Canterbury Court

Canterbury Court

5750 Summit St

Sylvania, OH 43560

No Pets
Coin-Op Laundry
Storage
Wall Unit A/C
Gas Forced Air
Linen Closet
Coat Closet
Balcony
$35 Non-Refundable
Application Fee per Adult

Service Request

1 Bedroom
1 Bathroom
$650 Security Deposit
$650/month with a twelve month lease

2 Bedroom
1 Bathroom
$750 Security Deposit
$750/month with a twelve month lease

Today's Date

Moving Date

Birth Date

Social Security Number

Name

Driver's License Number

Present Address

City

State

Zip Code

Email Address

Home Phone

Cell Phone

Work Phone

Best Time to Call

Present Rent

Present Landlord

Present Landlord's Phone

Present Landlord's Fax

How Long at this Address

Reason for Moving

Previous Address

How Long at this Address

Reason for Moving

Marital Status

Employment Information

Present Employer

Position

From

To

Address

Phone

Monthly Income

Previous Employer

Position

From

To

Address

Phone

Monthly Income

Banking Information

Bank of Checking

Account Number

Bank of Savings

Account Number

Do You have a Pet?

Yes

No

We do not accept any pets!

Have You Ever Been Asked to Move?

Yes

No

Have You Ever Been Evicted?

Yes

No

If Yes, Please Explain

Have You Ever Been Convicted of a Felony?

Yes

No

How Did You Hear About This Property?

Open Credit Accounts

Company

Monthly Payments

Balance

Company

Monthly Payments

Balance

Motor Vehicles

Make

Year

License

Color

Make

Year

License

Color

Please List Other Persons Who Will Occupy the Apartment

Name

Relationship

Birth Date

SSN

Name

Relationship

Birth Date

SSN

Name

Relationship

Birth Date

SSN

In Case of Emergency Please Contact

Name

Relationship

Address

Phone

Name

Email Address

Phone Number

Address

Services Requested

Time Available

May we enter?

Yes

No