Greater Hartford Association of Realtors Inc Rental Application

Payment Submission Form for Rental Credit Application

# of applicants

Amount of check enclosed: $

(make checks payable to Sentry Real Estate - $25.25 per applicant)

Applicant(s) information:

Property Address:

Applicant #1:

Applicant #2:

Please send completed applications to Jean:

Fax:

e-mail:

Agent: Office:

TenantTracks Waiver / Clearance / Release Form

TenantTracks User Name: Date:

Apartment Being Applied For:

I hereby grant you the right to conduct a background investigation concerning my credit history, criminal background, eviction history, public records search, employment, and any other inquiry through public or private sources to determine my suitability for rental of the above apartment.

Applicant Last Name: First: Middle:

Social Security #: Date of Birth:

Current Landlord: Landlords Phone:

Address: City: State: Zip:

Current Employer: Employers Telephone:

RELEASE: I, the applicant, do hereby represent that all the information in this Waiver / Clearance / Release Form is true and accurate and that the owner / manager / employees / rental agent may rely on this information when investigating and accepting my apartment application. Applicant hereby authorizes owner / manager / employee / rental agent to make an independent investigation to determine my credit, financial, and character standing.

Applicant authorizes any person or credit checking agency having any information on him/her to release any/all such information to the owner / manager / employees / rental agent or credit checking agencies. Applicant hereby releases, remises and forever discharges, from any action whatsoever, in law and equity, all owners, managers, employees or rental agents and their credit checking companies in connection with processing, investigating or credit checking this application, and will hold them harmless from any suit or reprisal whatsoever. A photocopy or electronic transmission of this shall be as valid as the original. I understand that the credit, rental history, arrest / conviction and other reports will be done through the facilities of TenantTracks.

Signature: Date:

(For official use only)

Account # ID Call Fax #:

Residential Apartment Rental Application

1.) APPLICATION GUIDELINES: (READ CAREFULLY)

a.) All information on this form must be completed in full before we can process your application.

b.) All landlord, employment, credit & other verifications must be completed before we will show you any apartments that we have for rent.

c.) A credit / criminal / eviction history must be completed on every applicant over the age of 18, any negative information such on report may result in the denial of your application.

d.) There is a $ non-refundable fee to process each applicant over 18 years of age.

e.) Each applicant must provide two forms of identification; one must be a valid state issued photo ID.

f.) We may require proof of utility payments (if applicable) before we will sign a lease with you.

2. APARTMENT BEING APPLIED FOR: (Completed by office staff)

a.) Location of premises; , State of CT.

b.) Rental Term to Commence c.) Term of Rental

d.) Monthly Rent $ e.) Security Deposit $

3. APPLICANT INFORMATION: (ALL ITEMS MUST BE COMPLETED TO PROCESS THIS APPLICATION)

a.) Name Co-Applicant Name

b.) Address City State Zip

c.) Co-Applicant Address City State Zip

d.) Applicant Phone Co- Applicant Phone

e.) Applicant E-Mail Co- Applicant E-Mail

f.) Applicant Birth Date Co- Applicant Birth Date

g.) Applicant S.S. # Co- Applicant S.S. #

4. APPLICANT’S HOUSEHOLD:

List all the members who will live in this apartment, and be on the lease agreement.

Name S.S. # Date of Birth

Residential Apartment Rental Application

5. APPLICANT’S RENTAL HISTORY:

a.) Length of Time at Current Address (in section 2)

b.) Current Landlord Landlords Phone #

c.) Reason for Moving Current Rent $

d.) Previous Address (Include City / State)

e.) Previous Landlord Name Previous Landlord’s Phone#

6. APPLICANT’S EMPLOYMENT:

a.) Current Job How Long

b.) Employers Name Phone #

c.) Employers Address (Include City / State)

d.) Current Income per Month

7. CO APPLICANT’S EMPLOYMENT:

a.) Current Job How Long

b.) Employers Name Phone #

c.) Employers Address (Include City / State)

d.) Current Income per Month

8. FINANCIAL INFORMATION:

a.) Applicant’s Bank Co- Applicant’s Bank

b.) Bank Address Bank Address

c.) Other Income Amount $ d.) Other Income Source

e.) Make of Car Year Color State License Plate #

Residential Apartment Rental Application

9. DISCLOSURE / AGREEMENT / CONSENT:

a.) Have You Ever Been Evicted? Where and When

b.) Have you ever been convicted of a crime Charges

c.) I / We authorize the owners, or their authorized agent to conduct an employment, credit, criminal, eviction, rental history and any other investigation deemed necessary to determine my/our rental application worthiness through both public and private investigative sources and services.

d.) I/We declare that all the information listed on this application is true and accurate, any false or misleading information will be grounds for denial of this application.

e.) All sums of money collected to process this application are NON REFUNDABLE.

Applicant’s Signature
Social Security #
Date

CO Applicant’s Signature
Social Security #
Date