At Geitgey Properties we appreciate your online rental application.
We look forward to contacting you by either phone or e-mail.

Rental rate must be no more than 25% of monthly income.   Credit rating must be above average
for all adults in unit.  No more than two single adults or one married couple per unit.  No more than
two people per bedroom. NO PETS.  Carriage Hill is an OVER-55 community.

Full Name:
Present Address:
City:
State:
Zip Code:
How Long:
Birth Date:
Soc. Sec.#:
Phone:
Marital Status:
Home:    Rent     Own     Other
Previous Address:
Present Landlords Name & Address:  
Employer Name & Address:  
How Long Employed:         Net Monthly Income:  
Previous Employer Name & Address:  
How Long Employed  (Previous Emp.) :  
Additional Monthy Income & Source:  

Co-Tenant or Spouses Name:           Soc. Sec.#:  
Co-Tenant or Spouses Birth Date:  
Co-Tenant Present Address:  
Co-Tenant or Spouses
Employer's Name & Address:
 
How Long Employed:         Net Monthly Income:  
Total # Persons to Occupy Premises:  
Number of Dependents:       Ages and Relation to You:  
List Makes, Year, Color and
License Numbers for all Vehicles
to be on Premises:
 

ACCOUNTS PAYABLE
Total Balance Due Creditor Name Monthly Payment
Car:
Furniture:
Other:
Other:

List the names, addresses and phone numbers of 2 persons who should be contacted in case of emergency.
Name No. 1:  
Name No. 2:  

Have you or your co-tenants ever been convicted of a crime:   Yes    No

How did you hear about us?

I hereby grant my consent to Geitgey Apartments for verification purposes, to contact with CBC Credit Services-Dayton, to provide a written credit report on the above information, which is accurate to the best of my knowledge.  I also swear that I am the person as stated on the application above being submitted.
E-Mail:   (Required)
To submit this form you must check the box below stating that you have read and agree to the statement at the left.  This acts as an electronic signature.
If you would like a copy of this application
e-mailed back to you, check this box.