StorageApplication

U-STORE-IT

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!

Which U-STORE-IT location interests you? *

Sharon, VT E. Randolph, VT

APPLICANT'S PERSONAL INFORMATION:

* Indicates required field

NAME: *

First

Last

Current Mailing Address: *

Email: *

Cell / Tel #: *

Social Security #: *

Date of Birth: *

VEHICLE INFORMATION:

Vehicle: Yr/Make/Model/Color: *

License plate # / STATE: *

Driver's license # / STATE: *

Passport #: (If foreign national) *

COURT RECORD:

Any crime convictions? *

If YES, please provide details: *

Reason for moving: *

EMPLOYMENT / INCOME:

Source of Income: *

Employer Name & Work Address: *

Supervisor: Name, Number *

Position at work? *

Employed since when? *

***NEXT OF KIN* *(In case of Emergency):***

Relationship - NOK #1: *

Untitled *

Comments to add? *

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.)

Signature *

Date *

PRESS TO SUBMIT

APPLICANT'S PERSONAL INFORMATION:

EMPLOYMENT / INCOME:

NEXT OF KIN (In case of Emergency):

***NEXT OF KIN* *(In case of Emergency):***