PELLA COMPANY - Ohio State Rental Properties
PELLA COMPANY
1816 N High St. Columbus, Ohio 43201 / Phone 614-291-2002 / Fax 614-291-2664
APPLICATION FOR APARTMENT
(PLEASE PRINT)
Application Date_______________________Address you are applying for_____________________________________________________
When would you like to move in?___________________________________________________________________
Applicant’s Full Name_______________________________________________________________________________________________
Social Security No._____________________________Date of Birth__________________Driver’s License No._______________________
Home Phone No. ________________________Work Phone No._______________________E-Mail Address__________________________
Spouse”s Full Name if Applicable______________________________________________________________________________________
List all additional occupants that will be living in the apartment:
Full Name_________________________________Relationship_____________________Date of Birth______________________________
Full Name_________________________________Relationship_____________________Date of Birth_____________________________
Full Name_________________________________Relationship_____________________Date of Birth______________________________
RESIDENTIAL HISTORY:
Present Address__________________________________________________________________(Zip Code)_________________________
Name of Landlord/Mortgage Company__________________________________________Phone No._______________________________
Monthly Rental/Mortgage Payment______________________________How long have you been there?_____________________________
Previous Address (if above is less than two years)_________________________________________________________________________
Name of Landlord/Mortgage Company__________________________________________Phone No._______________________________
Monthly Rental/Mortgage Payment____________________________ How long were you there?__________________________________
Are you presently being evicted from a residential dwelling or have you ever been evicted? ______________When?____________________
EMPLOYMENT:
Company Name and Address__________________________________________________________________________________________
Position____________________________________How long have you been with this company?___________________________________
Gross Weekly Income_________________________Phone No. to verify employment____________________________________________
GENERAL INFORMATION:
WE DO NOT ALLOW PETS!!!
Do you have a pet or intend to have one?________________Type of pet____________________How Many?_________________
Where did you first hear of our apartments?___________________________Resident’s Name if Referred____________________________
Number of vehciles owned by you and/or your spouse_______________Please list below:
Make________________Model___________Year__________Color____________License No.______________State__________________
Make________________Model___________Year__________Color____________License No.______________State__________________
In case of emergency, whom should we contact?____________________________________Relationship?___________________________
Phone No._________________________Address_________________________________________________________________________
“THE UNDERSIGNED APPLICANT FOR TENANCY ACKNOWLEDGES THAT HE HAS PROVIDED THE LANDLORD
FINANCIAL AND PERSONAL INFORMATION RELATIVE TO HIS APPLICATION FOR TENANCY, AND HEREBY
AUTHORIZES THE LANDLORD, HIS AGENT,HIS EMPLOYEES OR ANY OTHER PERSON ACTING ON BEHALF OF
THE LANDLORD TO CONDUCT AN INVESTIGATION AND MAKE A SUBJECTIVE EVALUATION AS TO THE
APPLICANT(S) SUITABILITY FOR TENANCY. THIS MAY INCLUDE A CREDIT REPORT RUN THROUGH THE CREDIT BUREAU OF COLUMBUS.”
SIGNATURE OF APPLICANT
____________________________________
DATE_______________________
App 502
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