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Call Sherry at 330-714-2003 or Renee at 330-347-8002
Fax to 330-669-2994
Rental Property Address
Address
City State Zip
Applicant Information
Full Name Home Phone
Date of Birth Social Security #
Email Address(optional) Other Phone
Please Give Residential History(Last 3 Years)
Address Landlord
City State Zip Owner Phone #
Moved in date Rent per month $ Is your rent current?
Reasons for Leaving
Previous Address(last 3 Years) Landlord
City State Zip Owner Phone #
Month/Year Moved In Rent per month $
Reasons for Leaving
Previous Address(last 3 Years) Landlord
City State Zip Owner Phone #
Month/Year Moved In Rent per month $
Reasons for Leaving
Please Describe Your Credit History
Have you declared bankruptcy in the past seven(7) years? Yes     No
Have you ever been evicted from a rental residence? Yes     No
Have you had two or more late rental payments in the past year? Yes     No
Have you ever willfully or intentionally refused to pay rent when due? Yes     No
List current financial obligations
Car? Alimony/Child Support
Credit Cards? Other(please explain)?
Please Provide Your Employment Information
Your Status      Full TimePart Time     Student Unemployed
Current Employer
Date Started # of Hours per week Amount Paid per hour
Employed as
Supervisor Name Phone #
Name of previous employer Phone #
Date Started # of Hours per week Amount Paid per hour
If you have other sources of income that you would like us to consider, please list income, source, and person(banker, employer, etc) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application
Amount $ Source/Contact Name
Driver's License And Back Account Information
Driver's License # State
Vehicle: Make Year License Plate State Plate NoYear
Bank Accounts: Name Type
Co-applicant Information
Full Name Home Phone
Date of Birth Social Security #
Email Address(optional) Other Phone
Please Give Residential History(Last 3 Years)
Address Landlord
City State Zip Owner Phone #
Moved in date Rent per month $ Is your rent current?
Reasons for Leaving
Previous Address(last 3 Years) Landlord
City State Zip Owner Phone #
Month/Year Moved In Rent per month $
Reasons for Leaving
Previous Address(last 3 Years) Landlord
City State Zip Owner Phone #
Month/Year Moved In Rent per month $
Reasons for Leaving
Please Describe Your Credit History
Have you declared bankruptcy in the past seven(7) years? Yes     No
Have you ever been evicted from a rental residence? Yes     No
Have you had two or more late rental payments in the past year? Yes     No
Have you ever willfully or intentionally refused to pay rent when due? Yes     No
List current financial obligations
Car? Alimony/Child Support
Credit Cards? Other(please explain)?
Please Provide Your Employment Information
Your Status      Full Time  Part Time     Student   Unemployed
Current Employer
Date Started # of Hours per week Amount Paid per hour
Employed asGross Monthly Income
Supervisor Name Phone #
Name of previous employer Phone #
Date Started # of Hours per week Amount Paid per hour
If you have other sources of income that you would like us to consider, please list income, source, and person(banker, employer, etc) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application
Amount $ Source/Contact Name
Driver's License And Back Account Information
Driver's License # State
Vehicle: Make Year License Plate State Plate NoYear
Bank Accounts: Name Type
Additional Information
Have either you or the co-applicant been convicted of ANY kind of crime in the last 5 years?
Personal Reference
Name Address
Phone Relationship
Name Address
Phone Relationship
In case of emergency, Notifty Home PhoneWork Phone Relationship
In the event of serious illness or death, is the above person authorized to enter your residence and remove contnets? YesNo
I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting an apartment or house with Tesco Properties, LLC. I recognize that as a part of your procedures for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, and mode of living
The above information, to the best of my knowledge, is true and correct
Please Sign: X
Applicant Date
Please Sign: X
Co-Applicant Date