First Troy Corp. Rentals (937)-335-5223 Online Rental Application for Apartment

F I R S T T R O Y C O R P. R E N T A L S

ONLINE RENTAL APPLICATION

Application Information:

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Applicant name: Last Name, First, Middle Initial

APPLICANT AGE:

Applicant Present Address:

Social Security Number

State of Residence Currently

City & Zip Code:

Home Phone Number

County Reside In:

Cell Phone Number

How Long at above address

Drivers License # & State

Do you Presently RENT or OWN?

Your Email Address:

Monthly Rent/Mortgage Payment

Date of Birth

Present Landlord Name/Mortgage Company :

Present Landlord Phone Number

Present Landlord Address:

How Long:

Applicant's Previous Address #1:

Landlord Phone Number:

Applicant's Previous Landlord #1:

How Long Previous Addr:

Applicant's Previous Address #2:

Landlord Phone Number:

Applicant's Previous Landlord #2:

How Long Current:

APPLICANT CURRENT EMPLOYER:

Your Title Current:

CURRENT EMPLOYER ADDRESS:

Current Weekly Salary:

CURRENT EMPLOYER PHONE:

Supervisor Title::

NAME OF SUPERVISOR:

How Long Previous:

PREVIOUS EMPLOYER:

Your Title Previous:

PREVIOUS EMPLOYER ADDRESS:

Previous Weekly Salary:

PREVIOUS EMPLOYER PHONE:

Previous SupervisorTitle:

NAME OF SUPERVISOR (previous):

SELECT ONE BY HIGHLIGHTING IT:

NUMBER OF CHILDREN:

GIRLS AGES:

BOYS AGES:

SPOUSE'S AGE:

SPOUSE NAME: Last, First, M.I.

SPOUSE SOCIAL
SECURITY NUMBER

SPOUSE EMPLOYER

SPOUSE EMPLOYER ADDRESS

HOW LONG EMPLOYED

SPOUSE EMPLOYER TITLE

SPOUSE'S SUPERVISOR

SPOUSE CURRENT
WEEKLY SALARY

SPOUSE DATE OF BIRTH:

PETS:

IF HAVE PETS, KIND & SIZE:

MAKE, YEAR, BODY & TYPE

License Plate #:

MAKE, YEAR, BODY & TYPE

License Plate #:

CREDIT REFERENCES:

TYPE ACCOUNT:

BANK:

BANKRUPTCY IN LAST 5 YEARS:

NEAREST RELATIVE, OTHER THAN SPOUSE:

RELATIVE NAME:

RELATIONSHIP:

RELATIVE PHONE #:

RELATIVE ADDRESS, CITY, STATE:

HOW YOU FOUND THIS
APARTMENT (SO WE CAN
TRACK OUR ADVERTISING):

IF BY INTERNET SEARCH
PLEASE LIST SEARCH ENGINE
OR WEBSITE VISITED

SPOUSE'S EMAIL ADDRESS:

I acknowledge that I have been advised of the Lessor's policy as relating to pets and also that I will not be
permitted to park trailers or boats within the boundaries of the Apartment area, unless as provided for in addenda
to my Rental Agreement. I also acknowledge receipt of a sample copy of the Lessor's Lease and related
Documents.

I understand I acquire no rights in an Apartment until I sign this Lease and it has been accepted by the Lessor in
the form submitted to me and make a deposit of $ __________ (Same as Monthly Apartment Rent Amount) on the
Apartment I have selected, which deposit is to be held as long as I occupy the Apartment.

I hereby make a payment of $ 30.00 for the Non-Refundable Application Fee. If approved by Lessor, I will then make
a Full Deposit Payment on the Apartment I select.

In consideration of the Landlord holding this Apartment for me, I hereby waive all rights to the return of this
amount and forfeit it as liquidated damages, in the event I do not chose to enter into the Lease applied for herein.

The Applicant(s) herein acknowledge that they have been advised by MANAGEMENT that a credit report will be conducted. The Applicant(s)
hereby grant authorization to MANAGEMENT to conduct and/or obtain any credit history information that they may deem necessary in the
processing of this Application.

By Checking the Boxes Below and making Payment of the Application Fee thru PayPal, Applicant gives
Management the authorization to check the below current/prior rental references, current employment and credit
and/or conviction/eviction reports/history.

I, Applicant grant MANAGEMENT authorization to obtain information in the following areas: (ALL MUST BE
SELECTED)

FIRST TROY CORP. RENTALS
997 N. Market Suite 04
Troy, Ohio 45373-1465
937-335-5223
937-335-8177 (fax)