Renters Application & Consent to Background Check

APPLICANT INFORMATION:
Name*
First Last

Note: Please include your middle initial in the first name field.
If more than one adult is applying for this property you will have to complete two applications and will be charged for two credit check fees.
Current Address*
Street Address Address Line 2 City State ZIP Code
Phone*
(###)###-####
Email*
Applicants Date of Birth
MM slash DD slash YYYY

mm/dd/yyyy
Social Security Number*
Please provide your SSN with no dashes. This is required in order to complete your credit check.
Driver's License No./ST:*

Please provide us with your current driver's licenses and State it is issued from. (example: 1025451BQU/OH)

This application is for the rental property located at:*
Street Address City State ZIP Code

Please provide the property address you are applying for.
Desired date of occupancy:
MM slash DD slash YYYY
Desired length of occupancy: (Years)
Reason for leaving your current residence:
Monthly Housing Allowance Range:

please provide us with a low-high range
The applicant understands that Cincinnati Rentals, LLC may perform a credit check to verify the Applicant's credit references and, credit history in connection with the processing of this Rental Application. If the Applicant accepts and agrees with terms of the lease, then defaults or breaches the lease, Cincinnati Rentals, LLC has the right to perform additional credit check(s).*
- I agree

Occupancy:
No. of Occupants:

Please tell us the number of people who will occupy the property you are applying for. (#adults/#children)
Name/Relationship:
Name/Relationship:
Name/Relationship:
Name/Relationship:
Water bed:
- Yes
- No
Smokers:
- Yes
- No
Pets:
- Yes
- No
Vehicle Information
Vehicle Model/Year Car 1:

Please provide the vehicle model and year with a slash in between the info.
Licenses Plate Number for Car 1:
Vehicle Model/Year Car 2:
Licenses Plate Number for Car 2:
Vehicle Model/Year Car 3:
Liceses Plate Number for Car 3:

Source of Income
Monthly Wages:
Yearly Salary:
Commission:
Tips:
Government Assistance:
Child Support/Alimony:
Other:
Current Employer
Company Name:
Position/Title:

please provide the position or title that you most recently held at this employer.
Lenght of Service:

Please provide no. years and months at this employer. (Y/M)
Supervisors Name:
First Last
Supervisors Phone No.:
(###)###-####
Annual Income:
Past Employer
Please complete this section if you have been with your current employer for LESS THAN TWO YEARS.
Company Name:
Position/Title:
Lenght of Service:

Please provide no. of years and months at this employer. (Y/M)
Supervisors Name:
First Last
Supervisors Phone:
(###)###-####
Annual Income:

Bank References
Bank Name:
Name(s) on Account:

Please provide all names on this particular account.
Account Type:
- Checking
- Savings
Account Number:
Account Balance:
Bank Name:
Name(s) on Account:
Account Type:
- Checking
- Savings
Account Number:
Account Balance:

Credit References
Credit Card Name:
Issuing Bank:
Account Number:
Credit Limit:
Please provide in dollars ($)
Current Balance Owed:
Monthly Payment:
Year Issued:
Expiration Date:
Month
Day
Year
Credit Card Name:
Issuing Bank:
Account Number:
Credit Limit:
Balanced Owed:
Monthly Payments:
Year Issued:
Expiration Date:
Month
Day
Year
Additional Credit Cards:
Please list the names of your additional credit cards seperating each name with a comma.

Statement of Agreement
Do you own real estate?
If Yes, please explain:
Have you ever been evicted from any rental premises?
If yes, please explain:
Have you ever willfully and intentionally refused to pay rent when due?
If yes, please explain:
Are there any circumstances which may interrupt your income or ability to pay rent?
If yes, please explain:
Have you ever been convicted of a felony?
If yes, please explain:
I Represent that the information provided in the Application is true and correct to the best of my knowledge. Cincinnati Rentals, LLC is authorized to verify the references and employment information given in the Application and to request a credit check. I understand by submitting this application I am giving Cincinnati Rentals, LLC an electronic signature and I am allowing them to run my credit report. Please understand that all information submitted to Cincinnati Rentals, LLC remains with Cincinnati Rentals, LLC on our secured database. Your information is used for internal use only and will not be shared with any other party. If applicant is not accepted their information with be destroyed completely. It is against the law to discriminate against prospective tenants on the basis of race, religion, national origin, age, disability or family status. Local or state laws may include additional classes which are protected from discrimination in housing. I Understand and acknowledge everything I have read and filled in. I now wish to submit my application for review.*
- I agree
Application Processing Fee*
Price:
Total
$0.00

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Renters Application & Consent to Background Check

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APPLICANT INFORMATION:

Occupancy:

Vehicle Information

Source of Income

Current Employer

Past Employer

Bank References

Credit References

Statement of Agreement

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Renters Application & Consent to Background Check

Step 1 of 7

APPLICANT INFORMATION:

Occupancy:

Vehicle Information

Source of Income

Current Employer

Past Employer

Bank References

Credit References

Statement of Agreement

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