<p> Rental Application – Bennett Hill Condominiums</p><p>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.</p><p>Last name: ______First name: ______Middle name: ______</p><p>Date Of Birth: ____/____/____ Soc. Sec.#: ______-______-______Drivers Lic. #______State: ___</p><p>Cell/Home: (____) ____--______Work Phone: (_____) _____--______email: ______</p><p>Names and relationship of every person to be living with you, even temporarily, children, and children that you share custody for: ______DOB___/___/____: ______DOB____/____/____</p><p>Present Address</p><p>Address: ______Apt#: ___ City: ______State: ____ Zip: ______</p><p>Rented  Owned  I lived there from: ___/____/____ to: ___/____/___ Rent or payment you now make: $_____</p><p>Reason for Moving (please describe fully): ______</p><p>______</p><p>Owner Or Manager’s Name: ______their daytime phone: (____) ______</p><p>Employer</p><p>Your Status: ____Full Time ____Part Time ____Student ____Unemployed</p><p>Company Name: ______Phone: (___) ______Supervisors Name: ______</p><p>Address: ______City: ______State: _____ Zip: ______</p><p>When did you start work with employer? ___/___/___ Is position permanent?  Yes  no full time?  Yes  no</p><p>Position: ______Monthly Salary: $______Other Income: $______, source: ______</p><p>Personal Reference or Emergency Contact</p><p>Name: ______Relationship: ______</p><p>Address: ______City: ______State: _____ Zip: ______</p><p>Work Phone: (____) ______--______ext.: ____ Home/Cell: (____) ______--______</p><p>Please Describe Your Credit History: </p><p>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:______</p><p>Bank Reference:</p><p>Bank Name & Branch: ______Contact Name & Number: ______All Vehicles Owned</p><p>Make: ______Model: ______Year: ___ Color: ______Lic.: ______State: ____  Car Truck Truck With Camper Van Motorcycle</p><p>Make: ______Model: ______Year: ____ Color: ______Lic.: ______State: ____  Car Truck Truck With Camper Van Motorcycle</p><p>Pet Information – CATS ONLY!</p><p>Type: ______Breed: ______Height: ______Weight: ______</p><p>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. </p><p>Today’s Date: _____/_____/_____ Applicant’s Signature: ______</p><p>Parent Co-signer:</p><p>Last name: ______First name: ______Middle name: ______</p><p>Date Of Birth: ____/____/____ Drivers Lic. #______State: ______</p><p>Cell Phone: (____) ____--______Work Phone: (_____) _____--______email: ______</p><p>Relationship to applicant: ______. Financial support to applicant: $ ______per month until lease expires.</p><p>Parent Co-signer Present Address</p><p>Address: ______Apt#: ______City: ______State: ___ Zip: ______</p><p>Rent  Own  I lived there from: ____/____/____ to: ____/____/____ </p><p>I certify that the above information is correct. I authorize Hearthstone LLC to contact any references that I listed.</p><p>Today’s Date: _____/_____/_____ Parent/Co-signer’s Signature: ______Email: You can email your application to [email protected] or </p><p>Print : Print the rental application, fill out, and mail or fax to:</p><p>Hearthstone LLC P.O. Box 334 Blacksburg, VA 24063-0334</p><p>Phone (540) 951-0900 Fax (540) 951-0900 </p>