The View At Dayton Towers

Personal Information

Applicant Name:*

SSN:*

Date of birth:

Gender

Male Female

Marital Status:

Married Divorced Single Separated

Spouse Name:

SSN:

Spouse’s Date of birth:

Gender:

Male Female

Current Address

Address Line 1

Address Line 2

City

State

ZIP Code

Move In Date:

Status (check one):

Lessee Guarantor

Monthly payment or rent: $

Email:

Home Phone:

Work Phone:

Cell Phone:

Reason for Leaving:

List all other Co-Applicants and Occupants Below (including relationship to Occupants and Occupants Ages:)

Current Employment and Salary

If not employed, please explain:

Company Name:

Occupation:

Employer address:

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Fax

Supervisor:

Employee From Date:

Employee To Date:

Annual salary: $

Previous Employment & Salary (if less than 1 year at current job)

Company Name:

Occupation:

Employer address:

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Fax

Supervisor:

Employee From Date:

Employee To Date:

Annual salary: $

Other sources of income you would like us to consider:

Amount: $

Source:

Amount: $

Source:

Amount: $

Source:

Spouse’s Current Employment and Salary

If not employed, please explain:

Company Name:

Occupation:

Employer address:

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Fax

Supervisor:

Employee From Date:

Employee To Date:

Annual salary: $

Spouse’s other sources of income you would like us to consider:

Amount: $

Source:

Amount: $

Source:

Amount: $

Source:

Resident History (3 years required)

Prior Address 1:

Address Line 1

Address Line 2

City

State

ZIP Code

Apartment or Landlord Name:

Phone:

Apartment or Landlord Address

Address Line 1

Address Line 2

City

State

ZIP Code

Lived here from:

Lived here To:

Rental Amount: $

Reason for Leaving:

Prior Address 2

Prior Address 2:

Address Line 1

Address Line 2

City

State

ZIP Code

Apartment or Landlord Name:

Phone:

Apartment or Landlord Address

Address Line 1

Address Line 2

City

State

ZIP Code

Lived here from:

Lived here To:

Rental Amount: $

Reason for Leaving:

Prior Address 3

Prior Address 3:

Address Line 1

Address Line 2

City

State

ZIP Code

Apartment or Landlord Name:

Phone:

Apartment or Landlord Address

Address Line 1

Address Line 2

City

State

ZIP Code

Lived here from:

Lived here To:

Rental Amount: $

Reason for Leaving:

Credit History

Has applicant ever:

Declared Bankruptcy

Yes No

Been Evicted

Yes No

Refused to Pay Rent

Yes No

Had a Criminal Record

Yes No

Been Arrested for Drug Trafficking

Yes No

If yes to any of these, please explain:

General Information

Short AnswerApplicant’s Driver’s License Number:

Driver’s License State:

Spouse Driver’s License Number:

Spouse DL State:

Does Applicant have any pets at this time:

Yes No

Vehicle Information

Primary Vehicle Make/Model:

Year:

Color:

Tag Number:

State:

Secondary Vehicle Make/Model:

Year:

Color:

Tag Number:

State:

Emergency Contact

Primary Contact Name:

Address:

Relationship:

Home Phone:

Cell Phone:

Work Phone:

Email

Secondary Contact Name:

Address:

Relationship:

Home Phone:

Cell Phone:

Work Phone:

Email

Doctor Name:

Doctor Phone:

Hospital:

Hospital Phone:

I/We hereby consent to and authorize any representative of Oberer Management Services to obtain, verify and exchange information on any reports concerning me as are maintained by, but not limited to: City, county, state, federal law enforcement agencies, credit reporting agencies, present and/or past employers and/or past residences. I understand any information obtained by Oberer Management Services will be used as a factor in decisions they make, at their sole discretion, with respect to the apartment/house for which I am applying.

Furthermore, I hereby release and hold harmless agents, owners and affiliates of, but not limited to: their officers, directors, employees, agents, law enforcement agencies, credit reporting agencies, past and/or present employers, present and/or past residences, its officers and employees that shall provide information to Oberer Management Services, upon request, from and against any and all crimes, demands, suits, or expenses arising from or related to the content, validity or handling of said reports.

I/We hereby certify the information contained in this application for lease is accurate, full and complete. Any discrepancy or lack of information will result in immediate rejection of this application and forfeiture of deposit listed below. I/We understand this is an application for an apartment and does not constitute a lease agreement in whole or part.

I/We hereby acknowledge a Non-refundable Application Fee to be used in the processing of this application. I/We hereby acknowledge a Deposit shall be paid to be used to hold the apartment and will be processed at the time the application is submitted. If said application is denied, your deposit is refundable through the standard refund processing. Security Deposit will be forfeited if the application is cancelled by the applicant after 72 hours of application submission.

Application Fee:$

Deposit of $

Applicant Signature:*

Date:*

Co-Applicant Signature

Date: