Hunters Crossing

Apartment Information

Type of Apartment?: * Please select --------------- Studio 1 Bedroom 1 Bedroom Loft
When would you like
to move in?: *
Lease Term?: *
How did you learn about us?: *

Applicant

Name: *
Social security #:
(xxx-xx-xxxx)
Date of birth: *
(mm/dd/yyyy)
Number of Occupants: *
Names of Occupants: *
Home Phone: *
Work Phone: *
Best time/place to contact you: *

Housing Information

Present Address: *
City: *
State: * Please select --------------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip: *
How long at this residence?: *
Rent $: *
Landlord: *
Phone: *
Reason for moving: *
Previous Address: *
City: *
State: * Please select --------------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip: *
How long at this residence?: *
Rent $: *
Landlord: *
Phone: *

Employment Information

Present Employer: *
Address: *
City: *
How Long?: *
Position: *
Supervisor: *
Phone: *
Salary $: *
per: *
Overtime/Bonus: *
Previous Employer: *
Address: *
City: *
How Long?: *
Position: *
Supervisor: *
Phone: *
Salary $: *
per: *
Overtime/Bonus: *

Vehicle (s) (Make, Year, Plate #): *

Driver's License Number & State: *

Spouse's Vehicle (s) (Make, Year, Plate #): *


Emergency Contact Name: *
Address: *
Phone: *

Release: In consideration for being permitted to apply for this apartment, I Applicant do represent all information in this application to be true and accurate and that owner/manager/agent may rely on this information when investigating and accepting this application. Applicant hereby authorizes the owner/manager to make independent investigations to determine my credit, financial and character, and rental standing. Applicant authorizes any person, or credit-checking agency having any information on him/her to release any and all such information to the owner/manager/employee or their agents or credit checking agencies. Applicant hereby releases, remises and forever discharges, from any action whatsoever, in law and equity, all owners, manager, and employees, or agents, both of Landlord and their credit checking agencies in connection of processing, investigating, or credit checking this application, and will hold them harmless from any suite or reprisal whatsoever. I understand that the credit report (rental history, arrest, and/or conviction records, and retail credit history) will be done through the facilities of Trak-1 Technology, Tulsa, OK (877)779-7003.

Application Charges:
Application Fee: $40.00 (non-refundable)
Deposit: $100.00 (to be applied to Security Deposit)
Total Funds Required with Application: $140.00
Please make check or money order payable to MIDDLETOWN APARTMENT ASSOCIATES, LLC and send funds to the following address:
Hunter’s Crossing Apartments
One Russet Lane
Middletown, CT 06457

*Applicant has 72 hours to revoke application upon approval, deposit will be returned to applicant.

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