Green Fox Leasing Application

PERSONAL INFORMATION

INCOME

Last Year’s Total Annual Income: 
Current Income (Weekly/Monthly/Annual)    
Income other than work   
Source

HOUSING PLANS

How long do you plan to stay at this property?
Do you plan to buy a home?
When?

PREVIOUS FINANCES

Have you ever been sued for bills?    
Have you had a lawsuit against you, ever?    
Have you ever filed for bankruptcy?    
Are you planning on filing for bankruptcy?    
Have you ever been charged with a felony?    
Have you ever changed your name?    
Did you do a debt consolidation loan?    
Have you ever willfully refused to pay rent when due?    
Have you ever been convicted for dealing or manufacturing illegal drugs?    
Have you ever been served an eviction notice or been asked to vacate a property?    

Name of your attorney: 
Attorney’s Phone number: 

MARITAL INFORMATION

Marital Status: 
Date of Most recent marriage: 
Current Spouse’s Name (first middle & maiden name if wife): 

Date of most recent divorce: 
Former Spouse’s Name (first middle last):  

Former Spouse’s current Phone:  
Former Spouse’s current email:  
Former Spouses’ complete address:  

RENTAL HISTORY

No Entries Found

UTILITIES

Which of the following do you currently pay?
Name and address utilities are in (gas / electric / water):
Address:

PAST ADDRESS

No Entries Found

OTHER RESIDENTS

Will anyone other than the applicant and applicant’s spouse reside at the property: Yes
Please list each other occupant

Name of additional occupant: Additional Resident LN
Date of birth: December 1, 2021

Name of additional occupant: Additional2 Resident2 LN2
Date of birth: December 6, 2006

 

SMOKING

Does anyone who plans to reside at the property smoke: Option 1

AUTOMOBILES

Make of Car: Ford
Model of Car: Fiesta
Color: Wite
License Plate Number: lkj1234
License Plate State: GA
Lein Holder’s Name: Car lein holder name
Lein Holder’s City: lein holder city
Lein Holder’s State: state

Make of Car: Toyota
Model of Car: Camry
Color: Black
License Plate Number: 12kk23l
License Plate State: PA
Lein Holder’s Name: PA Lein Holder
Lein Holder’s City: PA City
Lein Holder’s State: PA State

APPLICATION STATUS CONTACT INFORMATION

Spouse/Partner’s Name: John Smith
Spouse/Partner’s Phone Number: 5138799879

CURRENT EMPLOYMENT

No Entries Found

PREVIOUS EMPLOYMENT

No Entries Found

APPLICANT REFERENCES

Sibling In Ohio Name: Sib LN Sib
Home Phone: 5138798982
Work Phone:
89898922312
Address: Sib add
City, Sttt zip

Other Relative Name: Other Reltive
Home Phone: 5468976548
Work Phone:
9865986587
Address: Other rel add
Other, Rel 12345

Friend In Ohio Name: Friend Ohio
Home Phone: 3256874895
Work Phone:
6578956423
Address: Friend Ohio Address
Friend, Ohio 98709

Other Non-Relative Name: Other nonrelative
Home Phone: 5462589357
Work Phone:
1568269713
Address: Other nonrelative address
Nonrelative, Oh 23691

Mother’s Maiden Name: Mother’s Maiden Name
Spouse’s Mother’s Maiden Name: Spoue’s Mother’s Madene Name

EMERGENCY CONTACTS

Emergency Contacts Name: Emergency Contact
Phone Number: 5136549874
Relationship: Friend
Doctor’s Name: Doctor Name
Doctor’s Phone Number: 8907896789

Credit Accounts

Credit Company’s Name: CC Name
Account Number: CC accoutn #
Credit Company’s Address: address
city, state 12341
Monthly Payment: 234523
Is this account current: Yes

Credit Company’s Name: CC #2
Account Number: 1234
Credit Company’s Address: CC#2 address
Dayton, OH 45255
Algeria
Monthly Payment: 56486
Is this account current: No

Credit Company’s Name: company name
Account Number: 12039123
Credit Company’s Address: adsfg ` 1223 defs 2344
ewasd, asdasd 1234
United States
Monthly Payment: 10000
Is this account current: Yes

CHECKING AND SAVINGS ACCOUNTS

Financial Institution’s Name: Chcking and savings account
Account Number: CS#
Address: 098 street name
city, state 09876
$$$ Amount in Account: 5245
Currently Active: Yes

Financial Institution’s Name: Checking and savings #2
Account Number: 98klj
Address: Checking and savings #2 address line 1
Middletown, OH 98789
$$$ Amount in Account: 6584
Currently Active: Yes

Financial Institution’s Name: awdasd
Account Number: 123126621
Address: asdad 123213 drf 645
asdawgt, hjfgftg 1254
United States
$$$ Amount in Account: 123456
Currently Active: Yes

PETS

Do you have any pets? Yes

Type of Ped: Dog
Number of these pets: 4
Size of Pets: 26

Type of Ped: Cat
Number of these pets: 2
Size of Pets: 89

Type of Ped: bird
Number of these pets: 5
Size of Pets: 5

Do you have any pets? Yes

Type of Ped: dog
Number of these pets: 2
Size of Pets: 20

Do you have any pets? No

welcome.

We connect you to a world of houseplants and urban gardening tailored to your home

Bloomer

Login to your account

VIP only

sign in to enjoy our premium stuff