Rental Application Form

This Application is for rental property located at:

Street:

City: State: Zip:

Desired date of occupancy:

Desired length of occupancy: Years: 1 2 3 4 5+

Reason For Moving:

Monthly Housing Allowance Ranges: Low: High:

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 Applicant is accepted and agrees with terms of lease, then defaults or breaches lease, Cincinnati Rentals, LLC has the right to perform an additional credit check.

A CREDIT REPORT FEE OF $25.00 IS DUE WITH THIS APPLICATION.  IF A SECOND ADULT WILL BE RENTING THE PREMISES, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION & PAY AND ADDITIONAL $25 FEE.

APPLICANT INFORMATION:

Full Name:

Social Security Number: Date of Birth:

Home Phone No. Cell Phone No.

E-Mail Address:

PRESENT ADDRESS:

Street:

City: State: Zip:

How long at present address: Years: 1 2 3 5+ 10+ Months: 0 1 2 6+

Landlord's Name: Phone No.

Current Monthly Payment: $

PRIOR ADDRESS:

Street:

City: State: Zip:

How long at prior address: Years: 0 1 2 3 5+ 10+ Months: 0 1 2 3-6 7+

Landlord's Name: Phone No.

Prior Monthly Payment: $

Reason For Moving:

OCCUPANCY:

Number of Occupants: Adults 1 2 3 4 5+ Children: 0 1 2 3 4 5+

Please provide names of other tenants, including children and anyone who will live with you, even if on a temporary basis.

Adults:

Name: Relationship:

Name: Relationship:

Name: Relationship:

Name: Relationship:

Name: Relationship:

Children:

Name: Age:

Name: Age:

Name: Age:

Name: Age:

Name: Age:

Waterbeds: Yes No

Pets: Yes No      

If Yes,

           How many cats? 0 1 2+

           How many Dogs? 0 1 2+

                    Dog Breed: Small 0 1 2+ Med 0 1 2+ Large 0 1 2+

                    Please keep in mind that some areas/HOAs have breed restrictions.

Vehicle Information

Driver's License Number: State Issued:

Vehicle Model: Year: Plate Number:

Vehicle Model: Year: Plate Number:

Vehicle Model: Year: Plate Number:

SOURCE OF INCOME:

Monthly Wages:           

Yearly Salary :              

Commission:                 

Tips:                             

Gov't Assistance:          

Child Support/Alimony:

Other:                           

CURRENT EMPLOYER:

Employer Name:

Position:

How Long: Year/s 0 1 2 3 5+ 10+ Months 0 1 2 3 6+ 9+

Supervisor Name: Phone:

Annual Income:

PAST EMPLOYER: (If less then two years with Current Employer:)

Employer Name:

Position:

How Long: Year/s 0 1 2 3 5+ 10+ Months 0 1 2 3 6+ 9+

Supervisor Name: Phone:

Annual Income:

BANK REFERENCES:

Name and Branch:

Name(s) on Account:

Account Type: Checking Savings

Account Number: Account Balance:

Name and Branch:

Name(s) on Account:

Account Type: Checking Savings

Account Number: Account Balance:

CREDIT REFERENCES:

Credit Card Name:

Issuing Bank:

Account Number:

Credit Limit:$   Balance Owed: $   

Monthly Payment: $ Year Issued:

Expiration Date: Month January February March April May June July August September October November December Day 12 34 56 78 910 1112 1314 1516 1718 1920 2122 2324 2526 2728 2930 31 Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Credit Card Name:

Issuing Bank:

Account Number:  

Credit Limit:$   Balance Owed: $

Monthly Payment: $ Year Issued:

Expiration Date: Month January February March April May June July August September October November December Day 12 34 56 78 910 1112 1314 1516 1718 1920 2122 2324 2526 2728 2930 31 Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Others Please List Names:

Do You Own Real Estate? Yes No

              If Yes, Explain

Have you ever been evicted from any rental premises? Yes No

              If Yes, Explain

Have you ever willfully and intentionally refused to pay rent when due? Yes No

              If Yes, Explain

Are there any circumstances which may interrupt your income or ability to pay rent? Yes No

              If Yes, Explain

Have you ever been convicted of a felony? Yes No

              If Yes, 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.