Ohio Properties LLC

605 N. High St Ste 108

Columbus Ohio 43215

RENTAL APPLICATION

Address Applying for:

_______________________________________________

How did you hear about us?: Circle_ Craigslist_- Online- Sign – Realtor - Other

*************The following Information Must Be Completely Filled Out***********

Send by:

Fax: 800-267-1312

Email:

First name ________ Middle Name________ Last Name __________

SSN # - ______-____-______ Birth Date______/_____/________

Cell Phone # (____) _____ - _________

Email (required)_________________________________________

Married ___ Unmarried ___ Separated ___ (Check One)

Driver license #___________________Dependants ___ Ages ______________

Name/Relationship & phone # of closest living relative: ___________________

Present Address Own____ Rent_____ (Check One)

Length at this address ___Years ____ Months

Address - _________________________________

City ___________ State____ Zip __________

Landlord Phone* # ( ) ____ - ______

Former Address Own____ Rent_____ (Check One)

Length at this address___Years ____ Months

Address - _____________________________________

City ___________ State____ Zip __________

Landlord Phone* # ( ) ____ - ______

Former Address Own____ Rent_____ (Check One)

Length at this address___Years ____ Months

Address - _____________________________________

City ___________ State____ Zip __________

Landlord Phone # ( ) ____ - ______

Current Employer

Name - ________________

Address - ____________________________

City _______ State______ Zip _________

Work Phone # ( ) ____ - _____

Position____________________

Gross Monthly Income $________________

Length of time ____yrs ____months

Former Employer

Name - ________________

Address - _____________________________

City _______ State______ Zip __________

Work Phone # ( ) ____ - _____

Position____________________

Gross Monthly Income $________________

Length of time ____yrs ____months

Credit References:

Bank/Branch:__________________________

Checking Account No:___________________

Credit Card____________________________

Personal References:

1.)Name_______________________ Phone Number ___________

Relationship to you________________________

2.) Name_________________________ Phone Number______________

Relationship to you________________________

Do you give us permission to run your credit and a criminal background check?

Yes ______ No _______

Applicant __________________ Date _____________________