Little Eagle Bay Town Houses
Burlington, Vermont
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Rental Application for PDM, Inc. Properties
Items in RED are Required.
1.
Please fill out Entire application. Any ommissions may disqualify you as a potential tenant.
2.
Hit submit button below. It will email directly to our rental department.
Please Tell Us Which Apartment You Are Interested In
*Availability Date:
*Apartment Address:
Number of Bedrooms:
Price Range:
*Applicants phone # home:
Applicants phone # work:
*Applicants email:
Is there anything special we should know about you?
Applicant and all others who will reside at above property
What is the total Number of People who will reside in your unit?
*First Name
*Last Name
M.
*Social
Security #
*Date of Birth
(mm/dd/yy)
1.
2.
3.
4.
Your Current Rental Location
*Address:
*Town:
*State:
*Zip:
Unit #:
Length of time at this address:
Years
Months
Reason for leaving:
*Current Landlord Name:
*Current Landlord Phone:
Your Previous Rental Location
Address:
Town:
State:
Zip:
Unit #:
Length of time at this address:
Years
Months
Reason for leaving:
Landlord name:
Landlord phone:
Employment
Employer:
Manager:
Phone:
1.
How long employed?
Years
Months
Gross Monthly Salary?
2.
How long employed?
Years
Months
Gross Monthly Salary?
Bank Information
Bank:
Credit Cards:
Visa
Amex
Mastercard
Other
Automobiles
Make
Model
Color
Year
License #
State
1.
2.
3.
*How many Pets do you have?
Type:
Type:
Age:
Age:
Size:
Size:
*Have you ever had eviction papers served to you, been evicted, or denied lease renewal?
Yes
No
Are you a Smoker?
Yes
No
*Have you Ever Been Arrested or Convicted of a crime?
Yes
No
*I authorize my credit to be checked subject to terms and conditions below:
Yes
No
Signature:
Date:
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/owner's agent is a member of the Credit Bureau Services of Vermont and a member of Credit Data Services, Inc., and that the owner/owner's agent may request a consumer credit report to evaluate my qualifications as a potential tenant. Owner/owner's agent is allowed to contract with CBSV and CDS, Inc. to report any rent delinquency or eviction proceedings as well as check my credit from time to time. Owner/owner's agent warrants that any verifications are for the purposes of entering into a rental agreement or to guarantee a lease as a cosigner and further warrants that any information derived from credit reports or other sources will be kept confidential. Owner may charge a fee to cover cost of credit check(s). Security deposit and first months rent are to be paid by cash or cashier's check False or intentional omission of requested information will result in automatic denial. Applications must be fully completed with names, phone numbers and addresses as requested above. Applicant's who submit incomplete information will not be given consideration.
