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Kathy Binner Companies

Helping You Create A Better Lifestyle and Lifestyle Business

www.KathyBinnerCompanies.com * www.KathyBinner.com * www.FreestyleLivingToday.com
Office 614-833-2300 * Cell 614-580-6439

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RENTAL APPLICATION
PLEASE NOTE:
EACH ADULT OCCUPANT MUST COMPLETE AN APPLICATION FORM

Interested in renting one of our residential units or commercial suites? Apply with us via the application form below, and we'll get back to you as soon as possible!

Please note: Any and all information used to determine your qualifications will be shredded. Your original application can be returned to you instead if requested. Your Social Security Number and financial information will be protected. Rules pertaining to confidential personal information may be found in rules123-4-01 through 123-4-05 of the Ohio Administrative Code.

Full Name of Occupant
Phone Number
Email Address
SS and DOB (enter numbers only)
Current Home Address With Dates
Previous (2) Home Addresses With Dates(Include all or type none)
Last Three Employers, Dates Of Employment Plus Monthly Income For Each (Include all with supervisor name and phone number)
Proposed (minor) Occupants (Include all or type none)
Proposed Pet (s) (Include all or type none)
Vehicle Information With Year, Make and Model (include all or type none)
List Each Creditor By Name With Total Balance Due (Include monthly payment amount for each) ie. credit accounts, car loans, etc
Three Emergency/Personal References (Include names, addresses and phone numbers)
Has Applicant Ever Been Sued For Bills
- Yes
- No
Has Applicant Ever Been Locked Out Of Their Apartment By The Sheriff
- Yes
- No
Has Applicant Ever Had Court Relief for Past Due Bills
- Yes
- No
Has Applicant Ever Been Brought To Court By Another Landlord
- Yes
- No
Has Applicant Ever Been Guilty Of A Felony
- Yes
- No
Has Applicant Ever Moved Owing Rent Or Damaged An Apartment
- Yes
- No
Has Applicant Ever Broken A Lease
- Yes
- No
Is The Total Move-In Amount Available Now (Rent and deposit)
- Yes
- No
Applicant authorizes the landlord to contact past and present landlords, employers, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. All information is true and accurate and complete to the best of the applicant's knowledge. Landlord reserves the right to disqualify tenant if information is not as represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
- Yes
- No
The entering of the applicant's full name on this line indciates the applicants signature (Please include date)
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"A master in the art of living draws no sharp distinction between his work and his play; his labor and his leisure; his mind and his body; his education and his recreation. He hardly knows which is which. He simply pursues his vision of excellence through whatever he is doing, and leaves others to determine whether he is working or playing. To himself, he always appears to be doing both."

...L.P. Jacks

Kathy Binner Companies

Helping You Create A Better Lifestyle and Lifestyle Businesswww.KathyBinnerCompanies.com * www.KathyBinner.com * www.FreestyleLivingToday.comOffice 614-833-2300 * Cell 614-580-6439

RENTAL APPLICATION PLEASE NOTE: EACH ADULT OCCUPANT MUST COMPLETE AN APPLICATION FORM

Helping You Create A Better Lifestyle and Lifestyle Business

www.KathyBinnerCompanies.com * www.KathyBinner.com * www.FreestyleLivingToday.com
Office 614-833-2300 * Cell 614-580-6439

RENTAL APPLICATION
PLEASE NOTE:
EACH ADULT OCCUPANT MUST COMPLETE AN APPLICATION FORM