VARSITY REALTY RENTAL APPLICATION
Columbus, OH       Phone: (614) 989-1866       email -  danny@varsityrealty.com

Property Address:                                                     Unit #                 Date Available                   

Lease Term                  Monthly Rent: $                              (plus utilities)   Security Dep.: $                     
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 APPLICANT'S NAME                                                                                                                        
                                               Last                                                           First                                                      Middle

 Social Security #         -         -               Date of Birth                             Phone #                                 

 Present Address:                                                                                                                               
                                       Street                                                              City                                            State                  Zip Code

 Do you have pets?                                 Have you ever declared bankruptcy or been evicted?                     
                                    Type        Age        Weight 

 Current Landlord:                                                                                Phone #                                

 Landlord's Address:                                                                                                                             
                                            Street                                                     City                                            State                 Zip Code

 Applicant's Employer:                                          Contact Person:                        Phone #                      

 Applicant's Supervisor:                               Length of Employment:           Monthly Income: $                   
 
  Parent/Guardian or co-guarantor:                                                             Phone #                         

 Address:                                                                                                                                            
                       Street                                                                City                                              State                           Zip Code

 Social Security #         -         -               Annual Household Income: $                                                    

 Employer:                                            Supervisor:                                          Phone #                        

 In case of an emergency, person to notify:                                                                                            
                                                                                  Name                                                                                        Phone

The Applicant hereby deposits with owner/agent the sum of $_____________as deposit on the above premises pending execution of a lease Agreement.  I understand that my deposit is non-refundable and will be forfeited if this application is approved and I am unable to fulfill the conditions of the lease agreement.  The deposit will be returned if this application is not approved, providing all the above questions are answered correctly and truthfully.  
The Applicant hereby grants permission to the owner/agent to verify the validity of all the above statements to be true and correct, I understand that this application does not constitute any oral or written commitments on the part of the owner/agent.  The Applicant represents the above information to be true and correct.  A payment of $30.00 is included herewith, which payment is made for the purpose of verifying the information included on this application.  I understand this charge will not be applied to future rent or refunded, even if the application to rent is declined.  Applicant understands that the owner/agent may terminate any rental Agreement entered into for any misrepresentation made above.
Lease agreement must be completed, including all signatures, and returned to our office within ten days or the Lease Agreement may be cancelled at Management's option. 

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____________________________________________________________________
APPLICANT’S SIGNATURE                                                                      DATE

____________________________________________________________________
PARENT/GUARDIAN’S SIGNATURE                                                        DATE