Application By Tenant To Deposit Rent With The Clerk
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1APPLICATION BY TENANT TO DEPOSIT RENT WITH THE CLERK
Bowling Green Municipal Court, Bowling Green, Ohio
TO THE CLERK OF COURT:
No. ___________________
NAME AND ADDRESS OF TENANT:
NAME AND ADDRESS OF LANDLORD:
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
In accordance with Section 5321.07(B)(1) of the Ohio Revised Code, I hereby make application to deposit all
rent that is due and hereafter becomes due the landlord, with the clerk of the captioned court.
_____/_____/_____
Signature ________________________________________
INFORMATION IN SUPPORT OF APPLICATION:
The undersigned says the following facts are true to the best of his/her knowledge:
1) Notice was given in writing to landlord as prescribed in Section 5321.07(A) [copy of this notice attached].
2) Service was made on landlord as follows: _______________________________________________________
3) That payment of my rent due under the rental agreement is current and that my rent is due _______________
in the amount of $_______________.
4) Landlord did
did not supply me with a notice in writing that the landlord was a party to any rental
agreement which covered three or fewer dwelling units (Section 5321.07(C)).
APPLICANT STATES UNDER THE PENALTIES OF PERJURY AND FALSIFICATION THAT THE
ABOVE INFORMATION AND APPLICATION HAS BEEN READ AND IS BELIEVED TO BE TRUE.
_____/_____/_____
Signature _________________________________________
NOTICE TO LANDORD OR AGENT
Please be advised that the above applicant has this date deposited a rental payment with this
Court under the provisions of Section 5321.07 of the Ohio Revised Code. Said deposit has
been placed in the Rent Escrow Account of the Civil Division and may be released to you
upon your application and satisfaction of the provisions of Section 5321.09 of the Ohio
Revised Code.
_____/_____/_____
___________________________________________
Katherine E. Thomas, Clerk of Court
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