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Lease Now | (603) 516-1426 | 50 Pointe Place, Suite 23, Dover, NH

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Rental Application

Phone: (603) 749-2800 | Fax: (603) 516-0863

Applicant Information
Full Name (First, Middle, Last)*
Home Phone
Cell Phone*
Email*
Date of Birth*
Social Security Number (SSN)*
Drivers License Number*
Drivers License State*
Current Residency
Current Address*
Street Address City State / Province / Region ZIP / Postal Code
Moved In*
Lease Ends*
Monthly Rent*
Landlord Name*
Landlord Phone Number*
Landlord Email*
Reason For Leaving*
Previous Residential History
Previous Address*
Street Address City State / Province / Region ZIP / Postal Code
Moved In*
Lease Ended*
Monthly Rent Cost*
Landlord Name*
Landlord Phone Number*
Landlord Email*
Reason For Leaving*
Employment History
Employer Address*
Street Address City State / Province / Region ZIP / Postal Code
Employer Name*
Employer Phone Number*
Monthly Salary*
Position Held*
Years Worked*
Supervisor Name*
Supervisor Title*
Additional Income
Monthly Income*
Source*
- Add additional income
Monthly Income*
Source*
- Add additional income
Monthly Income
Source
Dependents
Full Name
Relation
Date of Birth
- Add another dependent
Full Name
Relation
Date of Birth
- Add another dependent
Full Name
Relation
Date of Birth
Credit Card Information
Issuer*
Balance*
- Add another credit card
Balance
Issuer
- Add another credit card
Issuer
Balance
Pets
Pet's Name
Type/Breed
Weight (lbs)
Age
- Add another pet
Pet's Name
Type/Breed
Weight (lbs)
Age
Additional Information
If needed, would you be able to get a cosigner?*
- Yes
- No
Will this be your first apartment?*
- Yes
- No
Have you ever been convicted of a crime?*
- Yes
- No
Please explain
Are you a smoker?*
- Yes
- No
Have you filed for bankruptcy in the last 7 years?*
- Yes
- No
Have you ever had a court action brought against you by a landlord or have you ever brought a court action against a landlord (small claims, eviction)?*
- Yes
- No
Please explain with names and dates
Additional Applicant
Are you applying with another person?*
- Yes
- No
Applicant 2: Information
Full Name (First, Middle, Last)*
Home Phone
Cell Phone*
Email*
Date of Birth*
Social Security Number (SSN)*
Drivers License Number*
Drivers License State*
Applicant 2: Current Residency
Same as applicant 1*
- Yes
- No
Current Address
Street Address City State / Province / Region ZIP / Postal Code
Moved In
Lease Ends
Monthly Rental
Landlord Name
Landlord Phone Number
Landlord Email
Reason for Leaving
Applicant 2: Previous Residential History
Same previous residential history as applicant 1?*
- Yes
- No
Previous Address
Street Address City State / Province / Region ZIP / Postal Code
Moved In
Lease Ended
Monthly Rental Cost
Landlord Name
Landlord Phone Number
Landlord Email
Reason for Leaving
Applicant 2: Employment History
Employer Address*
Street Address City State / Province / Region ZIP / Postal Code
Employer Name*
Employer Phone Number*
Monthly Salary*
Position Held*
Years Worked*
Supervisor Name*
Supervisor Title*
Applicant 2: Additional Income
Monthly Income*
Source*
- Add Additional Income
Monthly Income
Source
- Add Additional Income
Monthly Income
Source
Applicant 2: Dependents
Same dependents listed by applicant 1*
- Yes
- No
- Not applicable
Full Name
Relation
Date of Birth
- Add another dependent
Full Name
Relation
Date of Birth
- Add another dependent
Full Name
Relation
Date of Birth
Applicant 2: Credit Card Information
Issuer*
Balance*
- Add another credit card
Issuer
Balance
- Add another credit card
Issuer
Balance
Applicant 2: Pets
Same pet(s) applicant 1 listed*
- Yes
- No
- Not applicable
Pet's Name
Type/Breed
Weight (lbs)
Age
- Add another pet
Pet's Name
Type/Breed
Weight (lbs)
Age
Applicant 2: Additional Information
If needed, would you be able to get a cosigner?*
- Yes
- No
Will this be your first apartment?*
- Yes
- No
Have you ever been convicted of a crime?*
- Yes
- No
Please explain
Are you a smoker?*
- Yes
- No
Have you filed for bankruptcy in the last 7 years?*
- Yes
- No
Have you ever had a court action brought against you by a landlord or have you ever brought a court action against a landlord (small claims, eviction)?*
- Yes
- No
Please explain with names and dates
Housing Requests
Ideal move in date*
Interested in*
- 1 Bedroom
- 2 Bedroom
In Case of Emergency Notify
Applicant 1 cannot list applicant 2 and vice versa.
Full Name*
Relationship*
Phone*
References
Applicant 1 cannot list applicant 2 and vice versa.
Full Name*
Phone*
Relationship*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Full Name*
Phone*
Relationship*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Vehicle Information
Make/Model*
Year*
Color*
Vehicle License Number*
Vehicle License Plate State*
- Add another car
Make/Model
Year
Color
Vehicle License Number
Vehicle License Plate State
Photo ID
Copy of ID is Required*
Please upload.
Applicant 2: Copy of ID is Required*
Please upload.
Release for Required Information
I authorize Summit Land Development to contract past and present landlords to discuss tenancy. (Length or tenancy, monthly rent, status, etc.) I understand that information obtained will and can be used in the decision process.

Employee Authorization: In order to verify employment I authorize Summit Land Development to obtain past and present employment regarding, but not limited to length of employment, verification of pay/wages, verification of typical hours worked, position, etc.

Credit Authorization: I hereby authorize Summit Land Development to obtain a credit report from the appropriate credit bureau. This information will be confidential and will not be shared with any outside source.

The information on this application is true and correct to the best of my knowledge. I understand that the $25.00 application fee for verifying this rental application is not a deposit, and will not be applied to any rent or refunded even if the application to rent is declined.
Applicant Full Name*
Today's Date*
Signature*
Applicant 2: Full Name*
Today's Date*
Applicant 2: Signature*
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50 Pointe Place, Suite 23
Dover, NH 03820

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