Apartment Rental Application Form for Premium Properties in Northfield, VT

General Information

Name*

First Last

Address & Unit Number of Desired Apartment*

Street Address City ZIP / Postal Code

Applicant Information

Your Date of Birth

Your Phone*

Your Email Address*

Current Residence

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do You Rent or Own?*

Current Landlord/Mortgage Holder*

First Last

Current Landlord/Mortgage Holder's Address*

Street Address Address Line 2 City State ZIP Code

Landlord/Mortgage Holder Phone Number*

Landlord/Mortgage Holder Email*

Rent/Mortgage Amount ($ monthly)*

Length of Lease*

Reason for Leaving*

Did you rent or own a home previous to your current residence?*

Previous Address

Previous Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Length of Time at this Address*

Previous Landlord/Mortgage Holder Name*

First Last

Previous Landlord/Mortgage Holder Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Landlord/Mortgage Holder Phone Number*

Previous Landlord/Mortgage Holder Email*

Previous Rent/Mortgage Amount ($ monthly)*

Previous Length of Lease*

Previous Reason for Leaving*

Employment/Educational Status

What is your currently employment/educational status? Check all the apply.*

Currently Employed
Currently Unemployed
Unemployed with other source of income
Full time student

Current Employer*

Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Person*

First Last

Contact Person Phone*

How Long Employed*

Full Time or Part Time?

Current Salary - hourly, monthly, etc

Where are you enrolled in school?*

Registrar Phone*

Describe Other Source of Income or Enter "None". *

Past/Other Employer

Do you have a second job or have you held another job in the recent past?*

Past/Other Employer*

Past/Other Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Past/Other Employer Contact Name*

First Last

Past/Other Employer Phone*

Other Individuals Who Will Reside at Above Property

How Many Other Individuals Will Reside At This Property? Enter 0 if living alone.*

Please enter a number greater than or equal to 0.

Person 1 Name*

First Last

Person 1 Relationship*

Person 2 Name*

First Last

Person 2 Relationship*

Person 3 Name*

First Last

Person 3 Relationship*

Person 4 Name*

First Last

Person 4 Relationship*

Person 5 Name*

First Last

Person 5 Relationship*

Please explain why you will be living with more than 5 other people*

Your Vehicle that Will Be Parked at This Property

Make/Model

Plate Number

State

Parental Information

Father's Name

First Last

Father's Phone

Father's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mother's Name

First Last

Mother's Phone

Mother's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Other Information

Have you ever had eviction papers served to you, been evicted, or denied lease renewal?*

No
Yes

Are You a Smoker?*

No
Yes

Have you ever been convicted of a crime?*

No
Yes

Do you have any pets?*

No
Yes

Please Describe Your Pet(s). *

I authorize Premium Properties to call for my social security number and check my credit. *

No
Yes

Anything else we should know about you?