WELCOME TO INTERTOWN REALTY COMPANY Thank you for

WELCOME TO INTERTOWN REALTY COMPANY
Thank you for applying for an apartment with us. Please return this RENTAL APPLICATION with a MONEY ORDER
of $50.00 for each applicant NON-REFUNDABLE as well as a separate MONEY ORDER equivalent to one months
rent for the security deposit made payable to INTERTOWN REALTY COMPANY. If we deny your application we will
refund your deposit. If we accept your application, and you change your mind, your security deposit will not be
refunded.
To help us with the approval process for your move-in you must complete this application in full. If an area does not
apply to you write “none”.
It is required that you provide work and residency information for a minimum of two (2) years as indicated on the
application. If you are presently, or were a student, enter the school and dates of enrollment and your current
student status. If you were living with your parents complete all information and include the dates you resided with
them.
ALL AREAS MUST BE COMPLETED AND TELEPHONE NUMBERS ARE REQUIRED TO VERIFY INFORMATION
FOR APPROVAL.
WHEN WE NOTIFY YOU OF APPROVAL we will then schedule an appointment for the Lease signing. At this time
you will be required to bring a MONEY ORDER made payable to INTERTOWN REALTY COMPANY for the first
months rent and any additional deposits that may be due.
LEASE MUST BE SIGNED BY ALL TENANT(S) AND CO-SIGNER(S) PRIOR TO MOVING INTO
THE APARTMENT.
AFTER YOUR APPLICATION IS APPROVED you will then need to contact the companies shown below to have
your utilities turned on.
NORTHEAST UTILITIES: (Electric) 1-800-286-8000 (long distance) 947-2000 (local number)
COMCAST: (Telephone, Cable and Internet Services) SATELLITE DISH INSTALLATION PROHIBITED
CNG: 860 291-3000 (Gas Heat)
CONNECTICUT WATER SUPPLY: 1-800-286-5700 (Avon Residents only)
Thank you.
Tenant(s) Signature(s)
Date
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INTERTOWN REALTY COMPANY
632 Prospect Avenue Hartford, Connecticut 06105 Telephone 860-233-6281 Fax 860-523-7557
Address of Apartment applying for:
AUTHORIZATION AND RELEASE
I, we hereby apply for the apartment listed above and have therefore completed an apartment application. With my
signature below, I hereby authorize and request all credit reporting agencies, employees credit and personal
references release all pertinent information about me to determine my credit, financial and character standing.
Applicant hereby releases, remises and forever discharges, from any action whatsoever all owners, managers and
employees, or agents, both of landlord and their credit checking agencies in connection with processing,
investigating or credit checking this application and will hold them harmless from any suit or reprisal whatsoever.
Date
Signature
Print Name:
Address:
CONTINUED ON PAGE 3
2
INTERTOWN REALTY COMPANY
632 Prospect Avenue Hartford, Connecticut 06105 Telephone 860-233-6281 Fax 860-523-7557
LANDLORD VERIFICATION
I give permission to Intertown Realty Company to request the following information from my present landlord.
Date
Signature
Address:
To Whom It May Concern:
The above named has recently applied for housing at Intertown Realty Company. We would appreciate your prompt
completion of the following questions to assist us in application process. Thank you.
1) How long was the applicant your tenant?
2) What was the applicant's monthly rent?
3) How many people occupied this apartment?
4) Were rental payment made on time?
5) Are there any outstanding payments owed?
6) Were there any complaints registered against this applicant from any neighbors?
7) Would you recommend this applicant for tenancy at our development?
Landlord's Name (Please Print)
Phone
Landlord's Signature
Please return this form to the address above or fax to (860) 523-7557.
Sincerely,
INTERTOWN REALTY COMPANY
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3
INTERTOWN REALTY COMPANY
632 Prospect Avenue Hartford, Connecticut 06105 Telephone 860-233-6281 Fax 860-523-7557
REQUEST FOR VERIFICATION OF EMPLOYMENT (PLEASE FILL THIS FORM OUT COMPLETELY)
I HEREBY AUTHORIZE MY EMPLOYER TO FURNISH THE INFORMATION REQUESTED BELOW:
COMPANY NAME & ADDRESS:
EMPLOYEE SIGNATURE:
DATE:
PERSONNEL:
THE ABOVE EMPLOYEE HAS MADE AN APPLICATION FOR RENTAL OF AN APARTMENT. IT IS REQUESTED
THAT YOU FURNISH INFORMATION OF HIS/HER CURRENT STATUS. YOUR PROMPT REPLY WILL BE
APPRECIATED BY YOUR EMPLOYEE AND THIS COMPANY. ALL INFORMATION WILL BE HELD IN CONFIDENCE.
THANK YOU.
1) BASE PAY PER HR.
/WK.
/MO.
/YR.
(IS ALL OR PART OF COMPENSATION IN THE FORM OF BONUS OR COMMISSION?)
2) HOW LONG IN YOUR EMPLOYMENT?
