NORTHSTEPPE REALTY RENTAL APPLICATION
10 East 17th Ave, Columbus, OH 43201       Phone: (614) 299-4110       Fax: (614) 298-7070

Property Address:                                                       Unit #                 Date Available                      

Lease Term                  Monthly Rent: $                              (plus utilities)   Security Dep.: $                     

APPLICANT'S NAME                                                                                                                         
                                               Last                                                           First                                                      Middle
Social Security # _______-_____-________  Date of Birth______________  Phone #___________________
Present Address:_________________________________________________________________________
                                       Street                                                              City                                            State                  Zip Code
Do you have pets?___________________  Have you ever declared bankruptcy or been evicted?__________  
                                          Type           Age        Weight 
Current Landlord:_______________________________________________  Phone #_________________
Landlord's Address:_______________________________________________________________________
                                            Street                                                           City                                            State                 Zip Code
Applicant's Employer:________________________  Contact Person:_____________  Phone #___________
Applicant's Supervisor: _____________________  Length of Employment:_____  Monthly Income: $_______
Parent/Guardian or co-guarantor:__________________________________  Phone #_______________ 
Address:________________________________________________________________________________
                       Street                                                                City                                              State                           Zip Code
Social Security #_______-_____-________  Annual Household Income: $___________________________
Employer: __________________________  Supervisor: _______________________ Phone # __________
In case of an emergency, person to notify: _____________________________________________________
                                                                     Name                                                                                        Phone

TENANTS PAY ALL UTILITIES        ALL DEPOSITS ARE NON REFUNDABLE
The Applicant hereby deposits with owner/agent the sum of $_____________as deposit on the above premises pending execution of a lease Agreement.  I understand that my deposit is non-refundable and will be forfeited if this application is approved and I am unable to fulfill the conditions of the lease agreement.  The deposit will be returned if this application is not approved, providing all the above questions are answered correctly and truthfully.  
The Applicant hereby grants permission to the owner/agent to verify the validity of all the above statements to be true and correct, I understand that this application does not constitute any oral or written commitments on the part of the owner/agent.  The Applicant represents the above information to be true and correct.  A payment of $30.00 is included herewith, which payment is made for the purpose of verifying the information included on this application.  I understand this charge will not be applied to future rent or refunded, even if the application to rent is declined.  Applicant understands that the owner/agent may terminate any rental Agreement entered into for any misrepresentation made above.
Lease agreement must be completed, including all signatures, and returned to our office within ten days or the Lease Agreement may be cancelled at Management's option.  

_____________________________________________________________________________
APPLICANT’S SIGNATURE                                                                     DATE

_____________________________________________________________________________
PARENT/GUARDIAN’S SIGNATURE                                                        DATE