in the past seven (7) years?



Have you ever been evicted from a rental residence?



Have you had two or more late rental payments in the past year?



Have you ever willfully or Intentionally refused to pay rent when due?



List current financial obligations

Car?

Alimony/Child Support

Credit Cards?

Other(Please Explain)?


Please Provide Your Employment Information

Your Status

Current Employer

Date Started

# of Hours per Week

Amount Paid Per Hour ($)

Position

Supervisor Name

Phone#

 

_____________________________________________________________

 

Previous Employer

Date Started

Phone#

#of Hours Per Week

Amount Paid Per Hour

 

_________________________________________________

 

If you have other source of income that you would like us to consider, please list income, source and person (banker, employer, etc) who we may contact for confirmation. You do not have to reveal alimony, child support or spouse's annual income unless you want us to consider it in this application

Amount $

Source/Contact Name


Driver's License and Bank Account Information

Driver's License #

State

Vehicle: Make

Year

License Plate State

Plate No Year

Bank Account

Type


Co-Applicant Information



Full Name

Home phone

Date of Birth

Social security #

Email Address (optional)

Other Phone


Co-applicant's Residential History (Last 3 years)

Address

City

State

Zip

Moved in date

Landlord

Owner Phone#

Rent Per Month $

Was your rent kept current?

Reason for Leaving

 

 

_____________________________________________________________________

 

Address

City

State

Zip

Moved in date

Landlord

Owner Phone#

Rent Per Month $

Was your rent kept current?

Reason for Leaving


Co-applicant's Credit History



Have you declared bankruptcy in the past seven (7) years?



Have you ever been evicted from a rental residence?



Have you had two or more late rental payments in the past year?



Have you ever willfully or Intentionally refused to pay rent when due?



List current financial obligations

Car?

Alimony/Child Support

Credit Cards?

Other(Please Explain)?


Co-applicant's Employment Information

Your Status

Current Employer

Date Started

# of Hours per Week

Amount Paid Per Hour ($)

Position

Supervisor Name

Phone#

 

_____________________________________________________________

 

Previous Employer

Date Started

Phone#

#of Hours Per Week

Amount Paid Per Hour

 

_________________________________________________

 

If you have other source of income that you would like us to consider, please list income, source and person (banker, employer, etc) who we may contact for confirmation. You do not have to reveal alimony, child support or spouse's annual income unless you want us to consider it in this application

Amount $

Source/Contact Name


Co-applicant's Driver's License and Bank Account Information

Driver's License #

State

Vehicle: Make

Year

License Plate State

Plate No Year

Bank Account

Type


Additional Information



Have either you or the co-applicant been convicted if any kind of crime in the last 5 years?

Personal Reference

Name

Address

Phone

Relationship

Name

Address

Phone

Relationship

In case of emergency, Notify Home phone

Work phone

Relationship


In the event of serious Illness or death, is the above person authorized to enter your residence and remove contents?


I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting an apartment or house with All Credit Considered. I recognize that as a part of your procedures for processing my application, an investigative consumer report may be prepared whereby information is obtained through interviews with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, and mode of living.



The above information, to the best of my knowledge, is true and correct



Please sign


Applicant

date

Co-Applicant

date