| form updated Feb 12, 2012 Rental Application A separate application must be filled out for each tenant over 18 years old. The $20.00 application fee and security deposit MUST accompany this application. Call 304-552-4168 to turn in application |
House/apt applying for _________________________________________
When you plan to move in if approved __________________________
PERSONAL
Full legal name _________________________________________________________________
Maiden, married & all other names used (past or present)_________________________________________
Your Phone #(s) _____________________________________________________
Your Email ____________________________________________________
Your Social security #______________________________ Date of birth _____________________________
Your Drivers license #_________________________ Exp. __________
Other occupants Age Relationship
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
Address where you're currently residing _________________________________________________
_________________________________________________
Landlord Name ___________________________________ Landlord phone # ______________________
Reason for moving ________________________________________ Current rent amt ________________
Dates at current address? ____________________
Previous address ________________________________________________
_________________________________________________
Landlord Name _____________________________________ Landlord phone # ____________________
Reason for moving ________________________________________ Rent amt ______________
Dates at previous address? ____________________
INCOME
Current employer _________________________________________________
Dates of employment ___________________________
Position held ____________________________________________________
Business address ________________________________________________
________________________________________________
Name & title of supervisor __________________________________________
Phone number(s) of supervisor ______________________________________
Monthly gross income ___________________________
Previous employer _________________________________________________
Dates of employment ___________________________
Position held ____________________________________________________
Business address ________________________________________________
________________________________________________
Name & title of supervisor __________________________________________
Phone number(s) of supervisor ______________________________________
Monthly gross income ___________________________
Other income to be considered _____________________________________________________________
_____________________________________________________________________________________
PETS
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
Have any of your pets ever bit anyone? ____ Have any of your pets ever shown any aggressive behavior? ___
No dogs under 1 year are allowed. Do you have any dogs UNDER 1 year old ? _____
There is a maximum of 3 animals permitted. Do you have more than 3 animals? _____
Dogs over 80lbs are prohibited. Are any of your dogs over 80lbs? _____
OTHER INFO
Does anyone in the household smoke? _____ If so, do you agree not to smoke inside the property? ______
Have you ever filed a petition for bankruptcy? ____________
Have you ever been evicted from any tenancy? ____________
Have you ever not paid any rent when due? ______
Have you ever been convicted of a crime? ____________
If you answered yes to any of the above, please explain in detail: ___________________________________
_______________________________________________________________________________________
Please tell us about your credit? _____________________________________________________________
_______________________________________________________________________________________
I declare that the foregoing information is true and correct and authorize verification of the information. I also
authorize Old World Investments, LLC and Real Estate Central LLC to obtain a credit report and background
check and to thoroughly check all references by former landlords. I further agree that Management may
terminate any agreement entered into in reliance on any misstatement made above.
I agree that I have read the standard lease used by Old World Investments, LLC and Real Estate Central LLC
and agree to the terms if approved as a tenant. I also agree to start the lease within 2 days of being approved or
as soon as the unit is available for rent. I understand that my deposit check will be returned if I am not approved.
If I am approved, the deposit check will be cashed immediately upon approval and will only refundable upon
completion of the lease and will be based on the terms of the lease.
