Please complete the rental application below and someone will get back to you as quickly as possible. By submitting this application I give Old Mill Realty authorization to verify the information and to run a credit report profile as part of my applicaiton for a property to rent.ANY false or misleading information listed will be sufficent cause for IMMEDIATE rejection of this application, no exceptions.Fiance or single roommates must fill out separate applications.
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| Address of Property applying for | |
| Date needed & anticipated length of occupancy | |
| Name | |
| Date of Birth | |
| Social Security Number | |
| Drivers License and state | |
| Present phone #'s | |
| Present Address | |
| How Long at Present Address? | |
| Landlord/Agent & phone # | |
| How long at previous address? | |
| Previous Address | |
| Previous Landlord or Agent & phone # | |
| Name of Employer, Type of Business & Position Held | |
| Employer Address, Phone, Name & Title of Supervisor | |
| Monthly Gross Income | |
| How Long Employed? | |
| Other Occupants: Name & age of each | |
| Name of Spouse | |
| Social Security Number | |
| Date of Birth | |
| Driver's License | |
| Spouse Current Address | |
| Spouse Current Landlord name & phone number: | |
| Spouse length at current address | |
| Spouse employer, type of business & position held | |
| Spouse employer address,phone, name & title of supervisor | |
| Monthly Gross Income | |
| How Long Employed? | |
| List 2 Personal References, City/State, Phone & Occupation | |
| List 2 Nearest Relatives, City/State, Phone & Relationship to you | |
| Car #1 Year, Make, Model, License # | |
| Car #2, Year, Make, Model. License # | |
| Have you ever filed for bankruptcy | yes
no
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| Have you ever been evicted |
yes
no
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| Have you ever willfully & intentionally refused to pay any rent when due? |
yes
no
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| I authorize Old Mill Realty to verify the above info & to run a credit report profile. |
yes
no
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| Email Address (Optional) | |
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