| form updated September 19, 2009 Real Estate Central (304) 552-4168 Rental Application A separate application must be filled out for each tenant over 18 years old. The $20.00 application fee and security deposit MUST accompany this application. |
House/apt applying for _________________________________________
When you plan to move in if approved __________________________
PERSONAL
First, Middle & Last Name _________________________________________________________________
Maiden, married & all other names used (past or present)_________________________________________
Current address _________________________________________________
_________________________________________________
How long at this address? ____________________
Previous address ________________________________________________
_________________________________________________
How long at previous address? ____________________
Phone #(s) _____________________________________________________
Email ____________________________________________________
Social security #______________________________________
Date of birth _________________________________________
Drivers license #_________________________ Exp. __________
Other occupants Age Relationship
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
INCOME
Current employer _________________________________________________
Dates of employment ___________________________
Position held ____________________________________________________
Business address ________________________________________________
________________________________________________
Name & title of supervisor __________________________________________
Phone number(s) of supervisor ______________________________________
Monthly gross income ___________________________
Previous employer _________________________________________________
Dates of employment ___________________________
Position held ____________________________________________________
Business address ________________________________________________
________________________________________________
Name & title of supervisor __________________________________________
Phone number(s) of supervisor ______________________________________
Monthly gross income ___________________________
Other income to be considered _____________________________________________________________
_____________________________________________________________________________________
LANDLORDS FOR PAST 5 YEARS
Name and phone number(s) Address Dates rented Rent amt Reason left
________________________ ____________________ _________ ________ ________________
________________________ ____________________ _________ ________ ________________
________________________ ____________________ _________ ________ ________________
________________________ ____________________ _________ ________ ________________
PETS
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
OTHER INFO
Have you ever filed a petition for bankruptcy? ____________
Have you ever been evicted from any tenancy? ____________
Have you ever not paid any rent when due? ______
Have you ever been convicted of a crime? ____________
If you answered yes to any of the above, please explain in detail: ___________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Please tell us about your credit? _____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
I declare that the foregoing information is true and correct and authorize verification of the information. I also
authorize Real Estate Central to obtain a credit report and background check and to thoroughly check all
references by former landlords. I further agree that Management may terminate any agreement entered into in
reliance on any misstatement made above.
I agree that I have read the standard lease used by Real Estate Central and agree to the terms if approved as a
tenant. I also agree to start the lease within 2 days of being approved or as soon as the unit is available for rent.
I understand that my deposit check will be returned if I am not approved. If I am approved, the deposit check will
be cashed immediately upon approval and will not be refundable.
_________________________________________ _______________
signature date
_______________________________________________________________________________
For office use only
Checked DL for name spellings ___ address match ___ photo match ___
Checked pay stub for company _________________ name match ___ address match ___
check amt & period____________ YTD _________other _______________________________
When you plan to move in if approved __________________________
PERSONAL
First, Middle & Last Name _________________________________________________________________
Maiden, married & all other names used (past or present)_________________________________________
Current address _________________________________________________
_________________________________________________
How long at this address? ____________________
Previous address ________________________________________________
_________________________________________________
How long at previous address? ____________________
Phone #(s) _____________________________________________________
Email ____________________________________________________
Social security #______________________________________
Date of birth _________________________________________
Drivers license #_________________________ Exp. __________
Other occupants Age Relationship
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
_______________________________ _______ __________________
INCOME
Current employer _________________________________________________
Dates of employment ___________________________
Position held ____________________________________________________
Business address ________________________________________________
________________________________________________
Name & title of supervisor __________________________________________
Phone number(s) of supervisor ______________________________________
Monthly gross income ___________________________
Previous employer _________________________________________________
Dates of employment ___________________________
Position held ____________________________________________________
Business address ________________________________________________
________________________________________________
Name & title of supervisor __________________________________________
Phone number(s) of supervisor ______________________________________
Monthly gross income ___________________________
Other income to be considered _____________________________________________________________
_____________________________________________________________________________________
LANDLORDS FOR PAST 5 YEARS
Name and phone number(s) Address Dates rented Rent amt Reason left
________________________ ____________________ _________ ________ ________________
________________________ ____________________ _________ ________ ________________
________________________ ____________________ _________ ________ ________________
________________________ ____________________ _________ ________ ________________
PETS
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
Type ____________________ Breed______________ Age_______________ Weight ________
OTHER INFO
Have you ever filed a petition for bankruptcy? ____________
Have you ever been evicted from any tenancy? ____________
Have you ever not paid any rent when due? ______
Have you ever been convicted of a crime? ____________
If you answered yes to any of the above, please explain in detail: ___________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Please tell us about your credit? _____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
I declare that the foregoing information is true and correct and authorize verification of the information. I also
authorize Real Estate Central to obtain a credit report and background check and to thoroughly check all
references by former landlords. I further agree that Management may terminate any agreement entered into in
reliance on any misstatement made above.
I agree that I have read the standard lease used by Real Estate Central and agree to the terms if approved as a
tenant. I also agree to start the lease within 2 days of being approved or as soon as the unit is available for rent.
I understand that my deposit check will be returned if I am not approved. If I am approved, the deposit check will
be cashed immediately upon approval and will not be refundable.
_________________________________________ _______________
signature date
_______________________________________________________________________________
For office use only
Checked DL for name spellings ___ address match ___ photo match ___
Checked pay stub for company _________________ name match ___ address match ___
check amt & period____________ YTD _________other _______________________________
| All applicants will be evaluated on the following criteria ________________ credit collections criminal record sex offender record references income & employment rental history financial ability (rent must not exceed 40% of income) evictions identification home visit |
| The following items will be required for each tenant over 18 _________________ completed rental application $20.00 application fee drivers license or other state issued photo ID card 2nd form of ID copy of last pay stub |
| Old World Investments, LLC does not discriminate based on any of the following ________________ race color religion sex handicap familial status national origin ancestry blindness sexual orientation |
Please write
separate checks for
the deposit and
application fee(s). If
your application is
not approved the
deposit check will be
returned to you.
separate checks for
the deposit and
application fee(s). If
your application is
not approved the
deposit check will be
returned to you.