Printable Rental Application
Be sure all applicants fill out the application. If there are more than 2 applicants you may print off more applications.

On this _____ day of __________, 2018, the undersigned hereby applies to rent the residence located at ___________________________________, from the Agent Win/Win Realty & Investments Inc., whose address is 7672 Montgomery Rd., #305, Cincinnati, OH 45236 for a period of ____________________ beginning on ____________________.
APPLICANT:
Last Name
_________________________ First _________________________ Middle _________________________ Maiden ____________________
Date of Birth
____________________ Soc. Sec # ____________________ Telephone (__________) __________-__________
Driver's License #
____________________ Driver's License State _____
OTHER OCCUPANTS:

Name
_________________________ Rel. ____________________ Age _____   |   Name _________________________ Rel. _______________ Age _____
Name
_________________________ Rel. ____________________ Age _____   |   Name _________________________ Rel. _______________ Age _____
VEHICLES:

License Plate #
____________________ State _____ Model _______________ Year __________ Color _______________ Payment $_______________
License Plate #
____________________ State _____ Model _______________ Year __________ Color _______________ Payment $_______________
APPLICANT'S CURRENT ADDRESS:

Street
_____________________________________________ Apt. __________ City ____________________ State _____ Zip _______________
Landlord's Name
_________________________ Landlord's Telephone (__________) __________ - __________
Landlord's Address
___________________________________ City ____________________ State _____ Zip _______________
Month and Year Moved in
_________________________ Rent per Month _______________
Number of Bedrooms Rented
__________ Reason for Leaving ___________________________________________________________________________
Do you pay: Heat?
Yes No   |   Electric? Yes No   |   Water Yes No
Name used for billing by Gas and Electric company?
___________________________________________________________________________
APPLICANT'S PREVIOUS ADDRESS:

Street
___________________________________ Apt. __________ City ____________________ State _____ Zip _______________
Landlord's Name
______________________________ Landlord's Telephone (__________) __________ - __________
Landlord's Address
___________________________________ City ____________________ State _____ Zip _______________
Month and Year Moved in
_________________________ Month and Year Moved Out _________________________ Rent per Month _______________
Number of Bedrooms Rented
__________ Reason for Leaving ______________________________________________________________________
APPLICANT'S EMPLOYMENT HISTORY OR SOURCE OF INCOME:

CURRENT EMPLOYER
________________________________________ Supervisor ___________________________________
Address
___________________________________ City ____________________ State _____ Zip _______________ Phone (_____) _____ - _____
Length of Time Employed:
_____ years & __________ months. Position ___________________________________ Monthly Take Home Pay _______________
Other Source of Current Income?
Yes No   |    Source ______________________________ Monthly Take Home Pay _______________
PREVIOUS EMPLOYER
___________________________________ Supervisor ___________________________________
Address
________________________________________ City ____________________ Sate _____ Zip _______________ Phone (_____) _____ - _____
Length of Time Employed:
_____ years & _____ months   |   Position _________________________ Monthly Take Home Pay _______________
Reason for Leaving
_______________________________________________________________________________________________
APPLICANT'S REFERENCES:

Do You Have a Checking Account?
Yes No   |   Bank Name: _________________________ Location: ____________________ Date Opened: _______________
Do You Have a Savings Account ?
Yes No   |   Bank Name: _________________________ Location: ____________________ Date Opened: _______________
Do your balances add up to more than 3 times the rent amt.?
Yes No
Are you making any payment to anyone that will not show up on your credit report?
Yes No   |   Who? ______________________________
For what? 
_________________________________________________________________________________________________________
DESIRED LENGTH OF STAY:
_________________________ DESIRED MOVE-IN DATE: _________________________
PETS:

DO YOU HAVE ANY PETS?
Yes No
Type of Pet:
_________________________ Breed: _________________________ Name: ___________________________________
Age:
_____ Weight: _____ Full Grown Weight: _____ Neutered Spayed? Yes No   |   Declawed? Yes No
Type of Pet:
_________________________ Breed: _________________________ Name: ___________________________________
Age:
_____ Weight: _____ Full Grown Weight: _____ Neutered Spayed? Yes No   |   Declawed? Yes No
Type of Pet:
_________________________ Breed: _________________________ Name: ___________________________________
Age:
_____ Weight: _____ Full Grown Weight: _____ Neutered Spayed? Yes No   |   Declawed? Yes No
Does your pet(s) currently live with you ?
Yes No   |   Can current landlord verify that the pet(s) have not been a problem? Yes No
IN CASE OF EMERGENCY CONTACT:

Name
___________________________________ Address ________________________________________
Phone (
_____) _____ - _____ Relationship: ______________________________
Name
___________________________________ Address ________________________________________
Phone (
_____) _____ - _____ Relationship: ______________________________
LEARNED HOUSE REPAIR SKILLS:
Plumbing   |   Electrical   |   Painting   |   Carpentry   |   Roofing    |   Other: __________________________________________________
Do you own Hand Tools?
Yes No   |   Power Tools? Yes No
How did you hear about this house/apartment?
Paper copy newspaper   |   Internet    |   Sign    |   Word of mouth    |   Other: __________________________________________________
IN THE LAST FIVE YEARS:
Have you or any occupant listed on this application been convicted, or is currently charged with, any crime other than minor traffic offense?
Applicant:
Yes No
Have you or and occupant listed on this application been adjudicated a sexual predator, habitual sexual offender or sexual offender?
Applicant:
Yes No
Have you filed bankruptcy?
Applicant:
Yes No
Have you had any collections, judgments or other legal proceedings against you?
Applicant:
Yes No
Have you ever reported or suspected you had bed bugs or roaches?
Applicant:
Yes No
Have you been served an eviction notice or been asked to vacate a property?
Applicant:
Yes No
Have you changed your name(s)?
Applicant:
Yes No
Do you or any occupant smoke?
Applicant:
Yes No

If your answer was "yes" to any of the above questions, please provide complete details:
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
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; (3) My credit is good with no judgments against me. I understand that providing false or incomplete information on this application shall be grounds for immediate eviction.

I have submitted a non-refundable processing/showing fee of $
_______________ DOLLARS.

I hereby authorize Win/Win Realty & Investments Inc. to obtain information concerning my past and present credit, rental, or employment history, and to answer any questions in the future regarding their experience with me. I hereby authorize the following sources, including but not limited to (1) consumer reports, (2) public or privately owned utility companies, (3) governmental housing agencies, and (4) current or past landlords, employers or creditors, to release any information to the above named party. I hereby release any of the above named sources, their officers, agents, or employees, from any liability for damages of any kind whatsoever, whether caused by negligence or not, which may at any time result to me by reason of compliance with the above mentioned inquiry, which may include the answering of specific questions and the giving of any information concerning my present or past record. I understand that subsequent consumer reports may be obtained and utilized under this authorization in connection with and update, renewal, extension or collection with respect or in connection with the rental or lease of the residence for which the application was made.

APPLICANT
________________________________________ DATE ____________________