Hearthstone Apartments Rental Application

Rental Application – Bennett Hill Condominiums

Please Print Clearly. Each adult applicant MUST fill out a separate application. Please return this application along with your $25 application fee. Please make checks out to Hearthstone LLC.

Last name: ______First name: ______Middle name: ______

Date Of Birth: ____/____/____ Soc. Sec.#: ______-______-______Drivers Lic. #______State: ___

Cell/Home: (____) ____--______Work Phone: (_____) _____--______email: ______

Names and relationship of every person to be living with you, even temporarily, children, and children that you share custody for: ______DOB___/___/____: ______DOB____/____/____

Present Address

Address: ______Apt#: ___ City: ______State: ____ Zip: ______

Rented  Owned  I lived there from: ___/____/____ to: ___/____/___ Rent or payment you now make: $_____

Reason for Moving (please describe fully): ______

______

Owner Or Manager’s Name: ______their daytime phone: (____) ______

Employer

Your Status: ____Full Time ____Part Time ____Student ____Unemployed

Company Name: ______Phone: (___) ______Supervisors Name: ______

Address: ______City: ______State: _____ Zip: ______

When did you start work with employer? ___/___/___ Is position permanent?  Yes  no full time?  Yes  no

Position: ______Monthly Salary: $______Other Income: $______, source: ______

Personal Reference or Emergency Contact

Name: ______Relationship: ______

Address: ______City: ______State: _____ Zip: ______

Work Phone: (____) ______--______ext.: ____ Home/Cell: (____) ______--______

Please Describe Your Credit History:

Have you ever declared bankruptcy? Have you ever been evicted from a rental residence? Have you had two or more late payments in the past year? Have you ever had a foreclosure? Have you ever had any Liens or Judgments placed on your credit? Additional Comments:______

Bank Reference:

Bank Name & Branch: ______Contact Name & Number: ______All Vehicles Owned

Make: ______Model: ______Year: ___ Color: ______Lic.: ______State: ____  Car Truck Truck With Camper Van Motorcycle

Make: ______Model: ______Year: ____ Color: ______Lic.: ______State: ____  Car Truck Truck With Camper Van Motorcycle

Pet Information – CATS ONLY!

Type: ______Breed: ______Height: ______Weight: ______

I certify that the above information is correct. I authorize Hearthstone LLC (Landlord) to verify the validity of all the above information, and to inquire with my employers, financial institutions, and any of the credit reporting bureaus available to him. I agree to supply any additional information needed by owner/agent to process this application. I agree that my screening/application fee of $25 is non-refundable. If your application is approved your application fee will go towards your security deposit.

Today’s Date: _____/_____/_____ Applicant’s Signature: ______

Parent Co-signer:

Last name: ______First name: ______Middle name: ______

Date Of Birth: ____/____/____ Drivers Lic. #______State: ______

Cell Phone: (____) ____--______Work Phone: (_____) _____--______email: ______

Relationship to applicant: ______. Financial support to applicant: $ ______per month until lease expires.

Parent Co-signer Present Address

Address: ______Apt#: ______City: ______State: ___ Zip: ______

Rent  Own  I lived there from: ____/____/____ to: ____/____/____

I certify that the above information is correct. I authorize Hearthstone LLC to contact any references that I listed.

Today’s Date: _____/_____/_____ Parent/Co-signer’s Signature: ______Email: You can email your application to [email protected] or

Print : Print the rental application, fill out, and mail or fax to:

Hearthstone LLC P.O. Box 334 Blacksburg, VA 24063-0334

Phone (540) 951-0900 Fax (540) 951-0900