Estate Ventures Rental Application
The following rental application is a SAMPLE, and may not be what
you are required to complete and sign to apply for an apartment


APPLICATION WILL NOT BE PROCESSED IF NOT COMPLETELY FILLED OUT


File #
Today's date:________Time:_________Address of Apt 230 Edna Avenue Bridgeport, CT 06610 Floor #

First move in date_______________ Type of lease wanted: Month-to-Month ________ 6 Months _____1 Year______

How long do you expect to lease this residence as a tenant?_______Months_______Years _____Indefinitely_______

Rental price range per month: From:______________To: __________________

Rent Payments/ Security Deposit
Estate Ventures requires the 1st months rent and 2 months security deposit to rent an apartment.
Estate Ventures only accepts rent via Clear Now. (If you are unfamiliar with the method please ask.)


Personal and Employment Information

1st Person on Lease (A person that will be contributing towards rent, and over 18 years old)
Print Name: First Middle Last _______
S.S # _______
Driver’s License # State ______________E-mail Address:____________
Company of Employment ___________________________________________Position _______
Date first hired ________________________Boss/Employer/Superior’s Name____________________________________
Employer’s Phone # (_________) ____________
Income Per Month $ ____________________
Do you have a second job?____________ Company of Employment ________________________Position ______
Date first hired ________________________Boss/Employer/Superior’s Name__________________________________
Employer’s Phone # (_________) ____________
Income Per Month $ ____________________
Previous Employer’s Name:________________Previous Employers phone #_______________ Length of employment________________
Personal Housing Information
Current Address ________________________________Apt #___________City _________________State ______Zip__________________
Phone # Home ( ) _________ Work ( ) _______________
Cell Phone #:_(__________)__________________________________
Landlords Name _________ Phone # ( ___ ) ________________
How long at current address? Years ____Months _______ Rent amount $ __________per month.
Reason for moving _______________________________________________________________________________
Previous Address Apt # _____City _______State ____Zip_______________
Previous Landlords Name _______________ Phone # ( ) ________________
Dates at previous address? From: / To: / Rent amount $ per month
Reason for moving ________
Personal and Employment Information
2nd Person on Lease (A person that will be contributing towards rent, and over 18 years old)
Print Name: First Middle Last _______
S.S # _______
Driver’s License # State ______________E-mail Address:____________
Company of Employment ___________________________________________Position _______
Date first hired ________________________Boss/Employer/Superior’s Name____________________________________
Employer’s Phone # (_________) ____________
Income Per Month $ ____________________
Do you have a second job?____________ Company of Employment ________________________Position ______
Date first hired ________________________Boss/Employer/Superior’s Name__________________________________
Employer’s Phone # (_________) ____________
Income Per Month $ ____________________
Previous Employer’s Name:________________Previous Employers phone #_______________ Length of employment________________
Personal Housing Information
Current Address ________________________________Apt #___________City _________________State ______Zip__________________
Phone # Home ( ) _________ Work ( ) ________________
Landlords Name _________ Phone # ( ___ ) ________________
How long at current address? Years ____Months _______ Rent amount $ __________per month.
Reason for moving _______________________________________________________________________________
Previous Address Apt # _____City _______State ____Zip_______________
Previous Landlords Name _______________ Phone # ( ) ________________
Dates at previous address? From: / To: / Rent amount $ per month
Reason for moving _______________________________________________________________________
All Occupants
If accepted, the following people will be living in the apartment:
1. _________________________________ Relationship _____________________________________________
2. _________________________________ Relationship _____________________________________________
3. _________________________________ Relationship _____________________________________________
4_________________________________ Relationship _____________________________ ________________
5. _________________________________ Relationship _____________________________________________
6. _________________________________ Relationship _____________________________________________
7. _________________________________ Relationship _____________________________________________
Pet Information:
First Pet's Name(s) _Type of animal?__________Age? ______Spayed/Neutered?_______ Color________ Weight?________

