Miletus Properties, LLC
5195 Hampsted Village Center Way #106
New Albany, OH 43054
PROPERTY ADDRESS:
_____________________ CITY: ________ State: _______ Zip: ______
Rent: $________
Credit Check: $35.00 Move in date: ____________
APPLICANT INFORMATION
First Name: _________________ Last Name: _________________
Date of Birth: _______________ Social Security # _____________
Phone: ____________________ Cell Phone: _________________
License: ___________________
Will any children under the age of 18 be living with you?
Yes / No (circle one)
If Yes, how many: ___________ Ages: ___________
CURRENT ADDRESS
Address: ______________________ City: ___________
State: ____________ Zip: ________
Own or Rent? (circle one) Monthly Payment: $________
Landlord: _____________________ Phone: ___________________
Start Date: ____________________ End Date: _________________
Reason for leaving: ________________________________________
_______________________________________________________
EMPLOYMENT INFORMATION
Current Employer: ________________________________________
Position: __________________ Supervisor: _______________
Address: _________________________ City: _________________
State: ______________ Zip: _________
Start Date: _________ End Date: _________
Monthly Income: $_________________
AUTOMOBILE INFORMATION
Make & Model: ________________ Plate: ____________
Make & Model: ________________ Plate: ____________
ADDITIONAL INFORMATION
Banking Institution: _______________ Branch: _________
Phone: _________________________
* Have you ever been convicted of a crime?
Yes / No (circle one)
If Yes, please describe and date each one: ________________________
________________________________________________________
* Have you ever been evicted, declared bankruptcy or had a
judgment against you? (Please read our rental criteria)
Yes / No (circle one)
If Yes, please describe: _______________________________________
_________________________________________________________
CO-APPLICANT INFORMATION
First Name: _________________ Last Name: _________________
Date of Birth: _______________ Social Security # _____________
Phone: ____________________ Cell Phone: _________________
License: ___________________
Will any children under the age of 18 be living with you?
Yes / No (circle one)
If Yes, how many: ___________ Ages: ___________
CURRENT ADDRESS
Address: ______________________ City: ___________
State: ____________ Zip: ________
Own or Rent? (circle one) Monthly Payment: $________
Landlord: _____________________ Phone: ___________________
Start Date: ____________________ End Date: _________________
Reason for leaving: ________________________________________
_______________________________________________________
EMPLOYMENT INFORMATION
Current Employer: ________________________________________
Position: __________________ Supervisor: _______________
Address: _________________________ City: _________________
State: ______________ Zip: _________
Start Date: _________ End Date: _________
Monthly Income: $_________________
AUTOMOBILE INFORMATION
Make & Model: ________________ Plate: ____________
Make & Model: ________________ Plate: ____________
ADDITIONAL INFORMATION
Banking Institution: _______________ Branch: _________
Phone: _________________________
* Have you ever been convicted of a crime?
Yes / No (circle one)
If Yes, please describe and date each one: ________________________
________________________________________________________
* Have you ever been evicted, declared bankruptcy or had a
judgment against you? (Please read our rental criteria)
Yes / No (circle one)
If Yes, please describe: _______________________________________
_________________________________________________________
CONSENT AGREEMENT
I/We do hereby consent to and authorize any representative of Miletus Properties, LLC and/ or their agents to obtain, verify and exchange information on any reports concerning me as are maintained by, but not limited to: City, County, State, Federal Law enforcement agencies, Credit reporting agencies, present and/ or past employers, present and/ or past residences. I understand that any information obtained may be considered by Miletus Properties, LLC and/or their agent in their sole discretion, as a factor in decisions they make, with respect to the apartment/house for which I am applying. (Initials: ___ /___)
Furthermore, I hereby release and hold harmless: agents, owners and affiliates of, but not limited to their officers, directors, employees, agents, law enforcement agencies, credit reporting agencies, present and or past employers, present and/ or past residencies, it’s officers and employees that shall provide information to Miletus Properties, LLC and/ or their agents upon request, from and against any and all claims, demands suits or expenses arising from or related to the content validity or handling of said reports.
(Initials: ___ /___)
I/We hereby certify that the information contained in this application for lease is accurate, full and complete. I/We have read the Resident Selection Policy and fully agree to abide by its criteria. Any discrepancy or lack of information will result in immediate rejection of this application. I/We understand that this is an application for a rental home and DOES NOT constitute a lease agreement in whole or part. I/We hereby acknowledge a NON-REFUNDABLE APPLICATION FEE OF $35.00 (Single Applicant), $60.00 with a Co-Applicant to be used in the processing of this application, once an application is approved a lease must be signed within 48 hours, and the unit can ONLY be held for no longer than 2 weeks. (Initials: ___ /___)
APPLICANT:
Print Name: _______________________
Signature: _________________________ Date: _____________
CO-APPLICANT:
Print Name: _______________________
Signature: _________________________ Date: ____________