AppApp2

    Applicant Information










    *Landlord:










    Landlord's Address:
    City:
    State:
    Zip:

    *Occupation:
    *Employer:
    *Contact:
    *Phone:

    *Business Address:
    *Phone:
    *How Long:

    *Gross Monthly Salary:
    Other Income/Explain:

    Prev. Employer:
    How Long:

    Address:
    City:
    State:
    Zip:

    *Nearest Relative:
    *Phone:
    *Address:
    *City:
    *State:
    *Zip:

    *Reference (Friend):
    *Phone:
    *Address:
    *City:
    *State:
    *Zip:

    *Banking With:
    *Branch:

    Car Make & Model:
    Year:
    Plate #:
    State:

    Co-Applicant [checkbox* co-ap use_label_element exclusive "Yes" "No" placeholder ""]

    Name:
    DOB:
    SS#:
    Phone:
    Co-Applicant's email:

    Address: City: State: Zip:
    How Long: Monthly Housing Payment:

    Landlord: Phone:
    Address: City: State: Zip:


    Previous Address: City: State: Zip:
    How Long:

    Previous Landlord: Phone:
    Address: City: State: Zip:


    Occupation: Employer: Phone:
    Contact: Business Address:
    How Long:
    Gross Monthly Salary: Other Income/Explain:

    Previous Employer: How Long:
    Address: City: State: Zip:

    Nearest Relative: Phone:
    Address: City: State: Zip:

    Reference (Friend): Phone:
    Address: City: State: Zip:

    Banking With: Branch:

    Car Make & Model: Year: Plate #: State:
    [/group placeholder ""]

    *No. Of Other Occupants:

    *Any Pets: [checkbox* pets use_label_element exclusive "Yes" "No" placeholder ""]

    Type: How Many: Weight: [/group placeholder ""]

    NO PETS ARE PERMITTED ON THE PREMISES WITHOUT LANDLORD’S CONSENT


    Please list all monthly obligations (car payment, alimony, etc.) in ADDITIONAL INFORMATION section on page 2.

    *Has any applicant ever been sued, garnished, filed bankruptcy, evicted or ever broken a lease by moving before it has expired?   [checkbox* evicted use_label_element exclusive "Yes" "No" placeholder ""]   If yes, give details in ADDITIONAL INFORMATION section on page 2.

    *Has any applicant or any person who will reside in the Premises ever been convicted of a felony or of a crime involving the use, sale or manufacturing of illegal drugs or the possession of drug paraphernalia?   [checkbox* drugs use_label_element exclusive "Yes" "No" placeholder ""]   If yes, please provide date and place of conviction, nature of offense, sentence, and dates of incarceration, if any, in ADDITIONAL INFORMATION section on page 2.

    *Has any applicant or any person who will reside in the Premises ever been convicted of or plead guilty to a “sexually-oriented offense” or been required
    to register with a designated law enforcement official pursuant to Ohio Revised Code § 2950.01 et. seq., or been deter-mined to be a “sexual predator” or a
    “sexually-oriented offender” within the meaning of Ohio Revised Code § 2950.01 et. seq.?   [checkbox* predator use_label_element exclusive "Yes" "No" placeholder ""]

    *Applicant(s) Initials:

    Co-Applicant's Initials:

    (Continued on Page 2)


    RENTAL APPLICATION (Page 2)

    *Type of Premises Applied For: [select* type-apt "Choose" "1.1" "2.1" "2.1.5" "2.2" placeholder ""] *No. of Persons to Occupy Suite: [select* occupants "Choose" "1" "2" "3" "4" "4+" placeholder ""] *No. of Cars: [select* cars "Choose" "1" "2" "2+" placeholder ""]


    Suite No.: Address: Garage No. (if any): Rent:

    The Parties to this application agree that the term of tenancy is to be for a period of (Months): [text span placeholder "12" placeholder ""]
    Commencing: Ending: Preferred Move In:


    PLEASE READ CAREFULLY BEFORE SIGNING
    The undersigned warrants and represents that all statements in this application are true and agrees if accepted, to execute upon presentation a lease in the usual form and on the terms and conditions therein stated, which lease may be terminated by the Landlord if any statement made herein is not true or is misleading. It is agreed that if accepted, this application will become part of the lease agreement. It is also agreed that the application fee is nonrefundable and that the initial deposit is to be applied to the security deposit should applicant enter into a lease agreement. If the applicant refuses to enter into a lease and pay the balance of the security deposit due within five (5) business days after being notified that this application is approved, the initial deposit shall be retained as liquidated damages. The initial deposit is to be refunded if said application is not accepted by the Landlord. This application and deposit are not assignable. False or misleading information or failure to disclose any information asked for in this application will be grounds for rejection of said application without further inquiry. Acceptance or rejection of this application shall remain in the sole discretion of Landlord.
    The undersigned understands that no person shall be permitted to occupy the Premises if before or during the term of the Lease that person (1) has been convicted of, is convicted of, has pleaded guilty to, or pleads guilty to a “sexually-oriented offense” or had or has a duty to register with a designated law enforcement official pursuant to Ohio Revised Code § 2950.01 et. seq., or (2) is or becomes a “sexual predator” or a “sexually-oriented offender” within the meaning of Ohio Revised Code § 2950.01 et. seq.

    APPLICANT AND CO-APPLICANT EACH MUST SIGN APPLICATION, AND HEREBY CONSENT TO CREDIT, EMPLOYMENT, CRIMINAL AND RESIDENCY BACKGROUND INQUIRIES.

    Additional Information:

    *Transfer Clause requested: [checkbox* trans-clause use_label_element exclusive "Yes" "No" placeholder ""] (Applicant(s) please initial either way.)

    *Applicant's Initials:

    Co-Applicant's Initials:

    *If more information is needed to process this application, applicant may be phoned at:

    Applicant(s) hereby certify that the information in this application is complete and accurate, and agree that, in the event that this information is not complete or accurate, Landlord may deny this application and have no further obligation to rent to applicant(s).

    *Applicant Signature:

    *Applicant's Name Printed:

    Co-Applicant Signature:

    Co-Applicant's Name Printed:

    ********************************************************************************************************************

    FOR OFFICE USE ONLY:
    Application Fee $_____________ Initial Deposit $___________________ Interviewed By:_______________________ Date_____________________
    Move In Date_________________________
    REMARKS__________________________________________________________________________________________________________________
    _____________________________________________________________________________________________________________________________
    _____________________________________________________________________________________________________________________________
    Date Notified_____________________ Date Approved___________________________ ID Checked_______________________________

    RentalApp/2023/IS