Second Pet's Name(s) _Type of animal?__________Age? ______Spayed/Neutered?_______ Color________ Weight?________
Third Pet's Name(s) _Type of animal?__________Age? ______Spayed/Neutered?_______ Color________ Weight?________
Personal References & Emergency Contacts:
Include parents or close relatives, if any. Do not include people with whom you will be living at this rental.
Name:_____________________________Phone #: _________________Relation:______________________
Name:_____________________________Phone #: _________________Relation:______________________
Name:_____________________________Phone #: _________________Relation:______________________Vehicles and other Pertinent Information
How many cars do you and the people who will be occupying the apartment have?____________________________
How many cars are financed?______________ Leased?_____ __________Owned Outright?___________________

Make ___________________ModelYear Color Tag # State____________
Make ___________________ModelYear Color Tag # State____________
Make ___________________ModelYear Color Tag # State____________
Make ___________________ModelYear Color _______Tag # ___________State____________
Make ___________________ModelYear Color Tag # State____________I AGREE TO ALLOW MY DRIVER’S LICENSE AND/OR A PICTURE I.D. TO BE COPIED._______(yes)_________(no)
Do you pay off the balance on your credit card(s) each month?______________________________________
Do you have credit card debt more than $5,000?__________________$10,000?________________________
Has any one you will be living with ever have credit card debt more than $5,000?____________$10,000?___________
Have you ever had or do you have a lien or judgement against you?_________ If yes, why?____________________
Has any one you will be living with ever had or have a lien or judgement against them?_________ If yes, why?_____
Have you ever sued a person, group, company or party of any sort?________________ If yes, why?____________
Will you be living with anyone who has ever sued a person, group, company or party of any sort?_______ If yes, why?
Have you ever been arrested?_______________If yes, why?___________________________________________
Has any one you will be living with ever been arrested?___________________If yes, why?___________________
Have you ever been convicted of a felony? If yes, why?__________________________________
Has any one you will be living with ever been convicted of a felony?_________If yes, why?___________________
Have you ever been evicted? ________________________________ If yes, why?_____________________
Has anyone you will be living with ever been evicted?____________________If yes, why?_____________________
Have you ever declared bankruptcy?_________________________________ If yes, why?_____________________
Has anyone you will be living with ever declared bankruptcy?______________If yes, why?______________________
Do you pay or receive alimony, child support, disability, S.S.?_________ If yes, $/month?______________________
Do you smoke?___________How often?___________What do you smoke? (____Pipe)( __Cigarettes) (_____Cigar) ( ______ other)
How many people that will be living with you smoke?____________________________________________________
Do you have rental insurance?__________________What is your carriers name?_____________________________
How many people that will be living with you have rental insurance?_____________What is their carriers name? ____

I HEREBY APPLY for an apartment in the amount of $ 20.00 as a deposit in good faith. I UNDERSTAND this money DOES NOT constitute a guarantee of the rental. I understand that Estate Ventures fills its apartment vacancies on a first come first served basis, where in the first application submitted in complete form and passing Estate Ventures’ tenant checks, is offered a lease agreement before all others. I understand that even though there may be a vacancy in an apartment when I apply, and I may get approved, the apartment could be rented to another applicant as long as their application was submitted previous to mine. If approved, I understand that I am obligated to sign the lease, pending I agree to the terms of the lease. I understand that if I have provided insufficient information the application will not be processed. I have answered all of the above questions honestly and to the best of my knowledge. I understand that any untruths I reported in this application are just cause for the denial of a lease agreement. I authorize Estate Ventures to check the following for my approval to rent an apartment:

• Financial stability
-A Credit Check will be run
-Income must equal 3 x monthly rent
-An employment history will be looked into
-Assets will be verified
* If further financial information is needed we will request an applicants past IRS forms 1040, 1099, w2s etc..
•Rental History Checks
-Reference checks
-Past landlord endorsements
•If further information is needed we will:
-Conduct a background check
-Ask to see proof of rental insurance
DATE TIME
FILL IN ALL SPACES.
SIGNATURES OF ALL APPLICANTS
1._______________________________________________
2._______________________________________________
3. RELATIONSHIP
4. RELATIONSHIP
Application taken by: Micheal Andrew Scrivan of Estate Ventures LLC Date_________________Time