 Rental Application |
Today's Date: ____________________ |
Complete this form and mail to:
| New Haven, CT Office 19 Howe Street, Carriage House New Haven, CT 06511 Tel/ 203.777.6922 Fax/ 203.777.0571 |
Building Address You are Applying For: ____________________________________________
| Unit Type: |
|
Applicant Information
| Full Name: ___________________________________ Current Address: ___________________________________ Address 1 ____________________________________ Address 2 __________________ ______ _________ City State Zip Code |
Date of Birth: ______ /______ /_______________ (mm/dd/yyyy) Soc. Sec. #: ________ -- ________ -- ________ Driver's License #: ______________________________ Home Phone #: (_____) ______ - _______________ Work Phone #: (_____) ______ - _______________ Cell Phone #: (_____) ______ - _______________ |
Closest Relatives
| Name: ___________________________________ Current Phone #: (______) ________ - _________________ Current Address: ___________________________________ Address 1 ____________________________________ Address 2 __________________ ______ _________ City State Zip Code Relationship: ___________________________________ |
Name: ___________________________________ Current Phone #: (______) ________ - _________________ Current Address: ___________________________________ Address 1 ____________________________________ Address 2 __________________ ______ _________ City State Zip Code Relationship: ___________________________________ |
| Current Landlord Full Name: ____________________________________ Current Phone #: (______) ________ - _________________ Current Address: ___________________________________ Address 1 ____________________________________ Address 2 __________________ ______ _________ City State Zip Code Number of years at this address: _______________________ Have you ever been evicted? Yes No Describe Circumstances: _____________________________ __________________________________________________ __________________________________________________ |
Previous Landlord Full Name: ____________________________________ Current Phone #: (______) ________ - _________________ Current Address: ___________________________________ Address 1 ____________________________________ Address 2 __________________ ______ _________ City State Zip Code Number of years at this address: _______________________ |
Applicant Employment| Current Employer: ___________________________________ Address: ___________________________________ Address 1 ____________________________________ Address 2 __________________ ______ _________ City State Zip Code Previous Employer: __________________________________ Address: ___________________________________ Address 1 ____________________________________ Address 2 __________________ ______ _________ City State Zip Code |
Job Length: _____________________________________ Phone #: (______) ________ - ___________________ Job Length: _____________________________________ Phone #: (______) ________ - ___________________ |
Co-Applicant Information (Only necessary if there is more than one applicant)
Full Name: ____________________________________ Current Phone #: (______) ________ - _________________ Applicant Employment Current Employer: ___________________________________ Address: ___________________________________ Address 1 ____________________________________ Address 2 __________________ ______ _________ City State Zip Code Previous Employer: __________________________________ Address: ___________________________________ Address 1 ____________________________________ Address 2 __________________ ______ _________ City State Zip Code | Date of Birth: ______ /______ /_______________ (mm/dd/yyyy) Soc. Sec. #: ________ -- ________ -- ________ Driver's License #: ____________________________ Job Length: _____________________________________ Phone Number: _____________________________________ Job Length: _____________________________________ Phone Number: _____________________________________ |
| Other Information Other members of household living with you: Name: ___________________________________ Relationship: ___________________________________ Vehicles: __________________________________ (Make, model, state/plate #) __________________________________ __________________________________ List any pets you __________________________________ may have and describe them: __________________________________ ___________________________________ |
Name: ___________________________________ Relationship: ___________________________________ Vehicles: __________________________________ (Make, model, state/plate #) __________________________________ __________________________________ |
| Income (Please state your monthly gross income)
Your Income: ___________________________________ Co-Applicant: ___________________________________ Other Income: ___________________________________ Total Income: ___________________________________ |
Applicant Bank Information Bank Name: ___________________________________ Location: ___________________________________ Account Number: ___________________________________ |
Credit Check Release
I understand that the credit report will entail an Eviction History Report, National Criminal/Conviction Report and Retail Credit History Report, and will be done online through the services provided bv ScreenNOW. Prospective tenants are required to bring 4 paystubs (2 if bi-weekly) and 2 forms of identification (one being a driver’s license or state issued identification card).
Signature ___________________________________________ Date __________________
Application Fee
The application fee is $40 per adult and is the responsibility of the applicant. This fee is non-refundable. To pay, please make checks or money orders payable to Preperty LLC and mail to the address listed at the top of this form.
Address information for the offices is also available at http://www.preperty.com/contact.php.