Application

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NOTE: You we're transferred from www.PerrysburgRentals.com to www.PerrysburgLawnAndLandscape.com. (Same ownership.)

* Indicates required field

Name *

First

Last

Phone # *

Alternate Phone # *

Date of Birth *

Email *

Driver's License # *

Additional Occupants - Name/Relationship *

EMPLOYMENT

Current Employment *

Name of Supervisor *

Employer Phone *

Income Per Month *

Employment timeline *

RESIDENCE

Current Residence *

Dates of stay (Current residence) *

Previous Residence *

Dates of stay (Previous residence) *

Owner/Manager Name & Number (Current residence) *

May we contact this landlord for a reference? *

Yes No

Owner/Manager Name & Number (Previous residence) *

May we contact this landlord for a reference? (Previous residence) *

Yes No

Reason for Leaving (Current residence) *

Reason for Leaving (Previous residence) *

Monthly rent (Current residence) *

Monthly Rent (Previous residence) *

VEHICLES

Make *

Model *

Year *

Color *

GENERAL INFORMATION

Do you Smoke? *

Yes No

Do you have pets? *

Yes No

If so, what kind of pet and how many? *

Do you play any instruments? *

Yes No

If so, which one? *

Have you ever been evicted for non-payment of rent or any other reason? *

Yes No

If so, what year? *

Have you filed bankruptcy in the last 7 years? *

Yes No

If so, what year? *

Do you have any judgements or liens against you? *

Yes No

If so, what year? *

Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs or convicted of any other crime? *

Yes No

If yes, please explain *

If you answered "YES" to any of the above questions, further explanation can be typed here. *

By checking below, you are confirming that everything on this rental application is accurate. Any intentional errors or omissions will automatically cause rejection of your application. A credit and criminal background check will be performed on every applicant *

YES, the information on this application is accurate.

Submit

Customer Service
419-870-1771
Call or Text

419-870-1771

23960 N. Dixie Hwy Perrysburg, OH 43551