RENT
FAIRPORT HARBOR Apartments for
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Please email us a copy of your application at fcr246@hotmail.com
WILSHIRE LLC
700 HIGH STREET #7
FAIRPORT HARBOR, OHIO
RENTAL APPLICATION
PERSONAL DATA
Social Security No.
Name
Drivers Lic. No. Expir. Date
Name of Co-Tenant
Social Security No.
Present Address
Drivers Lic. No. Expir. Date
City/State/Zip Res. Phone Bus. Phone
How Long at Present Address Landlord or Agent Phone
Current Rent Rent Paid Through Current Lease Expires
Previous Address How Long Landlord or Agent Phone
City/State/Zip
Occupants }
Relationships:
Pets?
Ages:
OCCUPATION
PRESENT OCCUPATION*
PRIOR OCCUPATION*
CO-TENANT'S OCCUPATION
Occupation
Employer
Self-Employed, Doing Business As
Business Address
Business Phone
Type of Business
Position Held
Name and Title of Supervisor
How Long
Monthly Gross Income
*If employed or self-employed less than two years, give same information on prior occupation.
Bank Reference Address: Phone:
CREDIT REFERENCE
ACCOUNT NO.
ADDRESS
HIGHEST AMOUNT OWED
PURPOSE OF CREDIT
ACCOUNT OPEN OR DATE CLOSED
PERSONAL REFERENCE
ADDRESS
PHONE
LENGTH OF ACQUAINTANCE
OCCUPATION
NEAREST RELATIVE
ADDRESS
PHONE
CITY
RELATIONSHIP
Have you ever filed a petition for bankruptcy? _________________ Have you ever been evicted from any tenancy? _______________
Have you ever willfully and intentionally refused to pay any rent when due? ______________
I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT. I AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF CONSUMER CREDIT REPORT.
I agree that Landlord may terminate any agreement entered into in reliance on any misstatement made above.
Applicant: Applicant:
Dated:
Copy of pay stub from employer where you presently work or other proof of income.
Copy of utility bill from gas, electric, telephone, water or sewage past month.
Complete names of all people who are to reside with you.________________
_________________________________________________________________
VEHICLE YEAR_______, MODEL__________, MAKE__________
LICENSE # ____________, COLOR__________
Email address to send correspondence, water and sewage bills to ?
NO SMOKING & NO PETS
WILSHIRE LLC
700 High St #7
Fairport Harbor, OH
44077
www.fairportapts.com