Owners : Tony & Melissa Gove / Melissa Gove, Principal Broker

PO Box 946   White River Jct. VT 05001

Office Address:  635 Woodstock Rd.  White River Jct., VT 05001

Office - (603) 448-0123 or (802) 296-5991;  Emergency # (603) 359-1777

Fax - (802) 281-6670

curapropertiesmgmt@gmail.com

 

 

Website © 2018 Rick Hutchins

Web Hosting by Wix

Office Address: 635 WoodStock Rd WR Jct, VT - Mailing Address:  PO Box 946 White River Jct. VT 05001

 

CREDIT RENTAL APPLICATION

 

 

RENTAL UNIT ADDRESS______________          MOVE IN DATE REQUESTED ___/____/_______

 

 

MONTHLY RENT $____________                                                           SECURITY DEPOSIT $_______________

 

 

PLEASE PRINT ALL INFORMATION CLEARLY - INCOMPLETE APPLICATIONS WILL BE REJECTED!

 

APPLICANT INFORMATION

 

NAME ______________________________ EMAIL ADDRESS ____________________________________________

                                                                       

SOCIAL SECURITY #__________________PHONE # (____)________________ DATE OF BIRTH ___/____/_______

 

PRESENT ADDRESS _______________________________________________________________________________

 

PREVIOUS ADDRESS ______________________________________________________________________________

 

CURRENT LANDLORD NAME _______________________________                 CURRENT RENT $___________

 

LANDLORD PHONE # (____)________________   RENTED FROM (DATE) ___/____/_____ TO ___/____/________

 

REASON FOR MOVING ____________________________________________________________________________

 

PREVIOUS LANDLORD NAME__________________________________________________________

 

LANDLORD 2 PHONE # ____________________ RENTED FROM (DATE) ___/____/_____TO___/____/________

 

REASON FOR MOVING ___________________________________________________________________________

 

EMPLOYED BY ________________________________________________                    SINCE ___/____/________

 

ADDRESS _______________________________________________________________________________________

 

WORK PHONE # ____________________             EMPLOYED FROM  ___/____/_____ TO  ___/____/_____

 

SALARY $ __________ PER__________ POSITION _______________SUPERVISOR NAME___________________

 

PREVIOUS EMPLOYER ___________________________________________________________________________

 

ADDRESS _______________________________________________________________________________________

 

EMPLOYER 2 PHONE #___________________     EMPLOYED FROM  ___/____/_____ TO  ___/____/_____

 

SALARY $ __________ PER__________ POSITION _______________SUPERVISOR NAME___________________

 

OTHER SOURCES OF INCOME?  ___________________________________________________________________

 

CO-APPLICANT INFORMATION

 

NAME ______________________________ EMAIL ADDRESS ____________________________________________

                                                                       

SOCIAL SECURITY #__________________PHONE # (____)________________ DATE OF BIRTH ___/____/_______

 

PRESENT ADDRESS _______________________________________________________________________________

 

PREVIOUS ADDRESS ______________________________________________________________________________

 

CURRENT LANDLORD NAME _______________________________                 CURRENT RENT $___________

 

LANDLORD PHONE # (____)________________   RENTED FROM (DATE) ___/____/_____ TO ___/____/________

 

REASON FOR MOVING ____________________________________________________________________________

 

PREVIOUS LANDLORD NAME__________________________________________________________

 

LANDLORD 2 PHONE # ____________________ RENTED FROM (DATE) ___/____/_____TO___/____/________

 

DOES YOUR CURRENT LANDLORD KNOW YOU ARE LEAVING?   ________YES  ________NO

 

WILL YOU BE BREAKING A LEASE?  ________YES ________NO

 

EMPLOYED BY ________________________________________________                    SINCE ___/____/________

 

ADDRESS _______________________________________________________________________________________

 

WORK PHONE # ____________________             EMPLOYED FROM  ___/____/_____ TO  ___/____/_____

 

SALARY $ __________ PER__________ POSITION _______________SUPERVISOR NAME___________________

 

PREVIOUS EMPLOYER ___________________________________________________________________________

 

ADDRESS _______________________________________________________________________________________

 

EMPLOYER 2 PHONE #___________________     EMPLOYED FROM  ___/____/_____ TO  ___/____/_____

 

SALARY $ __________ PER__________ POSITION _______________SUPERVISOR NAME___________________

 

OTHER SOURCES OF INCOME?  ___________________________________________________________________

 

VEHICLE INFORMATION                               VEHICLE #1                  VEHICLE #2

 

TYPE OF VEHICLE                                           ____________________   ____________________

 

MAKE                                                              ____________________   ____________________

 

MODEL                                                            ____________________   ____________________

 

COLOR                                                             ____________________   ____________________

 

LICENSE PLATE #                                            ____________________   ____________________

 

 

PERSONAL REFERENCES

 

  • NAME: ________________________ PHONE# (____)________________ RELATIONSHIP _________________     

 

ADDRESS: _______________________________________________________________________________________

 

  • NAME: ________________________ PHONE# (____)________________ RELATIONSHIP _________________     

 

ADDRESS: _______________________________________________________________________________________

 

 

MISCELLANEOUS                                                                              APPLICANT         CO-APPLICANT

 

DO YOU HAVE ANY PETS?                                                                  __YES __NO                 __YES __NO

 

WHAT KIND AND HOW MANY IF SO________________________________________________________________

 

DO YOU SMOKE?                                                                                 __YES __NO                 __YES __NO

 

HAVE YOU EVER BEEN EVICTED?                                                       __YES __NO                 __YES __NO

 

PLEASE EXPLAIN _________________________________________________________________________________

 

HAVE YOU EVER BROKEN A LEASE?                                                  __YES __NO                 __YES __NO

 

REASON FOR BREAKING LEASE ___________________________________________________________________

 

HAVE YOU EVER BEEN ARRESTED OR CHARGED WITH A CRIME?    __YES __NO                 __YES __NO

 

PLEASE EXPLAIN _________________________________________________________________________________

 

# OF OCCUPANTS TO RESIDE IN THIS UNIT : (CIRCLE ONE)  1   2   3   4   5   6   7   8   9

 

 

EMERGENCY CONTACTS: IN CASE OF EMERGENCY PLEASE NOTIFY: 

 

NAME _________________________                    PHONE # (____)________________                                       

 

RELATIONSHIP __________________________

 

 

 

THERE IS A $25 CREDIT FEE DUE WHEN YOU SUBMIT THIS

PAYABLE BY EITHER CASH OR A BANK CHECK

MONEY ORDER MADE OUT TO:  CURA PROPERTY MGMT

 

Ph: 603-448-0123; Fax: 802-281-6670