JOHN NEWLOVE REAL ESTATE, INC, 319 E. Wooster Street Bowling Green, OH 43402 Phone: 419-352-6553 Fax: 419-352-6553 wwwjohnnewloverealestate.com Date: Location Applying For: Name: Date of Birth: Present Address: Email Address: Phone Number Social Security No:_ Month and Year You Moved to the Above Address Present Landlord: Rent per month that you presently pay: Lease Expires: Landlord's Phone:. Previous Landlord: Have you ever rented from us before? IF YES, Location? Landlord's Phone:. YES ^When? Have you ever filed bankruptcy? Have you ever been served an eviction notice? Have you ever been late on one or more rent payments? Have you ever been convicted of a felony? IF YES, please ATTACH your explanation with this application. NO ^YES ^YES ^YES YES NO NO NO NO Persons who will be occupying this rental unit, INCLUDING YOURSELF: Name Relationship Birthdate Age EMPLOYMENT HISTORY: 1 am presently emoloved: Full Time Name of EmDJover: Fmplover'R Address: Dates of Employment: Salarv:S PER Honrs Per Week You Work On Average: IVfORE ON BACK Part Time Hour Unemoloved Phone: Position: Week Month STUDEM STATUS AND OTHER INCOME: I am currently a student attending: I am pr( gently a (Year In coHege):_ I expect to graduate: LOANS: Type Type:_ Type:. Grant Monies: Full Time Part Time .(Month) of. .(Year). .Amount Per Year: $. .Amount Per Year: $_ Amount Per Year: $ Anticipated Parental Financial Support:. Child Support Received: Alimon) Received: Other Irtcome (Including Second Job/Spouses Employment/Stipends/Governmental Funding) BANK ACCOUNTS (Held At): Do Not Write Account Numbers Checiting: ^Savings:_ CREDIT CARDS Average Monthly Payment Balance $ $ $ $ $ $ CAR LOAN (Paid To) Monthly Payment Balance $ $ CHILD SUPPORT AND/OR ALIMONY PAYMENTS: IF YES, Amount Paid $ MOTOR VEHICLES Vehicles #1: Make. Model Color. Vehicle #2: Make. Color NO _YES PER License Plate. Model License Plate, EMERGENCY CONTACT INFORMATION Name: Street Address: City, Stalte, Zip Code. .Relationship:. . Home/Cell:_ Work Phone: AUTHORIZA ION TO RELEASE INFORMATION: 1. the applicant, recognize that as part of the procedure for processing my application, an investigative report may be pre feared whereby information is obtained through personal interviews and/or phone calls with present landlord, employers and others with whom may be aoqi|iaintecf with me. This inquiry includes information as to my character, general reputation, personal finances, personal characteristics and mode of living. I hi reby authorize any person or company to supply you with any information requested concerning the items listed above for verification of this application, • ' also fully understand that misrepresentation or concealment relative to any of the above facts will, at the Lessor's option, VOID my rights under any ajgreemijnt entered into for the rental unit for which I am applying. Applicant's Signature. Date