Rental Application

Rental Application

Congratulations on taking your first step to renting with Full Circle Property Management, Inc. If you have any questions, send us a message at leasing@fullcirclevt.com
Full Name *

First Name Middle Name Last Name
E-mail *
example@example.com
Phone Number *

Where are you looking to move?
Are you 55+ years of age and interested in applying to one of Senior Living Communities? *

No Yes -- I am applying to live at Pinecrest at Essex Senior Living Community located in Essex, VT Yes -- I am applying to live at Taft Farm Senior Living Community located in Williston, VT
Are you and each of your co-applicants/roommates 55+years of age (including any adult children who may be planning to live with you)?
I understand that pets are not allowed at this Senior Living Community

I understand
Are you a current tenant with Full Circle Property Management who just needs to get your application on file? *

Yes, I am an existing tenant with Full Circle Property Management No
Is this a Request to Sublet OR is this a Request to Replace Roommate? *
A Request to Replace Roommate is someone who takes over the lease for an EXTENDED period and IS responsible for the duration of the lease term.
A Request to Sublet is someone who takes over the lease for an BRIEF period and IS NOT responsible for the duration of the lease term.
Whom are you subletting for or replacing as a roommate?
Are you interested in one of our available listings (that you may have seen on Craigslist, RENTCafe, or Zumper)? *
Please wait before sharing any of your personal information! You should email us at leasing@fullcirclevt.com or visit www.fullcirclevt.com to see our list of available rentals before you apply.
What apartment or available listing are you applying to rent? *

Street Address

Street Address Line 2

Unit or Apartment # City

Children Occupants

List any children occupants

	Name	Date of Birth
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6

Roommate (Co-applicant) Information
Each roommate (co-applicant) will need to submit their own separate application form

List any co-applicants

	Name	Relationship	Email
Co-applicant 1
Co-applicant 2
Co-applicant 3
Co-applicant 4
Co-applicant 5
Co-applicant 6

Personal Information
Birth Date *

Month Day Year
Social Security # *
Drivers License # *
Drivers License State *

Employment History
Are you currently employed? *
Current or Most Recent Employer *
Position *
Length of Employment *
Monthly Salary *
Additional Income
Additional Income Source
Supervisor Name

First Name Last Name
Supervisor Phone #
Pay stubs (1 month of most recent and consecutive pay periods)

Cancel of

Housing History
Present Address (where you are living now) *

Street Address

Street Address Line 2

City State

Zip Code Country
When did you first move-in to this home? *

Month Day Year
When do you plan to move-out of this home? *

Month Day Year
Are you in a lease now? *
What is the lease end date as specified in your current written lease agreement? *

Month Day Year
Amount Paid Monthly *
Landlord or Company Name *
Landlord Phone # *
Landlord Email *
(if available)
Reason for Leaving *
Is there anything else we need to know about your current living situation?
Previous address
Previous Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Move in Date *

Month Day Year
Move Out Date *

Month Day Year
Amount Paid Monthly *
Landlord or Company Name *
Landlord Phone # *
Landlord Email *
(if available)
Reason for Leaving *
If "other" please explain:

Emergency Contact
Full Name *

First Name Last Name
Relationship to Applicant *
The emergency contact is typically a nearby family member or trusted friend who does *not* live with the applicant
Phone Number *
E-mail *
example@example.com
In the event of a serious illness or death of resident, I authorize the emergency contact to enter my apartment to remove any or all belongings *

I agree

Other Information

Have you ever been served an eviction notice or been asked to vacate the property you were renting? If yes, please explain: *
Have you ever been evicted? *
Have you ever broken or in any manner failed to honor your lease? *
Have you ever filed bankruptcy? *
Have you ever been convicted of a felony? *
Are you required or do you currently pay child support or alimony? *
If you answered yes to any of the previous questions, please explain:
Do you or any household members receive Section 8 Rental Assistance? *
Which type of Section 8 Rental Assistance do you receive?
Is there anything else that we may need to know to help process your application?

	Name	Type	Weight	Color	Breed	Gender	Neutered/Spayed?
Pet 1
Pet 2
Pet 3

	Make	Model	Year	Color	License Plate #	License Plate State
Vehicle 1
Vehicle 2

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Rental Application

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