Sycamore Ltd.

Serving your housing needs

937-205-6869

419-628-4563 fax

Sycamore Limited

P.O. Box 67

Minster, Ohio  45865

Phone:  (937) 205-6869        Fax (419) 628-4563

Sycamoreltd@gmail.com

 

Residential Rental Application

(Each co-resident must submit a separate application)

 

INSTRUCTIONS:  Response required for each blank.  Use N/A if not applicable.  Please print except for signature.  Use full names and initials.  If living at temporary address please use last previous address as present address.

 

Date:  _____________

Applicant’s Full Name  __________________________________________________________

Present Address:  ___________________________________________________________   City:  ____________________ State:  ______  Zip:  _________ Home Ph#   _______________

Cell Ph #_______________________E-mail Address:_____________________________  Social Security Number:  _______________________________   Date of Birth:  ___________

Marital Status:  Married (   )    Single (   )     Divorced (   )     Separated (   )

 

Co -Applicant/ Spouse  Name:  ___________________          Maiden Name:  _____________

Social Security Number:  ______________________________  Date of Birth:  ______________

Cell Ph#_________________________________

 

How many persons will occupy this apartment ________

___________________________________             ___________________________________

Name                               Age   Relationship             Name                               Age   Relationship

___________________________________             ___________________________________

Name                               Age   Relationship             Name                               Age   Relationship

 

Has applicant, spouse, or any other proposed occupany ever:

            Filed for bankruptcy?              No (     )           Yes (     )

            Been evicted?                          No (     )           Yes (     )

            Willfully or intentially refused to pay rent when due?          No (     )           Yes (     )

            Had a criminal record          No (     )            Yes (     )  If yes, please explain:  ________

            ________________________________________________________________________

            Been arrested for drug usage or trafficking in drugs?           No (     )           Yes (    )

            If yes, please explain:  _____________________________________________________

 

EMPLOYMENT HISTORY

Current Employer:________________________             Company Phone:  (     ) ____________________

Address:________________________________             Position:  _______________________________

Employed From:  _________   To:  ___________           Salary:  _________________________________

Supervisor’s Name:  _______________________________________________________________

 

Previous Employer:________________________          Company Phone:  (     ) ____________________

Address:________________________________            Position:  _______________________________

Employed From:  _________   To:  ___________          Salary:  _________________________________

Supervisor’s Name:  ____________________________________________________________________

 

 

Sycamore Limited

Page 2 of 2

 

SPOUSE’S EMPLOYMENT

Current Employer:________________________       Company Phone:  (     ) _______________________

Address:________________________________       Position:  __________________________________

Employed From:  _________   To:  ___________      Salary:  ___________________________________

Supervisor’s Name:  ____________________________________________________________________

 

RESIDENTIAL HISTORY

Current Apartment Name or Landlord:  _____________________________________________________

Address:  __________________________  City:  ________________  State: ________  Zip:  _________

Landlord’s Phone:  (     ) _________________      From:  ________________  To:  __________________

Monthly Payments:  ____________________       Reason for Moving:  ___________________________

 

Previous Address: ________________________ City:  ____________  State:  ________ Zip: _________

 

BANK REFERENCE

Name of Bank:  ______________________  Branch:  _____________  Contact:  ___________________

Address:  ____________________________ City:  _______________   State:  _____________________

 

VEHICLES

Year:  ________     Make:  ____________     License Number:  ________________   State:___________

Year:  ________     Make:  ____________     License Number:  ________________   State:___________

Do you have a trailer, truck or boat?  _______________________________________________________

 

PETS

Number: ___  Type(s):  __________________  Weight(s): ___________  Breed(s):  ____________

 

Please list two relatives or personal references:

            Name:______________________________  Phone: (     ) __________________________

Name:______________________________  Phone: (     ) __________________________

 

I/We do hereby consent to and authorize the landlord and/or any representative of Sycamore Ltd, to obtain, verify and exchange information on any reports concerning me as are maintained by, but not limited to:  City, State, Federal Law Enforcement Agencies, Credit Reporting Agencies, present and/or past employers including but not limited to present and/or past salary verification, present and/or past residences.  I/We understand that any and all information obtained may be considered by the landlord and/or Gall & Gall Company, Inc., in accordance with the established screening criteria, as a factor in decisions they make with respect to the property for which I am applying.

 

Furthermore, I/We hereby release and hold harmless any agencies, owners, and affiliates (including but not limited to officers, directors, and employees) that shall provide information to the landlord and/or Gall & Gall Company, Inc., upon request, from any and all claims, demands, suits, or expenses arising from or related to the content, validity, or handling of said reports.

 

I hereby certify that I have read and reviewed the information contained in this application for lease is accurate, full and complete.  Any discrepancy or lack of information will result immediate rejection of this application.  I/We understand that this is an application and does not constitute a lease agreement in whole or part.

 

Signature:  ____________________________________      Date:  __________________________

 

Signature:  ____________________________________      Date:  __________________________



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