Rental Application
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Application Fee
application and fee to
Rental Application
$25
750 E. Long Street,
Eden Regento LLC
Suite 3000
Per adult over 18
750 E. Long Street, Suite 3000, Columbus, Ohio 43203
Mon-Fri 9:30a-4:30p
Cash or Money Order
Phone 614-902-3975
Fax 888-847-9266
Property Address:
Showing Date & Time:
Date
Time
Shown By:
Applicant Information
Full Name – include all names you use(d):
Address:
City, State, Zip Code:
Mobile/Home Phone:
Work Phone:
Email Address:
Social Security No.:
Date of Birth:
Driver’s License/State ID Number:
State of Issue:
Other Identifying Information:
Vehicle Information – Plate Number:
Vehicle Information – Plate Number:
Make
Model
Color
Year
Make
Model
Color
Year
Additional Occupants
List everyone, including children, who will live with you:
Full Name
Relationship to Applicant
Rental History
FIRST-TIME RENTERS: ATTACH A DESCRIPTION OF YOUR HOUSING SITUATION FOR THE PAST THREE YEARS
Current Address:
Subsidized?
Yes
No
Name of Community, if applicable:
Dates Lived at Address:
Rent $
Deposit $
Landlord/Manager:
Landlord/Manager’s Phone:
Reason for Leaving:
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Parent category: Legal