Schotttenstein Real Estate Group Application

Rental Application Agreement - Jerome Grand


Please list all other residents to occupy the premises All occupants 18 and older must complete an application and be added to the lease.

References (At Least 2 References. Use Local When Possible)

Emergency Contact

Answer 'Yes' or 'No'

Yes No
Yes No
Yes No
Yes No
Yes No
Yes No



Number of Autos owned by All Occupants

Your Present and Prior Places of Residence (Please Go Back at Least Five Years)

Present Address




Move-in Date

Move-out Date


Landlord Phone


Monthly Payment

Reason for Leaving

Employment Information



Applicant(s) represents that the statements above made are true and correct and hereby authorizes verification of references.

Applicant(s) further understand that we are members of the Credit Bureau of Columbus, and will use their services in order to obtain any public record and credit history.

The Applicant(s) makes Applications to rent a unit for the rental rate in effect at the date specified unit is to be assigned hereafter, and upon approval of this application to sign a Lease in the form presented by the Landlord.

It is understood by the Applicant(s) that this Application is preliminary only and involves no obligation of the Landlord or the Agents of the Landlord to approve this Application or to delivery occupancy of the unit.

It is understood by the Applicant(s) that a copy of the Lease Agreement used by the Landlord will be furnished upon request.

An APPLICATION FEE of $40 has been made by Applicant(s). It is understood that upon execution of a Lease in the form presented by the Landlord this Application Fee will not be credited toward the Security Deposit requirement under said Lease.

Additional monies toward a security deposit will be required to be made by Applicant(s) to be held by the Landlord at time of application. (1) Applicant(s) execute a Lease in a form presented by the Landlord; (2) this Application is not approved; or (3) Applicant(s) inform the Landlord in writing of his intention to withdraw said Application prior to the date upon which the Landlord assigns a specific unit to the Applicant(s), and provides the Landlord with his forwarding address.

It is further understood that in the event this Application is rejected or if the Applicant(s) informs the Landlord, according to the requirements set out herein, of his intentions not to rent, the Application fee will not be returned to the Applicant(s). If you are denied based on criminal history, you have 72 hours to request an individualized assessment. Once the Application is approved and an address is assigned, in the event the Applicant(s) does not move-in or cancels, all monies paid will be forfeited.



Authorization Request

To Whom It May Concern:

I hereby authorize you to release Schottenstein Real Estate Group, for verification purposes, information concerning:

  1. Employment, dates, title, income, hours worked, etc.
  2. Banking and Saving Account(s) of record.
  3. Mortgage loan rating, credit and criminal report; (opening date, high credit, payment amount, loan balance and payment record.)
  4. Rental history; (Term of Lease, Payment History, Problems and/or any derogatory information.)

Also, I hereby authorize utility service to be established in my name and agree to pay for such service.

This information is for the confidential use of Schottenstein Real Estate Group. A photographic or carbon copy of this Authorization, (being photographic or carbon copy of the signature(s) of the undersigned), may be deemed to be the equivalent of the original and may be used as a duplicate original.

Your prompt response and cooperation to this request is greatly appreciated.



$40 Application Fee (A Service Fee May Apply)