Rental Application

Urban Restorations

Restoring * Building * Rentals

Make and Model of Vehicle

Emergency Contact

After you receive the pop-up message that we have received your application , Click button below to pay your application fee.

Urban Restorations / 815 North High Street Suite R, Columbus, Ohio

office: (614)294-6097 / fax:(614)294-1882 / www.UrbanR1.com

Ideal Move Date *

***Fill out every line with * next to it before submitting the rental application***

Names of additional residents

Have you ever been convicted of dealing or using illegal drugs or any felony? *

Phone Number *

Weekly or Annual Income *

Have you been treated for bedbugs in the last 12 months *

Current Rent Amount & How long you have lived there *

Do you have any pets *

if yes, what kind of pet & how many

Employer and Position *

Employment Supervisor and Phone Number

Have you ever been evicted *

Additional Income Information

Digital Signature * By typing your full legal name you are giving Urban Restorations LLC permission to process this application and verify rental, credit and criminal history. If statements or representations made on this application are found to be materially misleading, incorrect or untrue, management shall be entitled to terminate this application. *

Current Landlord and Phone Number: *

Birthday *

Social Security Number *

Address You Are Applying For *

Current Address *

Email *

Full Name (First, Middle & Last Name) *