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Connecticut Rental Application Form

In Connecticut, a landlord or property owner can require prospective tenants to fulfill this form. Once completed, this form will reveal the applicants’ credit, employment, and rental history. As such, landlord/property owner will be able to identify the best lessors.Download

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Each prospective 	tenant 	should 	complete 	
a Tenancy 	Application 	form. 	
Rental 	property 	details 	(To 	be 	completed 	by 	landlord/agent) 
Address 	
Postcode 	
Residential  Tenancy 	Application 	
Employment 	details 	
Occupation 
Full 	timeD 	Part 	timeD 	CasuaiO 	
Salary 	income 	per 	week 	Other net income  per week 	(eg 	
1$ 	I 	
I $ 	I 	investments) 	
Aoperty 	rental 	amOlllt 	Froperty 	lxlnd 	aJl10ll1l: 	Name 	of 	current 	employer 	
I$ 
I 	
per week  D per fortnight  D 	1$ 	I 	r--------------------------, 	
'---· 	--------'· 	per 	calendar 	month D 	.  . 	
Tenancy 	start 	date 	Tenancy 	term 	
I 	I I 	PeriodicD 	Fixed 	G 	'-I 	____ 	m_o_nt_h___Js 	I 	
Name 	of 	property 	manager 	
Telephone 	number 	Fax 	number 	
Name 	of 	estate 	agency 	(if 	applicable) 	
Applicant 	details 	(To 	be 	completed 	by 	applicant) 	
Full 	name 	
Current 	address 	
Post code 	
Home 	telephone 	number 	Work 	Telephone 	number 	
Mobile  telephone 	number 	Date 	of 	birth 	(for 	rental 	check 	use) 	
~------------'1 	I  I 	I 	
How 	long 	at 	this 	address 
Years 	
I 	Months 	'--~------' 	
Name 	of 	current 	landlord/agent 
Telephone 	
number 	of 	landlord/agent 	
Reason 	for 	leaving 	current  address 
Previous 	
address 	
Post  code 	
How 	long 	at 	this address 
Years 	
I 	Months 	'--~------' 	
Name 	of 	previous 	landlord/agent 
Telephone 	
number 	of 	landlord/agent 	
Reason 	for 	leaving 	previous  address 	
How 	long 	employed 	there 
Years 	
I  I 	Months 	'--~------' 	
Position 	held 	
Address 	of 	current 	employer 	
Postcode 	
Name 	of 	contact 	person 	Telephone 	number 	
Name 	of 	previous 	employer 	
How 	long 	employed 	there 
Years 	
I 	Months 	'--~------' 	
Address 	of 	previous 	employer 	
Postcode 	
Name 	of 	contact 	person 	Telephone 	number 	
References 	(if 	you 	have 	written 	references 	attach 	copies 	to 	this 	fonn) 	
1. 	Name 	
Relationship 	to 	applicant 	
Home 	telephone 	number 	Work 	Telephone 	number 	
2. 	Name 	
Relationship 	to 	applicant 	
Home 	telephone 	number 	Work 	Telephone 	number 	
Pets 	NoD 	Yes[) 	Number 	and 	type 	of 	pets 	
Declaration 
I  declare 	that 	the 	information  given 	on 	this 	form 	
is 	true 	and 	correct 	to 	the 	best 	of 	my 	knowledge. 
Applicant's 	
signature 
Date 	
I I
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