Your Current City

Name

Name of person you are applying with

Phone

YOUR MAX MONTHLY RENTAL BUDGET $

Email Address

WHAT TOWN WHAT TOWNRochester/GonicFarmington

Number Of Adults

Number of Bedrooms Needed

Number Of Children

List Your 5 Largest Expenses and Amount

Do you get Food Stamps, SSI or other aid

Do you have Security Deposit

Present Address

Landlords Name and Number

WEEKLY TAKE HOME PAY

How long at this address

Reason For Moving

Do you owe your landlord $$? How Much?

Credit Score

Current Rent and whats included

Social Security Number

Date Of Birth

Are You A Smoker?

Car, Make, Year, Model

Monthly Car Payment

Drivers License Number

Do You Have Pets

CURRENT Employer

How Long At Your Job

Previous Employer

Reason For Leaving?

You or household member a sex offender?

Ever been convicted of Felony? if Y, why

Have you been evicted? What reason

Do you have pets

Do you know a tenant at apartment you are applying for?

How long have you lived in area?

Does your current place have any bed bugs?

Emergency Contact Name & Number

Due to insurance reasons, these are non smoking apartments. You can smoke outside Due to insurance reasons, these are non smoking apartments. You can smoke outside UNDERSTOOD

References (Please put full name and phone number)

Where else besides CL do you look for apartments