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APPLICATION FOR APARTMENT Apartment applying for:

Address Apt # Date Needed:

Today’s Date: Email Address: Name: Social Security #: Present Address:

Telephone #:

Marital Status: Pets: College Student: Y/N Parents willing to cosign: Y/N Present Landlord: Telephone Number: How long at present address: Previous Landlord: Telephone Number: Address of apt/house: How long at that address: Present Employment: Telephone #: Contact Person: Banking Accounts with: Checking: Savings: Do you own a vehicle? Y/N Make Model Year Color Plate # State In case of emergency, notify: Telephone #: List of all people who plan to reside in this apartment/house Name _________________ _________________ _________________ _________________

Relationship _________________ _________________ _________________ _________________

Age ____ ____ ____ ____

Email Addy __________________ __________________ __________________ __________________

SS # ___________________ ___________________ ___________________ ___________________

Loomis Properties, 18 River Bend Lane, Westford, VT 05494 (802) 343-3376 C / (802) 849-2532 Voice/Facsimile


Rental application