Apartments for Rent in Burlington Vermont, UVM

    APARTMENT APPLYING FOR

    Apartment #

    Located at (address)

    Rent per month is

    ABOUT THE APPLICANT

    Your Name

    Your Age

    Your Cell Phone

    Your Email (required)

    Parent/Spouse Name

    Parent mailing address

    Your Parent/Spouse Email

    Your Parent/Spouse Phone

    Children Names & Ages

    PRESENT HOUSING INFORMATION

    Present Address

    From-To Dates

    Rent

    Owner/Manager

    Owner/Manager Phone

    Why vacating?

    Does the Owner know?

    If not, why?

    PREVIOUS HOUSING INFORMATION

    Previous Address

    From-To Dates

    Rent

    Owner/Manager

    Owner/Manager Phone

    APPLICANT EMPLOYMENT

    CURRENT EMPLOYER

    Employer

    Employer Phone

    Position held

    Name/Title of Supervisor

    Dates of Employment (From-To)

    Wages/Salary

    PREVIOUS EMPLOYER

    Previous Employer

    Previous Employer Phone

    Previous Position held

    Previous Employer Name/Title of Supervisor

    Dates of Previous Employment (From-To)

    Previous Employment Wages/Salary

    OTHER INCOME

    Other Sources of income

    APPLICANT REFERENCES

    REFERENCE #1

    Personal Reference Name

    Address

    Phone

    Time Acquainted

    Occupation

    REFERENCE #2

    Personal Reference Name

    Address

    Phone

    Time Acquainted

    Occupation

    APPLICANT VEHICLE

    Vehicle Make

    Vehicle Model

    Vehicle Color

    Vehicle License#

    Vehicle State

    EMERGENCY

    In Case of Emergency Notify (name/phone):

    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. Owner is allowed by contract with CBSV to report any rent delinquency or eviction proceedings to CBSV. Owner warrants that any verifications are for the purpose of entering into a Rental Agreement, and further warrants that any information derived from credit reports or other sources will be kept confidential and not revealed to any outside party.

    **The Security Deposit is to be paid by check**

    I understand that pressing the Submit button is submitting my signature.