Rental Application
REP Realty, LLC
Office: 513-891-1393
Mobile: 513-258-1393 or 513-604-9755
Fax: 1-866-252-7178
Email:
Web Site: www.greatcincyhomes.com
Equal Housing Opportunity
A separate rental application must be filled out by each person 18 or over.
Please answer all questions & PRINT CLEARLY.
Security deposits must be posted at time of application.
Leasing agent:______Rental address:______Monthly rent: $______Security Deposit: $______
Applicant Name:______Today’s Date: ______Move in Date? ______
Applicant’s Current Address:______Street Address City State Zip code
Home/Mobile Phone Number w/ac:______Work Phone Number w/ac:______
Social Security Number:______Date of Birth:______
Driver’s License/State ID Number:______State:______
*************************************************************************************************
How many total people will live in the Dwelling?______What date do you want to move in?______
Who else besides yourself will live in the dwelling and what is their relationship to you? (Maximum 2 groups unrelated individuals)
______
Do you have any pets?______Describe:______
Who is you present landlord?______
Name Full Address Phone w/ac
How much is your present rent?______When did you move in?______When does your lease end?______
Why do you want to move?______Have you told your landlord you are moving?______
Are you being asked to leave by your landlord? ______Have you ever been evicted?______
Give us the details:______Do you own a vacuum cleaner?______
Who did you rent from before your current landlord?______
Name Full Address Phone
What is your primary source of Income?______What is your monthly gross income?______
Describe any other income:______
If employed, Who do you work for and what do you do?______
Company Name/Location/Phone Position
What is your supervisor’s name and phone number?______
Name Phone w/ac
Who do you bank with? ______Account #:______
Describe the vehicles you plan to keep at the dwelling:______
Have you ever been convicted of, or pled guilty or no contest to a felony whether or not resulting in a conviction?
Yes_____ No_____ If yes explain:______
Have you ever been convicted of, or pled guilty or no contest to a misdemeanor involving sexual misconduct whether or not resulting in a conviction?
Yes_____ No_____ If yes explain:______
Are you or any member this household considered a sex offender by any legal jurisdiction in the United States?
Yes_____ No_____ If yes explain:______
*************************************************************************************************Please give us the names of 2 unrelated persons who have know you for at least 2 years:
______
Name Full Address Phone w/ac
______
Name Full Address Phone w/ac
In case of an emergency, who should we contact?
______
Name Relationship Full Address Phone w/ac
The undersigned does hereby state and swear that all information contained in this rental application is true and accurate. Providing false, incomplete or misleading information in this application shall be cause for immediate termination of any subsequent lease agreement and/or occupancy at the option of the lessor. Lessor is hereby granted permission to gather information regarding applicant, and to verify the validity of all information contained in this application, including the conduction of credit reports, before, during and after occupancy. Employers, landlords, references and others are hereby granted full permission to release any information requested by the lessor. Applicant’s withdrawal of this application after submission may result in the retention of all or part of the posted security deposits as liquidated damages.
______
Signature Date
********************************************************************************************************************************************
Office Use Only:
Tentative Move In Date: ______Rental Dwelling Address______
Application fee:______Monthly rent:______Security Deposit: ______Income/Rent ratio ______Unit’s Occupancy Standard:______
______Maximum number of persons permitted - Number of of groups of unrelated individuals.______
OK Not OK
______Total Household Income:______
OK Not OK
______Present landlord reference:______
OK Not OK
______Previous landlord reference:______
OK Not OK
______Credit Worthiness:______
OK Not OK
______Utility turn on ok:______
OK Not OK
______Police report results:______
OK Not OK
______Crime question results:______
OK Not OK
______Home visit results:______OK Not OK
Approved:______Rejected:______
Reason:______
Initial/Date
Revised 6/08