ALL APPLICATIONS MUST BE ACCOMPANIED BY A NON-REFUNDABLE $40 SINGLE OR $50 JOINT APPLICATION FEE.

All fields marked with * are required
Name of Primary Applicant: (First Last)
 
Social Security Number of Primary Applicant:
 
*
   
Will there be a co-applicant?
 Yes
Date of Application:(MM/DD/YYYY)
*
Date Housing is Needed:(MM/DD/YYYY)
Choose a location:
*
Then choose from the following:
*
Directions to Applicant: Answer all questions on this application. Enter ''None'' or "N/A" for those questions which do not apply to you. Include all members who you anticipate will occupy the unit, at least 50% of the time during the next 12 months. For financial information, please provide the names and addresses of people who can verify the information you provide. All adults must sign/date the application and sign a Release of Information form when they meet with a housing representative.

Billing Information for Application Fee

Card Information

Name
 
*
 
*
Card Number
 
*
CCV Code
 
*
Exp Date (mm/yyyy):
 
*

Billing Address

Address
 
*
City
 
*
State
 
*
Zipcode
 
*
Email Address
 
*

CURRENT PLACE OF RESIDENCY/EMERGENCY CONTACT

Current Address

Street Address
 
*
City
 
*
State
 
*
Zipcode
 
*

Current Telephone #

Home
 
*
Work
 
*
Message

Emergency Contact

Street Address
 
*
City
 
*
State
 
*
Zipcode
 
*
Home Telephone
 
*
Work Telephone
*


PART 1: FAMILY COMPOSITION

NAME ALL PEOPLE TO OCCUPY HOME:
FIRST, MIDDLE, LAST. PLEASE ADD THE DATE OF BIRTH TO THE SECOND FIELD

    1.
*
2.
3.
4.
5.
6.
Do you expect a change in family size in the future?
*  
If so, explain change and provide expected date of change.
Are there any absent family members?
If so, provide name and date of return.
Current Marital Status:




Would you or any members of your household benefit from a handicapped-accessible unit?
 
*
If so, explain:


PART 2: INCOME i.e. Job, Pension, SS, etc.

1)

Type of Income
 
*
Person Recieving Income
 
*
Name of Source
 
*
Address, City, State, Zip, Phone number
 
*
Amount Recieved per week/month/year
 
*

2)

Type of Income
Person Recieving Income
Name of Source
Address, City, State, Zip, Phone number
Amount Recieved per week/month/year

3)

Type of Income
Person Recieving Income
Name of Source
Address, City, State, Zip, Phone number
Amount Recieved per week/month/year

4)

Type of Income
Person Recieving Income
Name of Source
Address, City, State, Zip, Phone number
Amount Recieved per week/month/year


PART 3: ASSETS i.e. checking, savings, cd's

1)

Type of Account
 
*
Name on Account
 
*
Name of Financial Institution
 
*
Address, City, State, Zip, Phone number
 
*
Account Number
 
*

2)

Type of Account
Name on Account
Name of Financial In
Address, City, State, Zip, Phone number
Amount Recieved per week/month/year

3)

Type of Income
Person Recieving Income
Name of Source
Address, City, State, Zip, Phone number
Amount Recieved per week/month/year

4)

Type of Income
Person Recieving Income
Name of Source
Address, City, State, Zip, Phone number
Amount Recieved per week/month/year


PART 4: LANDLORD REFERENCE

A. Present Landlord

Name
From/To
Address
City
State
Zip
Phone

B. Previous Landlord

Name
From/To
Address
City
State
Zip
Phone

C. Previous Landlord

Name
Name


PART 5: GENERAL INFORMATION

a. Have you or your spouse/co-applicant ever had your rental assistance terminated or been evicted or otherwise involuntarily removed from rental housing due to fraud, non-payment of rent, failure to cooperate with recertification procedures, or for any reason? If yes, please explain:
 
*
If yes, please explain
b. Have you or anyone in your household ever been convicted of a felony? If yes, please explain:
 
*
If yes, please explain
c. Have you ever filed bankruptcy? If yes, please explain:
 
*
If yes, please explain
d. Have you ever recieved rental assistance or lived in subsidized housing? If yes, please explain:
If yes, please explain
e. Will this be your only place of residence? If no, please explain:
If yes, please explain
f. Do you have any pets?

Cambridge Management Corporation Pet Policy allows one cat. There is a non-refundable pet fee.
 
*
g. Does anyone in your household smoke?

Cambridge Management Corporation's communities are non-smoking.
 
*
h. Has anyone in your household used an alias or had their named changed (e.g. maiden)?
If so, who, and what was their prior name?
i. Have you or any member of your household ever made a prior application to this office?
If so, when and under what name?
j. Do you or any member of your household own any real estate?
If so, where, and what is the assessed value?
k. Some Funding for this site comes from the Ohio Department of Development, which requires us to report the following statistics to determine the degree to which its programs are utilized by minority families
Please check the one that best applies to the Head of Household




Other:
How did you hear about our property?







Other:
By clicking the check box below, I certify that all application information is true and complete to the best of my knowledge. I understand that I will be required to provide third-party documentation of the above information at such time as I may be notified by the Cambridge Management Corporation. Applicant understands and agrees, as indicated by checking the box below, that deposit will be forfeited if applicant fails to lease home by date CMC establishes home is available for lease.


Call to Check Availability

740.439.0414 1100 Maple Court P.O. Box 1388 Cambridge, Ohio 43725

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