_________________________________________ _______________
signature date
_______________________________________________________________________________
For office use only
Checked DL for name spellings ___ address match ___ photo match ___
Checked pay stub for company _________________ name match ___ address match ___
check amt & period____________ YTD _________other _______________________________Wss
When you plan to move in if approved __________________________
PERSONAL
Full legal name _________________________________________________________________
Maiden, married & all other names used (past or present)_________________________________________
Your Phone #(s) _____________________________________________________
Your Email ____________________________________________________
Your Social security #______________________________ Date of birth _____________________________
Your Drivers license #_________________________ Exp. __________
Other occupants Age Relationship
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
Address where you're currently residing _________________________________________________
_________________________________________________
Landlord Name ___________________________________ Landlord phone # ______________________
Reason for moving ________________________________________ Current rent amt ________________
Dates at current address? ____________________
Previous address ________________________________________________
_________________________________________________
Landlord Name _____________________________________ Landlord phone # ____________________
Reason for moving ________________________________________ Rent amt ______________
Dates at previous address? ____________________
INCOME
Current employer _________________________________________________
Dates of employment ___________________________
Position held ____________________________________________________
Business address ________________________________________________
________________________________________________
Name & title of supervisor __________________________________________
Phone number(s) of supervisor ______________________________________
Monthly gross income ___________________________
Previous employer _________________________________________________
Dates of employment ___________________________
Position held ____________________________________________________
Business address ________________________________________________
________________________________________________
Name & title of supervisor __________________________________________
Phone number(s) of supervisor ______________________________________
Monthly gross income ___________________________
Other income to be considered _____________________________________________________________
_____________________________________________________________________________________
PETS
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
Have any of your pets ever bit anyone? ____ Have any of your pets ever shown any aggressive behavior? ___
No dogs under 1 year are allowed. Do you have any dogs UNDER 1 year old ? _____
There is a maximum of 3 animals permitted. Do you have more than 3 animals? _____
Dogs over 80lbs are prohibited. Are any of your dogs over 80lbs? _____
OTHER INFO
Does anyone in the household smoke? _____ If so, do you agree not to smoke inside the property? ______
Have you ever filed a petition for bankruptcy? ____________
Have you ever been evicted from any tenancy? ____________
Have you ever not paid any rent when due? ______
Have you ever been convicted of a crime? ____________
If you answered yes to any of the above, please explain in detail: ___________________________________
_______________________________________________________________________________________
Please tell us about your credit? _____________________________________________________________
_______________________________________________________________________________________
I declare that the foregoing information is true and correct and authorize verification of the information. I also
authorize Old World Investments, LLC and Real Estate Central LLC to obtain a credit report and background
check and to thoroughly check all references by former landlords. I further agree that Management may
terminate any agreement entered into in reliance on any misstatement made above.
I agree that I have read the standard lease used by Old World Investments, LLC and Real Estate Central LLC
and agree to the terms if approved as a tenant. I also agree to start the lease within 2 days of being approved or
as soon as the unit is available for rent. I understand that my deposit check will be returned if I am not approved.
If I am approved, the deposit check will be cashed immediately upon approval and will only refundable upon
completion of the lease and will be based on the terms of the lease.
_________________________________________ _______________
signature date
_______________________________________________________________________________
For office use only
Checked DL for name spellings ___ address match ___ photo match ___
Checked pay stub for company _________________ name match ___ address match ___
check amt & period____________ YTD _________other _______________________________Wss
| All applicants will be evaluated on the following criteria ________________ credit collections criminal record sex offender record references income & employment rental history financial ability (rent must not exceed 40% of income) evictions identification home visit |
| The following items will be required for each resident over 18 _________________ completed rental application $20.00 application fee drivers license or other state issued photo ID card 2nd form of ID copy of last pay stub |
| We do not discriminate based on any of the following ________________ race color religion sex disabilities familial status national origin ancestry blindness sexual orientation |
Please write
separate checks for
the deposit and
application fee(s). If
your application is
not approved the
deposit check will be
returned to you.
separate checks for
the deposit and
application fee(s). If
your application is
not approved the
deposit check will be
returned to you.
You can pay your
application fee
online by clicking the
"Buy Now" link below
or you can include a
check, cash or
money order with
your application.
Please check with
Jennifer at
304-552-4168 to
make sure the house
you're applying for is
still available before
submitting payment
online.
application fee
online by clicking the
"Buy Now" link below
or you can include a
check, cash or
money order with
your application.
Please check with
Jennifer at
304-552-4168 to
make sure the house
you're applying for is
still available before
submitting payment
online.
