To help us with the approval process for your move-in you must complete this application in full. If an area does not apply to you write none.

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Piers Wilkins
5 years ago
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1 WELCOME TO Thank you for applying for an apartment with us. Please return this RENTAL APPLICATION with a MONEY ORDER of $50.00 for each applicant NON-REFUNDABLE as well as a separate MONEY ORDER equivalent to one months rent for the security deposit made payable to. If we deny your application we will refund your deposit. If we accept your application, and you change your mind, your security deposit will not be refunded. To help us with the approval process for your move-in you must complete this application in full. If an area does not apply to you write none. It is required that you provide work and residency information for a minimum of two (2) years as indicated on the application. If you are presently, or were a student, enter the school and dates of enrollment and your current student status. If you were living with your parents complete all information and include the dates you resided with them. ALL AREAS MUST BE COMPLETED AND TELEPHONE NUMBERS ARE REQUIRED TO VERIFY INFORMATION FOR APPROVAL. WHEN WE NOTIFY YOU OF APPROVAL we will then schedule an appointment for the Lease signing. At this time you will be required to bring a MONEY ORDER made payable to for the first months rent and any additional deposits that may be due. LEASE MUST BE SIGNED BY ALL TENANT(S) AND CO-SIGNER(S) PRIOR TO MOVING INTO THE APARTMENT. AFTER YOUR APPLICATION IS APPROVED you will then need to contact the companies shown below to have your utilities turned on. NORTHEAST UTILITIES: (Electric) (long distance) (local number) COMCAST: (Telephone, Cable and Internet Services) SATELLITE DISH INSTALLATION PROHIBITED CNG: (Gas Heat) CONNECTICUT WATER SUPPLY: (Avon Residents only) Thank you. Tenant(s) Signature(s) CONTINUED ON PAGE 2 1

2 Address of Apartment applying for: AUTHORIZATION AND RELEASE I, we hereby apply for the apartment listed above and have therefore completed an apartment application. With my signature below, I hereby authorize and request all credit reporting agencies, employees credit and personal references release all pertinent information about me to determine my credit, financial and character standing. Applicant hereby releases, remises and forever discharges, from any action whatsoever all owners, managers and employees, or agents, both of landlord and their credit checking agencies in connection with processing, investigating or credit checking this application and will hold them harmless from any suit or reprisal whatsoever. Signature Print Name: Address: CONTINUED ON PAGE 3 2

3 LANDLORD VERIFICATION I give permission to Intertown Realty Company to request the following information from my present landlord. Signature Address: To Whom It May Concern: The above named has recently applied for housing at Intertown Realty Company. We would appreciate your prompt completion of the following questions to assist us in application process. Thank you. 1) How long was the applicant your tenant? 2) What was the applicant's monthly rent? 3) How many people occupied this apartment? 4) Were rental payment made on time? 5) Are there any outstanding payments owed? 6) Were there any complaints registered against this applicant from any neighbors? 7) Would you recommend this applicant for tenancy at our development? Landlord's Name (Please Print) Phone Landlord's Signature Please return this form to the address above or fax to (860) Sincerely, CONTINUED ON PAGE 4 3

4 REQUEST FOR VERIFICATION OF EMPLOYMENT (PLEASE FILL THIS FORM OUT COMPLETELY) I HEREBY AUTHORIZE MY EMPLOYER TO FURNISH THE INFORMATION REQUESTED BELOW: COMPANY NAME & ADDRESS: EMPLOYEE SIGNATURE: DATE: PERSONNEL: THE ABOVE EMPLOYEE HAS MADE AN APPLICATION FOR RENTAL OF AN APARTMENT. IT IS REQUESTED THAT YOU FURNISH INFORMATION OF HIS/HER CURRENT STATUS. YOUR PROMPT REPLY WILL BE APPRECIATED BY YOUR EMPLOYEE AND THIS COMPANY. ALL INFORMATION WILL BE HELD IN CONFIDENCE. THANK YOU. 1) BASE PAY PER HR. /WK. /MO. /YR. (IS ALL OR PART OF COMPENSATION IN THE FORM OF BONUS OR COMMISSION?) 2) HOW LONG IN YOUR EMPLOYMENT? 3) POSITION HELD: 4) PROBABILITY OF CONTINUED EMPLOYMENT? COMMENTS: PLEASE USE COMPANY STAMP HERE: AUTHORIZED SIGNATURE: DATE: PLEASE PRINT NAME JOB TITLE TELEPHONE CONTINUED ON PAGE 5 4

