Cosigner

CO-SIGNER/FINANCIAL GUARANTOR INFO.

NOTE: EACH FIELD/OPTION MUST BE FILLED-IN/CHECKED-OFF! The form will not successfully submit unless you do...

* Indicates required field

Which rental unit does this regard? *

Financial guarantor for which Applicant? *

Relationship to Applicant? *

NAME: *

First

Last

Tel #: *

Email: *

Current Mailing Address: STREET/PO BOX *

Current Mailing Address: CITY/STATE/ZIP *

Date of Birth: *

Social Security #: *

License # / STATE: *

Select one: *

HOMEOWNER TENANT

How long at address? *

Landlord's Name & Address, Tel. & Email: *

Current monthly rent or mortgage? *

Monthly util./car/cable, etc. bills? *

Comments to add? *

EMPLOYMENT / INCOME:

Employer Name & Work Address: *

Supervisor: Name, Tel. Number *

Work Position? *

Employed since? *

Gross Monthly Income: *

Paid Weekly, Bi-Weekly or Monthly? *

I hereby acknowledge that false or incomplete information given in this form shall constitute grounds for rejection of this application, termination of any tenancy or occupancy, and may constitute criminal offense under the laws of the State of Vermont.

I, the undersigned, have read and agree to all provisions of this form.

(My typed name will suffice for my digital signature.)

Signature *

Date *

Submit