SUMNER’S LEGACY LLC: RENTAL APPLICATION

PROPERTY ADDRESS RENT AMOUNT______

APPLICANT(S)

Name ______S.S. #______Date of Birth______/______/______

Present Address______Phone #______

E-mail Address ______

Name ______S.S. #______Date of Birth______/______/______

Present Address______Phone #______

E-mail Address ______

Length of Time at Current Address ______Rent or Own______

Rent/ Mortgage Amount ______

Landlord/ Mortgage Holder______Phone # ______

Address______Dates:______

Reason for Leaving______

SEE ATTACHED LANDLORD REFERENCE FORM

Previous Address______Phone #______

Length of Time______Rent or Own______Rent/ Mortgage Amt $______

Landlord/ Mortgage Holder______Phone # ______

Address______Dates:______

Reason for Leaving______

(If above is less than 2 years)

Previous Address______Phone #______

Length of Time______Rent or Own______Rent/ Mortgage Amt $______

Landlord/ Mortgage Holder______Phone # ______

Address______Dates:______to______

Reason for Leaving______

EMPLOYMENT

Employer______Address______

Phone #______Contact Person______Full/ Part-time______

Dates of Employment ______to ______Salary ______Source of Other Income______

PLEASE INCLUDE COPY OF YOUR LAST PAYSTUB

Employer______Address______

Phone #______Contact Person______Full/ Part-time______

Dates of Employment ______to ______Salary ______Source of Other Income______

PLEASE INCLUDE COPY OF YOUR LAST PAYSTUB

Previous Employer______Address______

Phone #______Contact Person______Full/ Part-time______

Dates of Employment ______Salary______Source of Other Income______

Previous Employer______Address______

Phone #______Contact Person______Full/ Part-time______

Dates of Employment ______Salary______Source of Other Income______

(If above is less than 2 years)

Previous Employer______Address______

Phone #______Contact Person______Full/ Part-time______

Dates of Employment ______to ______Salary______Source of Other Income______

Name of all persons who would reside in above property

Name______Relationship______S.S.#______

Name______Relationship______S.S.#______

Name______Relationship______S.S.#______

Name______Relationship______S.S.#______

Name______Relationship______S.S.#______

Have you ever:

·  Broken a lease? ____ Yes ____ No

·  Been evicted from any type of housing? ____ Yes ___ No

·  Received a Notice to Vacate? ____ Yes ___ No

·  Been convicted of a crime? ____ Yes ___ No

If yes to any of the above, please explain: ______

Do you own any vehicles? If so please list:

Make______Model______Plate#______State______

Make______Model______Plate#______State______

Do you have any pets? If so, please list:______

Please list 3 references (not relatives)

Name______Addres______Phone______

Name______Addres______Phone______

Name______Addres______Phone______

Note: Credit Reports, Criminal Reports, and Rental History Reports will be accessed.

It is agreed that if any of the above information is false or misleading, this application will be null.

I give permission to the owners of the above mentioned and / or their agent to check any and all references and to request a Consumer Credit Report, and understand that all information will be kept confidential.

The amount of $______has been applied towards the amount due on the above property. It is understood that the amount given is non-refundable should I/ We change our mind. This amount however will be returned if the applicant(s) is denied by Sumner’s Legacy LLC.

______

Applicant Signature Date Applicant Signature Date

LEASE GUARANTOR INFORMATION (If Required)

Name______S.S.#______-______-______Date of Birth______/______/______

Address______

Signature______Date______

Signature______Date______

Please return completed application to:

Sumner’s Legacy

Phone: 802-373-5113

Fax: 802-893-1051

Request for Landlord Reference

To: Re: Sumner’s Legacy LLC

The above referenced individual has applied for an apartment here. You are listed as a present or prior landlord. We ask your cooperation in providing the information below so that we may properly evaluate this individual’s application. Any and all information provided will be kept in strict confidence.

I authorize the release of the requested information below:

Applicant Signature: ______

Occupancy Date: ______Termination Date: ______

Name of person(s) residing in household:

______

Duration of Applicant's Lease: From ______to ______Total Number of Months _____

Rental Amount $______

Does the applicant still owe you any rent or fees?
[ ] Yes [ ] No

Did the applicant pay you rent on time?
[ ] Always on time [ ] Sometimes late [ ] Always late

Did the applicant ever have a check returned for insufficient funds?
[ ] Yes [ ] No

Did the resident or any household member have a record of any of the following while residing at your property?

Disturbing neighbors / □ Yes □ No
Destroying property / □ Yes □ No
Poor housekeeping / □ Yes □ No
Lease/Rules violation / □ Yes □ No
Civil/Criminal violations / □ Yes □ No

Would you rent to this tenant again?
[ ] Yes [ ] No

If you wish to make additional comments, please do so below. Thank You for your assistance.

______

______

Landlord Signature Telephone Date