| APPLICATION
TO RENT |
| PLEASE FILL OUT
ALL INFORMATION |
|
Unit (s) of Interest:
(REQUIRED)
|
APPLICANT PERSONAL INFORMATION: |
| Your Name:
(REQUIRED) |
Date Of Birth:
(REQUIRED)
EX: 01/01/2005
|
Social Security #:
(REQUIRED)
EX: xxx-xx-xxxx
|
Current Address:
|
Your Email Address:
(REQUIRED)
|
Your Tel #:
(REQUIRED) |
| Your Cell Phone #:
|
Does Landlord know you are leaving?
Yes
No |
Current Landlord's Name:
|
Landlord's Tel #:
|
| Current Landlord's Address:
|
Reason For Moving:
|
PREVIOUS LANDLORD INFORMATION: |
Prior Landlord's Name:
|
Landlord's Tel. #:
|
Prior Address:
|
Reason For Leaving:
|
APPLICANT EMPLOYMENT / INCOME: |
Source of Income:
|
Employer's Tel #:
|
Business Address:
|
Position:
|
Supervisor:
|
Employed Since:
|
Gross Monthly Income $
|
Frequency of Wages:
|
PERSONAL REFERENCES: |
Reference #1: |
Name
|
Address
|
Tel #
|
Relationship to Applicant:
|
Reference #2: |
Name
|
Address
|
Tel #
|
Relationship to Applicant:
|
PETS: Note, any pets, might limit your options. (REQUIRED) |
Type:
|
Age:
|
Name:
|
Vet's name:
|
| Declawed:
Yes
No |
Spayed/Neutered:
Yes
No |
License No.:
|
Remarks:
|
MISCELLANEOUS: (REQUIRED) |
| Have you ever been charged with or
convicted of a crime ? |
Yes
No |
| If yes, please provide details: |
|
IDENTIFICATION: (REQUIRED) |
Drivers License #:
|
Passport:
(Only if foreign national.) |
Vehicle Info.: Yr/Make/Model/Color
|
License Plate # / State:
|
EMERGENCY: NEXT OF KIN: In case of emergency
notify: (REQUIRED) |
Next of Kin #1: |
Name:
|
Tel #
|
Address:
|
Relationship:
|
Next of Kin #2: |
Name:
|
Tel #
|
Address:
|
Relationship:
|
| SIGNATURES: Please read the
following prior to signing this Rental Application. |
|
I warrant that the information supplied is true and correct,
and that I am at least 18 years of age. I have been informed
that the owner is a member of the Credit Bureau Services of
Vermont, and may check my credit with CBSV to evaluate my
qualifications as a potential tenant; to evaluate my qualifications
if the lease is to be renewed; and for rent collection purposes
if required. Owner is allowed by contract with CBVS to report
any rent delinquency, eviction, or for rent collection purposes.
Owner further warrants that any information derived from credit
reports or other sources will be kept confidential and not
revealed to any third party.
I hereby acknowledge that false or incomplete information
given in this Rental Application shall constitute grounds
for rejection of this application, termination of any tenancy
or occupancy created in whole or in part on false or incomplete
information contained in this application, and may constitute
criminal offense under the laws of this state.
I, the undersigned Applicant(s), have read and agree to all
provisions of this Rental Application.
|
|
Signature:
Date:
(My typed name will suffice for my digital signature.)
|
| Print This Page |
Before Submitting By Clicking The Button Below,
Please Print This Page .
On The Printed Copy, Please Sign And Fax Back To Us Here: Fax 802/658-2697.
Alternately, you may fill it in online, print, sign and fax back to us.
Signature: _____________________________________ Date: ____________
|
VOJEL
57 S. Williams Street
Burlington, Vermont 05068
Fax. 802-658-2697
|