GML Property Management Rental Application
PROPERTY APPLYING FOR: 13563 State Route 220, Piketon, Ohio 45661
Personal Information
Full Name
Birth Date
-
Month
-
Day
Year
Date
Social Security #
Driver's License # / State
Phone #
Format: (000) 000-0000.
Email
example@example.com
Roommates / Other Occupants
Roommates / Other Occupants
Rows
Full Name First, Middle, Last
Birth Date
Relationship to You
1
2
3
4
Rental History
Please list your three most recent addresses or from past five years.
Rental History Please list your three most recent addresses or from past five years.
Rows
Current Address
Previous Address
Previous Address
Street Address / Unit No.
City, State, Zip
How long at this address
Manager/Owner Name
Manager/Owner Phone
Income
Please list employment from past five years & other sources of income.
Employment History
Income Please list employment from past five years & other sources of income. Employment History
Rows
Current Employer
Previous Employer
Previous Employer
Employed by
Position
Dates of Employment (From. To)
Monthly Income
Name of Supervisor
Supervisor's Phone #
Address - Street, City, State, Zip
Back
Next
Other Income Sources
Other Income Sources
Rows
Type
Monthly Income
Name of Provider
Address - Street, City, State, Zip
Phone #
1
2
Emergency Contact Information
Name
Phone #
Format: (000) 000-0000.
Relationship
Address - Street, City, State, Zip
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vehicles
Vehicles
Rows
Make & Model
Year
Color
Plate #
State
1
2
3
Other Information
Have you ever been evicted?
Yes
No
If yes, when & why
Have you ever been convicted of a felony?
Yes
No
If yes, when & why
Have you ever filed for bankruptcy?
Yes
No
If yes, when & why
Do you currently smoke?
Yes
No
Do you have any pets?
Yes
No
If Yes, please list each Type, Breed & Approx. Weight
How did you learn about us?
Agreement & Consent to Background Check
I believe that the statements I have made are true and correct. I hereby authorize the verification of information I provided, communication with any and all names listed on this application and for the issuer of this form to conduct a background check to obtain additional information on credit history, criminal history and all Unlawful Detainers. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a home or apartment and does not constitute a rental or lease agreement in whole or in part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund.
Signature:
Date:
-
Month
-
Day
Year
Date
Preview PDF
Submit
Should be Empty: