ANDREWS & ANDREWS PROPERTIES
5564 HEATHERDOWNS BLVD.
LEASING OFFICE
TOLEDO, OHIO 43614
RENTAL APPLICATION
(419) 349-7291 (Kevin)
(419) 349-2487 (Danielle)
(419) 720-2940 (Fax)
Complete the application truthfully; all blanks must be filled in.
The undersigned hereby makes application to rent unit number
______located at ______beginning on ______
at a monthly rent of $______.
Please tell us about yourself:
Full name ______Middle ______Phone ( ) ______
Previous Last Name______
Date of birth______Social Security No. ______
Name of Co-Applicant ______
Number of Dependents (excluding Co-Applicant) ______
Names & Ages & Relationship______
Pets, no dogs allowed (number & kind) ______
Marital Status______
In an emergency, whom could we notify? ______
Relationship______
Phone No.______
Please give your residence history for the past 3 years:
(Beginning with the most current)
Current Address______
Month/Year moved in______Reason for leaving______
Current Landlord’s Name & Telephone Number______
Previous address (If within 3 years) ______
Month/Year moved in______Moved out______
Reason for moving______
Landlord’s Name & Telephone Number______
Previous address______
Month/Year moved in______Moved out______
Reason for moving______
Please give your employment information:
Your status: ( ) Employed Full-time ( ) Employed Part-time
( ) Student ( ) Retired ( ) Unemployed
Employer______
Dates Employed______Employed as______
Supervisor ______
Address______
Salary $______per ______
Previous Employer ______
If there are any other sources of income that you would like us to
consider please list ______
Please list your bank and credit references:
Your Bank(s) City/State 1.______
2.______
Credit ReferencesCity/State
1.______
2.______
Vehicles:
Make______Model______Color______Year______
License Plate # ______State______
Make______Model______Color______Year______
License Plate # ______State______
Have you ever:Filed for bankruptcy? () Yes() No
Been evicted from tenancy? ( ) Yes ( ) No
Willfully or intentionally refused to pay rentwhen due?
( ) Yes ( ) No
Are you a registered sex offender? ( ) Yes ( ) No
Have you ever been convicted of a felony? ( ) Yes ( ) No
Where did you hear about us: ______?
Would you be interested in having our Buckeye Broadband Representative contacting you to help transfer any existing accounts or to get deals on a new account? ( ) Yes ( ) No
Email address:______
Endorsement:
Applicant herby verifies that the above information is correct and
Authorizes verification of all information.
Date______
Signature______