Make Check/Money Order Payable to:

Realistic Investors, LLC

             $30 Non-Refundable Application Fee

Columbus, OH 43204

PRIMARY APPLICANT

Name:

D.O.B.:

                     /               /

Soc. Sec. #:

                   -               -

Applicant Ph. #:

(                )                  -

Driver Lic. #:

Current Landlord Name & Ph.#:

            /

Present Add. City,State,Zip

How long @ this address:

Additional

Age(s) of other

occupant(s) /

occupant(s)

Relationship to

applicant

Employer

Employer Address

Position

Employer Ph. #:

Supervisor Name/Title

Length of Employment:

Monthly Gross Income

   $

Bank Reference Address/Ph.#

Nearest Relative      

Address/ City,State

Ph. #/       Relationship

Personal Reference

Address/ City,State

Ph. #/       Relationship

Credit Reference

Acct. #:

Amt. Owed/   Open date

SECONDARY APPLICANT