3) POSITION HELD:
4) PROBABILITY OF CONTINUED EMPLOYMENT?
COMMENTS:
PLEASE USE COMPANY STAMP HERE:
AUTHORIZED SIGNATURE:
DATE:
PLEASE PRINT NAME
JOB TITLE
TELEPHONE
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INTERTOWN REALTY COMPANY
632 Prospect Avenue Hartford, Connecticut 06105 Telephone 860-233-6281 Fax 860-523-7557
RENTAL APPLICATION
PREMISES APPLIED FOR
APT NO.
DATE
APPLICANT
NAME
SOCIAL SEC. #
PRESENT ADDRESS
CITY
CELL PHONE
DATE OF BIRTH
STATE
BUSINESS PHONE
EMAIL
NO. OF PERSONS TO OCCUPY APT.
WILL THERE BE A PET(S) IN THE APARTMENT? YES (
ZIP CODE
NAMES OF OCCUPANTS
) NO (
) IF YES, HOW MANY
WILL YOU REQUIRE STORAGE SPACE? IF YES, HOW MANY SPACES
RESIDENCES
PRESENT LANDLORD
DATE RENTED
ADDRESS
ZIP
PREVIOUS LANDLORD
DATE RENTED
TO
MONTHLY RENT $
PHONE #
REASON MOVING
TO
MONTHLY RENT $
ADDRESS
PHONE #
TENANT ADDRESS
APARTMENT #
EMPLOYMENT
PRESENT EMPLOYER
POSITION HELD
ADDRESS
CITY
DATES EMPLOYED
TO
STATE
GROSS WAGES WEEKLY $
PREVIOUS EMPLOYER
POSITION HELD
ADDRESS
CITY
DATES EMPLOYED
PHONE #
TO
STATE
GROSS WAGES WEEKLY $
CONTINUED ON PAGE 6
5
PHONE #
INTERTOWN REALTY COMPANY
632 Prospect Avenue Hartford, Connecticut 06105 Telephone 860-233-6281 Fax 860-523-7557
REFERENCES - Charge Accounts:
1
Acct. #
Monthly Payment
2
Acct. #
Monthly Payment
3
Acct. #
Monthly Payment
Bank
Address
City
Checking Acct. #
Car License Plate #
State
Savings Acct. #
Make/Model/Year
Financed By
Address
Phone #
NAME(s) TO BE ON MAILBOX
IN CASE OF EMERGENCY NOTIFY:
Name
I understand that the information I have presented on this Application may be checked and investigated by Intertown Realty Co.
and that any false statement will result in rejection of Application. I also understand that I may not take possession of the premises
until the references are investigated and accepted, the first month’s rent paid, and the Lease is signed by all tenant(s)
and co-signer(s).
If the references are not satisfactory, or Intertown Realty Company rejects the Application, the Deposit to hold the apartment will
be refunded. I waive any claim for damages by reason of non-acceptance of this Application, which the Landlord may reject
without stating any reason whatsoever. The deposit to hold the apartment will not be returned and will be applied to any rent loss
and costs of advertising and re-renting the apartment if I cancel for any reason.
WE MAY REPORT TO CREDIT REPORTING AGENCIES ANY LACK OF PAYMENT OF RENT, LATE CHARGES, FEES, DAMAGES
AND OTHER SUMS DUE, IN ADDITION TO ANY OTHER BREACH OF LEASE.
Failure to fill out completely so that my credibility may be checked may constitute a rejection of this Application.
I (we) warrant that all statements above set forth are true.
PAYMENTS-ALL PAYMENTS MUST BE MADE BY BANK CHECK OR MONEY ORDER AND MADE PAYABLE
TO INTERTOWN REALTY COMPANY, ONLY. INTERTOWN REALTY COMPANY WILL NOT ACCEPT ANY
OTHER FORM OF PAYMENT AND WILL NOT BE HELD RESPONSIBLE FOR ANY OTHER
FORM OF PAYMENT.
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INTERTOWN REALTY COMPANY
632 Prospect Avenue Hartford, Connecticut 06105 Telephone 860-233-6281 Fax 860-523-7557
Term to Begin
For a Period of
Tenant(s) Signature(s)
Date
Tenant(s) Signature(s)
Date
Agent’s Signature(s)
Date
Rent Per Month $
Deposit Paid $
Deposit Due $
Credit Agencies Report $
(Non-Refundable)
Balance Due $
Rent Paid $
I understand and agree that as Co-signer I am financially responsible for all obligations and any renewals thereof if above
person(s) are accepted as tenants and agree that this transaction is governed by the laws of the State of Connecticut.
Co-Signer(s)
Name(s)
APARTMENT SHOWN BY
Address
(COMPLETE SEPARATE APPLICATION)
AN INTERTOWN REALTY AGENT ON
Date
7
INTERTOWN REALTY COMPANY
632 Prospect Avenue Hartford, Connecticut 06105 Telephone 860-233-6281 Fax 860-523-7557