Green Fox LLC Lease Application Form

Everyone over the age of 18 must sign their own application and pay the application fee of $75.

For the application to be considered complete, this form must be completely filled out, all requested documents uploaded, signed, and the application fee must be received.  The $75 application fee can be paid by cash, money order, cashier's check, or with Paypal at info@DaytonHomesForRent.com . 

It is illegal, pursuant to the Ohio Fair Housing Law, Division (H) of Section 4112.02 of the Revised Code and the Federal Fair Housing law, 42 U.S.C.A. 3601, as amended, to refuse to sell, transfer, assign, rent, lease, sublease or finance housing accommodations, refuse to negotiate for the sale or rental of housing accommodations, or otherwise deny or make unavailable housing accommodations because of race, color, religion, sex, familial status as defined in section 4112.01 of the Revised Code, ancestry, military status as defined in that section, disability as defined in that section, or national origin or to so discriminate in advertising the sale or rental of housing, in the financing of housing, or in the provision of real estate brokerage services.  

APPLICATION for occupancy of 51 Lynn Rae Circle Centerville 45458 . Application submitted to: Leah McCullough, Property Manager or its owner(s) Phone 859-380-9737. Non-refundable fee must be paid before this form is processed of $75 per person over the age of 18 who will occupy this residence. Each resident signs their own lease application.

By submitting this application, I authorize the investigation of related facts and the exchange of reports regarding this application with credit reporting agencies and others.  If requested, I will be told the name and address of agencies being used.  Investigation can take up to 5 full working WEEK days - following receipt of application.  

INSTRUCTIONS: A response is required for each blank. Use N/A if not applicable.  All residents 18 years of age, or older, must complete a separate application.  Use full names and initials.  If currently living with relatives then use their address as present address. Any statements or information that is false will immediately terminate lease or application. You will automatically lose any application fees, deposits or rents paid.

FILL OUT ENTIRE APPLICATION TO BE CONSIDERED. 

Please submit:

Pay stubs from last 3 months

Proof of any child support, SSI, SSD, or other forms of income

Copy of current driver license

Good phone numbers for past 3 landlords

Good phone number for current employer(s)

Proof of US citizenship or sponsor who will guarantee rent

FEES: 

It is understood that a rental application fee of $75.00 is collected to pay for the investigation and that this fee is NOT refundable.  Application form is not considered submitted until the $75.00 application fee is received.  

If approved, the landlord will collect a separate security deposit.  Security deposit is held until tenant vacates property and all rental agreement conditions have been met.

Once you have been approved and paid your security deposit, the first month’s rent must be paid before move in can start.  If you decide not to take the property for any reason once the lease agreement is signed, there are no refunds for the above fees.  You may also be subject to damages such as loss of rents and expense to re-rent said property. 

NOTE: Pets are only permitted if pre-approved in writing by the landlord/property manager or its owner via a signed pet rider and all necessary pet fees have been paid - NO exceptions.

REQUIRED: A current picture of each pet, plus have your veterinarian directly fax us copies of their health record directly to our office at 937-439-1098. The records must show verification of breed plus that your pet is up-to-date on shots and flea preventative.

If you decide to get a pet after you have moved in YOU MUST obtain pre-approval from the landlord/property manager or owner before bringing the pet onto property.  Pre-approval must be in writing with signed paperwork and pet fees must be prepaid. 

If you are found to harbor pet or pet-sitting without formal pre-approval in writing, you are considered to have a pet on the property without permission which is grounds for immediate eviction and loss of Security Deposit.  Emotional support animals must go through an approval process and are not automatically accepted.  Registered service dogs are always accepted, but must be listed.

No vicious breeds of dogs are ever allowed on this property.  No aggressive or dogs with a history of biting are allowed on this property.

To Whom It May Concern

 

UNDERSIGNED APPLICANTS AUTHORIZE ANY PERSON OR FIRM TO RELEASE INFORMATION CONCERNING THEIR CREDIT AND PAYMENT HISTORY UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM, AT ANY TIME.

I hereby authorize Green Fox LLC or their agents, owners or representatives to obtain information concerning my past, current and future credit, rental and employment history, and to answer any questions in the future. I hereby authorize any of the following sources, including but not limited to (1) credit reporting agencies (2) public or privately owned utility companies (3) government housing (4) current and past landlords, employers or creditors to release any said information to the above named party.

I hereby authorize release of any of the above sources, their officers, agents or employees from any liability for damages of any kind whatsoever, either caused by negligence or not, which may at any time result in a decision not to rent this property now or in the future by reason of compliance with the above mentioned inquiry, which may include the answering of specific questions and the giving of information concerning my (applicant and co-applicants) present or past record. 

Additionally I give the above party and their agent/owner/lender permission to copy and submit this form as needed for the purpose of processing my rental application, lease, lease option or rent to own and to continue to get information for credit collections when occupying property in the future.

Authorization for Release of Information

 

Purpose: Dayton Homes for Rent – Green Fox will use this authorization and the information obtained with it to administer and enforce rules and policies related to the rental property owned and/or managed by the above named organization.  

Authorization: I authorize the above named organization and its manager/employees or owner to obtain information about me or my family that is pertinent to the rental of property, periodic reviews during the term of the lease, and subsequent to the term, if collection efforts are required for any monies owed pertaining to the rent of this property.  

Information collected and covered-inquiries may include but are not limited to: 

Handicapped assistance expenses

Medical expenses

Child care expenses

Criminal activity

Credit history

Social security numbers

Residences and rental history

Identity and marital status

Family composition

Employment/income/pensions/assets

Federal/state/tribal/local benefits 

 

Computer Matching Notice & Consent: I agree that the above named organization may conduct computer matching programs with other governmental agencies including Federal, State, Tribal or any local agencies.

Government agencies include but are not limited to: Police departments, FBI, US Post office personnel management, US Social Security Agencies, State Welfare and Food Stamp agencies and Department of Defense. The match will be used to verify information supplied by the family. 

Conditions: I agree that photocopies of this authorization may be used for the purposes as stated above. If I do not sign this authorization, I understand I may be denied occupancy of rental property owned and/or managed by Dayton Homes for Rent – Green Fox or their authorized agents.