Rental Application
Fax: (419) 373-6007 ~ www.BGApartments.com or sjsmith@dacor.net
Location(s) applying for: (List multiple addresses in order of preference)
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
May we contact you by email?
Yes
No
Date of Birth
-
Month
-
Day
Year
Date
Social Security Number
Present Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Present Landlord
Landlord's Phone
Rent per month you pay presently
Approx. date you moved to the above address
-
Month
-
Day
Year
Date
Lease expires:
Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Landlord
Landlord's Phone
Have you ever rented from us before?
Yes
No
If Yes, where and when?
Have you ever filed bankruptcy?
Yes
No
Have you ever been served with an eviction notice?
Yes
No
Have you ever been convicted of a felony?
Yes
No
If Yes, please explain
Persons who will occupy this rental unit with you
Person 1: Name
First Name
Last Name
Relationship
Birth date
-
Month
-
Day
Year
Date
Person 2: Name
First Name
Last Name
Relationship
Birth date
-
Month
-
Day
Year
Date
Person 3: Name
First Name
Last Name
Relationship
Birth date
-
Month
-
Day
Year
Date
Person 4: Name
First Name
Last Name
Relationship
Birth date
-
Month
-
Day
Year
Date
Person 5: Name
First Name
Last Name
Relationship
Birth date
-
Month
-
Day
Year
Date
Personal Information
Are you a smoker?
Yes
No
If yes, do you smoke
Inside
Outside
Do you have any pets?
Yes
No
If Yes, what type?
Employment History
I am presently employed:
Full Time
Part Time
Unemployed
Full Time Student
Part Time Student
I expect to graduate
-
Month
-
Day
Year
Date
Present year in college
Employment Information
Name of Employer
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of employment
-
Month
-
Day
Year
Date
Position
Salary
Per
Hour
Week
Month
Hours per week you work on average
Loans - Type and amount you receive per year:
Grants, Alimony? Amount:
Child Support, Parents? Amount:
Other income, including second job, spouses employment, etc.
Emergency Contacts
Contact 1: Name
First Name
Last Name
Relationship to you
Home Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Extension
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact 2: Name
First Name
Last Name
Relationship to you
Home Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Extension
Cell Phone
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorization to Release Information
I, the applicant, recognize that as part of the procedure for processing my application, an investigative report may be prepared whereby information is obtained through personal interviews and/or phone calls with present landlord, employers, and others with whom may be acquainted with me. This inquiry includes information as to my character, general reputation, personal finances, personal characteristics and mode of living. I hereby authorize any person or company to supply you with any information requested concerning the items listed above for the verification of this application. I also fully understand that misrepresentation or concealment relative to any above facts will at Lessor's option, VOID my rights under any agreement entered into for the rental unit for which I am applying.
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: