Application for Franklin Apartments in Newark, Ohio

We Are An Equal Housing Opportunity
It is illegal to discriminate against any person because of race, religion, sex, handicap, familial status, or national origin.
PRINT OUT THE APPLICATION AND MAIL IN WITH APPLICATION FEE $25 (Make checks payable to Franklin Apartments) Address is below!
1. General Information
Name:____________________________________________ _________________________________________________			Spouse's Name:__________________ ______________________________
Birthdate:________________________		Age:_____________	SSN:__________________________
2. Car Information:
Driver's License #:_________________		Auto Make:________	Model:_________________________
Year:______________	Color:_______	Plate#:__________	State:__________________________
3. Present Residence:
Present Address:__________________ _______________________________		City:____________ _______________	State: _________________________ _____________________________
Length of stay:______________________________________			Home Phone:___________________
Work Phone:_______________________________________			Current Rent:$__________________
Present Landlord's Name:____________________________________________________________
Landlord's phone:___________________________________________________________________
Reason for leaving:__________________________________________________________________ ________________________________________________________________________________
4. Previous Residence:
Previous address:__________________ _______________________________		City:______________	State:___________________________
Length of stay:_______________________________________			Home phone:_____________________
Work phone:________________________________________			Previous rent:_____________________
Previous Landlord's Name:_____________________________________________________________
Previous Landlord's phone:_____________________________________________________________
Landlord's phone:____________________________________________________________________
Reason for leaving:___________________________________________________________________
5. Gross Income:
Income $_________________(annual, monthly, bi-weekly, weekly) Circle One
6. Employer Information:
Employed by:_______________________________________			Phone:__________________________
How long:___________Years, ____________Months
Supervisor:__________________________________________________________________________
Address of Employment:_______________________________ __________________________________________________			City:____________________________ ________________________________
State:______________________________________________ __________________________________________________			Occupation:______________________ ________________________________
7.Previous Employer:
Previously Employed by:________________________________________________			Phone:___________________________
How long:___________Years, ____________Months
Supervisor:___________________________________________________________________________
Address of Employment:_______________________________ __________________________________________________			City:_____________________________ _________________________________
State:______________________________________________ __________________________________________________			Occupation:_______________________ ________________________________
8. Spouse Information:
Employed by:_______________________________________			Phone:___________________________
How long:___________Years, ____________Months
Supervisor:___________________________________________________________________________
Address of Employment:_______________________________ __________________________________________________			City:_____________________________ _________________________________
State:______________________________________________ __________________________________________________			Occupation:________________________ _________________________________
Spouse's Income:_____________________________________ (annual, monthly, bi-weekly, weekly) Circle One			Occupation:________________________ _________________________________
Spouse's SSN:_________________________________________________________________________
9. Children:
Number of Children:_____________________________________________________________________
Name:_____________________________________________			Age:______________________________
Name:_____________________________________________			Age:______________________________
10. Credit References:
A).________________________________________________ __________________________________________________			Address:__________________________ _________________________________
City:______________	State:_______	Open:_________	Closed:___________________________
Account#_____________________________________________________________________________
B).________________________________________________ __________________________________________________			Address:___________________________ __________________________________
City:______________	State:_______	Open:_________	Closed:____________________________
Account#_____________________________________________________________________________
Bank)._____________________________________________ __________________________________________________			Address:___________________________ __________________________________
City:______________	State:_______	Open:_________	Closed:____________________________
Checking Account#___________________________________			Savings Acct.#______________________
11. Character References (No Friends or Relatives Please)
A.)________________________________________________ __________________________________________________			Address:___________________________ __________________________________
City:____________________________		State:____________	Relationship:________________________
Phone:________________________________________________________________________________
B.)_____________________________________________ ________________________________________________			Address:___________________________ __________________________________
City:____________________________		State:____________	Relationship:________________________
Phone:________________________________________________________________________________
12. In Case of Emergency Notify:
A.)____________________________________________ _______________________________________________			Address:___________________________ __________________________________
City:____________________________		State:____________	Relationship:________________________
B.)____________________________________________ _______________________________________________			Address:___________________________ __________________________________
City:____________________________		State:____________	Relationship:________________________
13. In Case of Emergency Your Doctor Is?_________________________________________________
14. Have you lived here before?_________Yes__________No. If yes, when?______________________
15. How did you learn about this apartment?________________________________________________ _____________________________________________________________________________________
16. In order to receive a $25.00 Kroger Gift Certificate, refer one of your friends to Franklin Apartments. Your free gift will be available upon referral's application approval.
I hereby certify the above information to be true. I understand any falsification of the information I have given on this application will result in rejection. The Application must be satisfactory to the landlord. I/We acknowledge that I/We have also tendered $25.00 as a non-refundable application fee. This fee is to cover lessor cost in obtaining credit information and the checking of references, this fee is not refundable in event of cancellation or rejection by either party. I/We agree that once a deposit is made on an Apartment that I/We have three (3) days to cancel. I/We understand I/We acquire no rights in an apartment until I/We sign a Lease and it has been accepted by the Lessor in the form submitted to me and made a deposit on the apartment I/We have selected, which deposit is to be held as long as I/We occupy the apartment. I/We acknowledge receipt of information that I/We have been advised of Owner's Policy of NO PETS. And I also acknowledge that I will not be permitted to park trailers or boats within the boundaries of the apartment area, unless as provided for in addenda to my lease. In signing this application, I/We grant permission to the Kennedy Company to execute a credit,criminal and rental history check with the Credit Bureau. I also agree that all references and information above may be checked for accuracy.

Applicant:_____________________________ Applicant:________________________________________
Application taken by:____________________________________ Date:____________________________

In the event of any changes affecting lease or application, you must notify the office.

Franklin Apartments
165 Derby Downs Rd., #13
Newark, Ohio 43055
740-366-1493
Fax:740- 322-6474
E-Mail: flk@windstream.net
Hours 11:00AM-5:00PM; Mon. - Fri.

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We Are An Equal Housing Opportunity