APARTMENT RENTAL APPLICATION

Fields marked with an * are required. If any field does not apply to you, please type “none” rather than leaving it blank.

The undersigned hereby applies to rent the residence located at
APPLICANT INFORMATION
Name *
Name
Date of Birth *
Date of Birth
Cell/Home Phone *
Cell/Home Phone
Desired Move-In Date *
Desired Move-In Date
APPLICANT'S CURRENT ADDRESS
Address *
Address
Landlord's Name *
Landlord's Name
Landlord's Telephone Number
Landlord's Telephone Number
Landlord's Address *
Landlord's Address
Month and Year Moved In *
Month and Year Moved In
Have you lived here for at least two years? *
CORE Hamilton has my permission to contact this landlord *
PREVIOUS RENTAL HISTORY
Applicant's Previous Address
Applicant's Previous Address
Landlord's Telephone Number
Landlord's Telephone Number
Landlord's Address
Landlord's Address
Month and Year Moved In
Month and Year Moved In
NHS has my permission to contact this landlord
APPLICANT'S EDUCATION HISTORY
APPLICANT'S CURRENT EMPLOYER
Employers Address *
Employers Address
Phone *
Phone
$
APPLICANT'S PREVIOUS EMPLOYER
Employer's Address
Employer's Address
$
APPLICANT'S REFERENCES
Address #1 *
Address #1
Address #2
Address #2
Do you have a checking account? *
Do you have a savings account? *
VEHICLES
Do you have any vehicles? *
OTHER OCCUPANTS
Will you be occupying this property with anyone else? *
PETS
Will you be bringing a pet? *
EMERGENCY CONTACTS
Contact #1 *
Contact #1
Contact #1 Phone Number *
Contact #1 Phone Number
Contact #1 Address *
Contact #1 Address
Contact #2 *
Contact #2
Contact #2 Phone Number *
Contact #2 Phone Number
Contact #2 Address *
Contact #2 Address
Credit Card Information
Please enter your credit card information below so we can process your application. Upon approval, you may be required to provide additional verification by way of official documentation.
16 digits
3 or 4 digits on back of card
Billing Address *
Billing Address
PLEASE READ AND ANSWER ACCURATELY
Have you ever been convicted of any crime other than a minor traffic offense? *
Have you ever filed bankruptcy? *
Have you ever been served an eviction notice or been asked to vacate a property you were renting? *
Have you ever willfully or intentionally refused to pay rent when due? *
Have you ever changed your Name? *
Do you know of anything which may interrupt your income or an ability to pay rent? *
Thank you for choosing CORE!
By clicking on the "Submit Application" button below you are authorizing Neighborhood Housing Services of Hamilton (NHS) to charge the credit card provided above a $50 fee per applicant. If there is a co-applicant, $50 will be charged for the applicant, and $50 for the co-applicant. I have re-examined the information which I have provided on this application, and I agree that it is true and complete. Except as noted above, (1) I have never been, nor am I now being, dispossessed or evicted from any rental unit; (2) I have never broken or in any manner failed to honor a lease or rental agreement; and (3) I have no legal judgments against me. I understand that providing false or incomplete information on this application shall be grounds for immediate eviction. If this application is accepted, I agree to sign CORE Main Street Properties, LLC’s (CORE’s) Agreement of Lease and any related addendums, as well as submit applicable security deposit, within 24 hours of acceptance of this application. I understand by providing a security deposit, CORE is in good faith reserving the selected property in my name and any cancellation by me will result in forfeiture of the provided security deposit. Should CORE reject this application, for any reason, I understand the security deposit will then be returned to me in full. I have also been made aware the application processing fee is non-refundable regardless of the outcome of this application. I hereby authorize the CORE and/or NHS to obtain information concerning my past and present credit, rental history, employment history, and to answer any questions in the future regarding their experience with me. I hereby authorize any of the following sources, including but not limited to (1) credit reporting agencies, (2) public or privately owned utility companies, (3) governmental housing agencies, and (4) current or past landlords, employers, or creditors, to release any said information to the above named party. I hereby release any of the above sources, their officers, agents, or employees, from any liability for damages of any kind, caused by negligence or otherwise, which may at any time result to me by reason of compliance with the above-mentioned inquiry. This includes, but is not limited to, the answering of specific questions and any information provided concerning my present or past record. It is illegal, pursuant to the Ohio Fair Housing Law, Division (H) of Section 4112.02 of the Revised Code and the Federal Fair Housing Law, and 42 U.S.C.A. 3601, to refuse to sell, transfer, assign, rent, lease, sublease, or finance housing accommodations, refuse to negotiate for the sale or rental of housing accommodations, or otherwise deny or make unavailable housing accommodations because of race, color, religion, sex, familial status as defined in Section 4112.01 of the Revised Code, ancestry, military status as defined in that section, disability as defined in that section, or national origin; or to so discriminate in advertising the sale or rental of housing, in the financing of housing, or in the provision of real estate brokerage services. It is also illegal, for profit, to induce or attempt to induce a person to sell or rent a dwelling by representations regarding the entry into the neighborhood of a person or persons belonging to one of the protected classes.