Cottage Rental Application (please print or type clearly)

Name: ______SS#: ______Date of Birth: ______Contact Phone: ______Addtl contact phone: ______Email Address PLEASE TYPE/ PRINT:______Driver's License Number: ______State: ______Please attach a copy of your driver’s license. Name(s) and estimated weight(s) of any pet(s) that would be sharing the cottage with you: ______

Your Present Street Address: ______Current Rent ______Name of Present Landlord: ______Telephone number of Present Landlord: ______Email address of Present Landlord (please print): ______Length of time at current address: ______years ______months Previous address (if less than 3 years at current address)______Name of Previous Landlord: ______Telephone number of Previous Landlord: ______Email address of Previous Landlord (please print): ______Length of time at previous address: ______years ______months Name of Current Employer: ______Address and telephone number of Current Employer: ______Your direct supervisor's name and telephone number: ______Email address of direct supervisor (please print): ______Length of time with Current Employer: ______years ______months Your Position Title: ______Present Salary:______/mo or ___ /year If your employment with the Current Employer is less than two years, please answer the following questions: Name of Last Employer: ______Address and telephone number of Last Employer: ______Direct supervisor's name and telephone number at Last Employer: ______Email address of direct supervisor at Last Employer (please print): ______Length of time at Last Employer: ______years ______months Your Position Title at Last Employer: ______Your highest salary at Last Employer:______/mo or ___ /year

Please provide a recent copy of your credit report with FICO score. (All personal information will be shredded when the application process is complete.) The applicant gives to the property owner the right to verify the information provided here.

Applicant Signature ______Date ______