Fergessen Mgt., Ltd.
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RENTAL APPLICATION
IMPORTANT:
WHETHER OR NOT each field or option pertains to you,  
the form data will not successfully submit unless...
EACH FIELD OR OPTION IS FILLED-IN, OR CHECKED-OFF!



    APPLICANT'S PERSONAL INFORMATION:

    Your name. But, if another adult will be residing with you, we will need them to submit their info. via a separate application as well.
    Please make sure you've entered your E-mail address properly!
    How can we reach you?
    VEHICLE INFORMATION:
    COURT RECORD:

    EMPLOYMENT / INCOME:

    NEXT OF KIN  (In case of Emergency):


    I warrant that the information supplied is true and correct, and that I am at least 18 years of age. I have been informed that the owner is a member of the Credit Bureau Services of Vermont, and may check my credit with CBSV to evaluate my qualifications as a potential tenant; to evaluate my qualifications if the lease is to be renewed; and for rent collection purposes if required. Owner is allowed by contract with CBVS to report any rent delinquency, eviction, or for rent collection purposes. Owner further warrants that any information derived from credit reports or other sources will be kept confidential and not revealed to any third party.

    I hereby acknowledge that false or incomplete information given in this Rental Application shall constitute grounds for rejection of this application, termination of any tenancy or occupancy created in whole or in part on false or incomplete information contained in this application, and may constitute criminal offense under the laws of this state.

    I, the undersigned Applicant(s), have read and agree to all provisions of this Rental Application.

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

PRESS TO SUBMIT

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Fergessen Management, Ltd.    
PO Box 245     S. Royalton, VT 05068     T. 802/763-7716    


SEE:   Properties for Sale by owner