Little Eagle Bay Town Houses

Burlington, Vermont
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Rental Application

   

Rental Application for PDM

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.
3. You will be required to fill out a paper application, should you choose to reserve the apartment.

Please Tell Us Which Apartment You Are Interested In
*Proposed Move-in Date:
*Apartment Address:
*Number of Bedrooms:
*Price Range:
*Applicants phone # home:
*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.

*Are You Gainfully Employed? Yes    /    No
If yes, where are you employed and how long have you worked here?

*Do you hace a Cat? Yes    /    No
(Dogs are not allowed)  

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


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.