Uptown Rental Properties of Cincinnati, Ohio
Uptown Rental Properties, Cincinnati, OhioUptown Rental Properties, Cincinnati, Ohio


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Rental Application

If you would like to fill out an online application, please use the form below. You can also print, fill out, attach payment and mail a pdf form to our office address:

Uptown Rental Properties
260 E. University
Cincinnati, Ohio 45219
Fax: (513) 861-7374		 download

To fill out this Rental Application please use Adobe's Free-Text Tool located on the Adobe Acrobat Tool-bar (or just print the application and fill it out by hand).

get adobe acrobat -a free plugin.

***PLEASE NOTE THERE IS A $30 NON-REFUNDABLE FEE DUE AT THE TIME THE APPLICATION IS PROCESSED***
Property and Lease Dates
Property Interested In:
Requested Lease Dates:
from: (mm/dd/yyyy)
to: (mm/dd/yyyy)

Personal Information
Email Address*:
First Name*:
Middle Name:
Last Name*:
Social Security #*:
Date of Birth*:
Home Phone*:
Business Phone:
Cell Phone:
Move in Date: (mm/dd/yyyy)
Driver's License #*:
Driver's License State*:
*if not applicable, enter "n/a"

Other Occupants
Occupant 1 Full Name:
 Relationship:
 Date of Birth:
Occupant 2 Full Name:
 Relationship:
 Date of Birth:
Occupant 3 Full Name:
 Relationship:
 Date of Birth:

Current Tenancy
Current Address*:
Apartment #:
City*:
State*:
Zip*:
# of Bedrooms*:

Do You Pay: Heat Gas Electric
Total Monthly Rent*:
Landlord*:
Landlord Address*:
Landlord City*:
Landlord State*:
Landlord Zip*:
Landlord Phone*:
Lease Dates:
from: (mm/dd/yyyy)
to: (mm/dd/yyyy)
Are You a Full-Time Student?

Employment Information
Employer*:
Employer Address*:
Employer City*:
Employer State*:
Employer Zip*:
Employer Phone:

Your Position*:
Supervisors Name*:
Supervisor Phone*:
How Long There*:
Start Date*:
Monthly Income*: Gross

Other Income:
Please list amounts and sources
(include all student loans parental,
or other assistance as applies)

Pets
Pets you currently have or plan to have when you move in:

Legal
Have you ever:
been evicted?*
Yes No
filed for bankruptcy?*
Yes No
been convicted of a felony or sex offense?*
Yes No

Miscellaneous
Do you have a waterbed? Yes No
Have you ever applied
to Uptown Rental Properties?		 Yes No

If Yes, When?
How did you hear about us?*

Emergency Contact Information
Contact Name:
Relationship:
Address:
City:
State:
Zip:
Phone:

Please note, fields marked with a * are required.

The undersigned does hereby agree that all information stated is correct and true and may be verified and processed through a credit reporting agency and any other type of verification as required. This may also include a police report. I hereby release all parties from any liability in connection with the provision and sue of such information.

I hereby expressly release Uptown Rental Properties, and any furnisher of information, from any liability in the use, procurement, or furnishing of such information. I further understand that the $30 application fee is non-refundable. I further understand that if this application is accepted, my security deposit is non-refundable if I later decide not to move in.

 


 



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260 E. University, Cincinnati, Ohio 45219 · tel: 513-861-9394 · fax: 513-861-7374