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WATERFORD VILLAGE APARTMENTS LTD. PTR. RENTAL APPLICATION
PLEASE NOTE: NO PETS ARE PERMITTED WITHOUT WRITTEN PERMISSION
AND ADDITIONAL FEES (Maximum # of occupants is limited to 4)

Applicant’s Name
Applicant’s Middle Initial
Date of Birth
Social Security #
Cell #
Home #
Work #
Home E-Mail
Work E-Mail
Marital Status Single Married Divorced
Separated Widowed
Co-Applicant’s Name
Date of Birth
Social Security #
Other Occupant's Name
Date of Birth
Social Security #
Other Occupant's Name
Date of Birth
Social Security #
RESIDENCE HISTORY ( 2 YEARS )
Present Address
City
State
Zip Code
How long
From/To
Rent / Own Rent Own
Landlord or Lender Landlord Lender
Landlord or Lender Address
Telephone #
Fax #
Monthly Payment
Lease Expiration Date
Reason for Moving
Has any Landlord ever filed for an EVICTION against you Yes No
Previous Residency if less than 2 years
City
State
Zip Code
How long
To (Year)
Rent / Own Rent Own
Landlord or Lender
Address
Telephone #
Fax #
Monthly Payment:
Lease Expiration Date
Reason for Moving
EMPLOYMENT HISTORY ( 2 YEARS )
Employed By
How Long
Employer’s Address
City
State
Zip Code
Position
Income
Telephone
Previous Employer
How Long
Employer’s Address
City
State
Zip Code
Position
Income
Telephone
CREDIT REFERENCES
Checking Acc. Bank
Account #
Savings Acc. Bank
Account #
Number of Automobiles
Driver’s License #
State
Spouse’s Driver’s License #
Make/Model
Year
Color
License Plate #
Make/Model (Automobile 2)
Year
Color
License Plate #
Do you have a pet? Yes No
What Kind?
Weight (full grown)
In case of emergency notify
Relationship
Telephone
Address
City
State
Zip Code
2nd Emergency Contact
Address
Telephone
Are you required to register as a sexual offender? Yes No
Are you a sexually oriented-offender or a child victim-offender? Yes No
Have you ever been convicted of a felony or misdemeanor? Yes No
How did you learn about these apartments?
DEPOSITS: In addition to the Application Fee of $30.00 Per Applicant, I/We have deposited $200.00 as a Holding Fee for suite # while this application is being processed. If this Application is approved, I/We agree to enter into a Rental Agreement for said apartment suite within 72 hours of the application date. If applicant(s) fails or refuses to enter into a Rental Agreement for any reason, the Holding Fee shall be retained as liquidated damages and shall not be refunded. If this application is denied, all deposits with the exception of the non-refundable Application Fee shall be returned to Applicant(s). At the time the Rental Agreement is executed, the Holding Fee shall be applied to and become part of the Security Deposit.
   
PLEASE READ CAREFULLY BEFORE SUBMITING

This Application and Deposit are not assignable. “I/We acknowledge that the above information is correct, and authorize verification of all above information, including employment, rental, credit history, criminal background check, and to obtain credit reports in connection with this application.” Any false information may constitute grounds for rejection of this Rental Application.

AUTHORIZATION FOR RELEASE OF INFORMATION

Purpose: The owner and manager(s) of Waterford Village Apartments may use this authorization and the information obtained with it to administer and enforce rules and policies related to the rental of apartment suites by the above referenced organization.

Authorization: I authorize and consent to an investigation on all statements and information contained in this application by Waterford Village Apartments about me (us) or my family this is pertinent to the rental of property owned and/or managed by such organizations.

Conditions: I agree that photocopies of this authorization may be used for the purpose stated above, if I do not sign this authorization, I understand I may be denied occupancy of rental property owned and/or managed by the above referenced organizations.
   
 

     
Driving Directions

I-71 exit 218 for OH-18 toward Medina. Turn left at Medina Rd./OH-18. Continue to follow Medina Rd.
Turn left at Waterford Dr.
Turn right at Brompton Dr.
You have arrived at Waterford Village.