2239 Berlin Turnpike Newington, CT 06111

Office: 860‐665‐0850 Fax: 860‐666‐0200

Rental Application Packet for:

39 Woodland St, Newington

Carla Juvencio - 860-655-2829

Documents needed for complete Rental application:

Completed GHAR Rental Application for each Applicant (Attached)
Signed Rental Credit Check Authorization for each applicant (Attached)
Credit Check Payment (Cash/Credit/Debit)$35.00 for One, $60.00 for Two
WE DO NOT ACCEPT PERSONAL CHECKS
Copy of most recent Pay Stub or other proof of income for each applicant
Copy of Driver’s License for each applicant
1 Letter of Reference for each applicant
 Rental Credit Check Authorization
By signing below I authorize RE/MAX Precision Realty to obtain my credit report for
the purpose of my rental application and acknowledge the following:

 I understand that my completed rental application will be submitted for a credit report including a national
tenant eviction search and background check.
 I understand that this credit report will be provided to potential landlords for the purpose of evaluating my
rental application, and accept that potential landlords reserve the right to decline my application based on
the information it contains.
 I understand that I have the right to receive a free copy of this report within 60 days of signature date and
dispute the accuracy of any information contained in the file.
 I understand that I am responsible for the cost of this report prior to submission of my rental application.
 I agree to provide income verification, either in the form of paystubs or employer statement as needed.
 I agree to provide a copy of my license with this application for the purpose of identity verification.

Applicant 1  Copy of DL
Name: _________________________________________ Date of Birth: _____/_____/________

Social Security Number: ________-______-__________ Phone #: _______-_______-________

Street Address: __________________________________ City: _________________________ Zip Code: __________

Signature: ______________________________________ Date: _____/_____/________

Applicant 2  Copy of DL
Name: _________________________________________ Date of Birth: _____/_____/________

Social Security Number: ________-______-__________ Phone #: _______-_______-________

Street Address: __________________________________ City: _________________________ Zip Code: __________

Signature: ______________________________________ Date: _____/_____/________

-------------------------------------------------OFFICE USE ONLY-------------------------------------------------

1 Applicant- $35.00 2 Applicants- $60.00

CREDIT/DEBIT CARD CASH BANK CHECK #______________________ (NO PERSONAL CHECKS)

Agent Name: ____________________________________ Delivery Method: Email Pick-up

Credit processed by: ______________________________ Date: _____/_____/________

NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color,
religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part
of the applicant’s income derives from any public assistance program, or because the applicant has in good faith exercised any right under the
Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Boston Regional
Office, Federal Trade Commission, 101 Merrimac Street, Suite 810, Boston, MA 02114-4719.