Rental Application (Please Print Clearly)

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 ______