5 RENTAL APPLICATION PREMISES APPLIED FOR APT NO. DATE APPLICANT NAME SOCIAL SEC. # DATE OF BIRTH PRESENT ADDRESS CITY STATE ZIP CODE CELL PHONE BUSINESS PHONE NO. OF PERSONS TO OCCUPY APT. NAMES OF OCCUPANTS WILL THERE BE A PET(S) IN THE APARTMENT? YES ( ) NO ( ) IF YES, HOW MANY WILL YOU REQUIRE STORAGE SPACE? IF YES, HOW MANY SPACES RESIDENCES PRESENT LANDLORD DATE RENTED TO MONTHLY RENT $ ADDRESS ZIP PHONE # REASON MOVING PREVIOUS LANDLORD DATE RENTED TO MONTHLY RENT $ ADDRESS PHONE # TENANT ADDRESS APARTMENT # EMPLOYMENT PRESENT EMPLOYER POSITION HELD ADDRESS CITY STATE PHONE # DATES EMPLOYED TO GROSS WAGES WEEKLY $ PREVIOUS EMPLOYER POSITION HELD ADDRESS CITY STATE PHONE # DATES EMPLOYED TO GROSS WAGES WEEKLY $ CONTINUED ON PAGE 6 5

6 REFERENCES - Charge Accounts: 1 Acct. # Monthly Payment 2 Acct. # Monthly Payment 3 Acct. # Monthly Payment Bank Address City State Checking Acct. # Savings Acct. # Car License Plate # Make/Model/Year Financed By NAME(s) TO BE ON MAILBOX IN CASE OF EMERGENCY NOTIFY: Name Address Phone # I understand that the information I have presented on this Application may be checked and investigated by Intertown Realty Co. and that any false statement will result in rejection of Application. I also understand that I may not take possession of the premises until the references are investigated and accepted, the first month s rent paid, and the Lease is signed by all tenant(s) and co-signer(s). If the references are not satisfactory, or Intertown Realty Company rejects the Application, the Deposit to hold the apartment will be refunded. I waive any claim for damages by reason of non-acceptance of this Application, which the Landlord may reject without stating any reason whatsoever. The deposit to hold the apartment will not be returned and will be applied to any rent loss and costs of advertising and re-renting the apartment if I cancel for any reason. WE MAY REPORT TO CREDIT REPORTING AGENCIES ANY LACK OF PAYMENT OF RENT, LATE CHARGES, FEES, DAMAGES AND OTHER SUMS DUE, IN ADDITION TO ANY OTHER BREACH OF LEASE. Failure to fill out completely so that my credibility may be checked may constitute a rejection of this Application. I (we) warrant that all statements above set forth are true. PAYMENTS-ALL PAYMENTS MUST BE MADE BY BANK CHECK OR MONEY ORDER AND MADE PAYABLE TO, ONLY. WILL NOT ACCEPT ANY OTHER FORM OF PAYMENT AND WILL NOT BE HELD RESPONSIBLE FOR ANY OTHER FORM OF PAYMENT. CONTINUED ON PAGE 7 6

7 Term to Begin For a Period of Rent Per Month $ Deposit Paid $ Deposit Due $ Credit Agencies Report $ (Non-Refundable) Tenant(s) Signature(s) Tenant(s) Signature(s) Rent Paid $ Balance Due $ Agent s Signature(s) I understand and agree that as Co-signer I am financially responsible for all obligations and any renewals thereof if above person(s) are accepted as tenants and agree that this transaction is governed by the laws of the State of Connecticut. Co-Signer(s) Name(s) Address (COMPLETE SEPARATE APPLICATION) APARTMENT SHOWN BY AN INTERTOWN REALTY AGENT ON 7

Application Screening Guidelines

General Requirements Application Screening Guidelines 1. All applicants over the age of 18 must complete a separate application. Any area left blank will result in delaying the application process and/or