RENTAL APPLICATION

(Please print, use reverse side for additional information)

 

NAME:                                                                                                      D.O.B.                      SSN#               -        -               .

Name, Date Of Birth, SSN#, Relationship (wife, child, uncle, etc.), for each person who will be living with you.

1.                                                                                                                                                                                                     .

2.                                                                                                                                                                                                     .

3.                                                                                                                                                                                                     .

 

CURRENT ADDRESS                                                             City / State                                                  Zip code                   .

Starting date of occupancy                            .

Landlord Name                                                                               Phone (       )                            Rent per month $                   .

Landlord Address                                                                    City / State                                                    Zip code                   .

 

Former Address.                                                                    City / State.                                                  Zip code.                     .

Former Landlord.                                                                  City / State.                                                   Zip code.                     .

Phone# (     )                         Dates of occupancy from                            To                           .

 

CURRENT EMPLOYER                                                                                                            Phone (        )                             .

Employer Address                                                                   City / State                                                  Zip code                     .

Immediate supervisor name                                                                                                         Phone (        )                             .

Average hours worked per week                Working hours                        am/pm To                   am/pm

Monthly income from this employer $                        Paid weekly or                                          .

PREVIOUS EMPLOYER                                                                                                             Phone (       )                            .

Address                                                                                            City / State                                           Zip Code                   .

Length of service yrs.            Start date                             Ending date.                            . 

 

SPOUSE’S Employer                                                                                                                    Phone (        )                           .

Employer Address                                                                         City / State                                            Zip code                     .

Immediate supervisor name                                                                                                           Phone (       )                            .

Average hours worked per week                Working hours                         am/pm To                   am/pm

Monthly income from this employer $                        Paid weekly or                            Start date                         .

PREVIOUS EMPLOYER                                                                                                               Phone (      )                           .

Address.                                                                                          City / State.                                           Zip Code.                  .

Length of service yrs.            Start date                             Ending date.                            .

 

OTHER SOURCES OF INCOME (child support, social security, etc.)

1.                                                                                                                                                                                                     .

2.                                                                                                                                                                                                     .

3.                                                                                                                                                                                                     .

 

Nearest living relative, not currently living with you.

Name                                                                                                                                           Phone (         )                             .

Address.                                                                                    City / State.                                                Zip code.                   .

 

Please describe in detail the reasons for which you are moving.

                                                                                                                                                                                                        .

                                                                                                                                                                                                        .

                                                                                                                                                                                                        .

 

Description of any pets.

                                                                                                                                                                                                        .

 

                                                        signatures.                                                                                            Date.                          .

                                                                                                                                                                                     .

Mail to:  J. Baughman

              2249 Savoy Ave.

              Akron, OH. 44305        OR