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LOOMIS PROPERTIES & Craig Atwood
18 River Bend Lane
Westford, VT 05494
(802) 343-3376
Owner/Craig Atwood 954-296-4199
LOOMIS PROPERTIES & Craig Atwood
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LEAD PAINT PAMPHLET
Open Application Form
Rental Application
Apartment you are applying for:
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
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Date Needed
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Personal Information:
Today's Date
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Email
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Name
*
First Name
Last Name
Phone
*
(###)
###
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Social Security #
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Marital Status
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Living with partner
Pets
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If other, please specify:
College Student
*
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Parents willing to cosign
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Present Landlord
Landlord phone #
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Address of present residence
Address 1
Address 2
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How long at that address
Present Employment
Work Phone #
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Contact Person
First Name
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Banking Accounts with:
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Vehicle
Do you own a vehicle?
*
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Make
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Year
Color
Plate #
State
In case of emergency please notify
Emergency contact
*
First Name
Last Name
Telephone
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(###)
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List of all people that plan to reside at apt/house
Roommate Name
First Name
Last Name
Relationship
Roommate email
Roommate SSN
Roommate Name
First Name
Last Name
Relationship
Roommate email
Roommate SSN
Roommate Name
First Name
Last Name
Relationship
Roommate email
Roommate SSN
Roommate Name
First Name
Last Name
Relationship
Roommate email
Roommate SSN
Roommate Name
First Name
Last Name
Relationship
Roommate email
Roommate SSN
Thank you, your application has been submitted! We will contact you shortly.