Connecticut Rental Application Template

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Connecticut Rental Application
I am interested in renting property represented by Anderson Associates. In order to approve
m y credit for this rental, I hereby authorize a credit check, including salary verification,
court proceedings and the release of paym ent history from prior landlords. I understand I
am responsible for a paym ent of $
for the credit check whether or not m y credit is
approved. This credit check will be initiated when Anderson Associates receives your check.
Name
Social Security Number
Address
Home Telephone Number
Years at present Address
Name of present Landlord
Landlord’s Address
Landlord’s Telephone Number
Bank
Bank Account Number
Bank Contact
Employer
Address
Business Telephone Number
Job Title
Salary
Number of years with present Employer
Personal References
Name
Telephone
Address
Name
Telephone
Address
Signature
Date
Each m em ber of the group (over 18) intending to occupy the rental property m ust sign a
credit check authorization. The credit check cost for m arried couples is covered by the one
paym ent.

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