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: ___

 

Work Phone: (____) ____--_________ ext. ____   Home: (_____) _____--__________   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 Phone: (____) _______--__________

 

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: ________

 

Work Phone: (____) _____--________ ext. ____   Home: (____) _____--_________   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 hearthstoneapts@verizon.net  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