Legal Rental Application Document for Vermont

Vermont Rental Application Template

This rental application is intended for properties located within the State of Vermont and is designed to adhere to the Vermont Rental Housing Health Code and the Vermont Fair Housing and Public Accommodations Act. Applicants are advised that this application will be used to conduct background checks in compliance with Vermont state laws, including but not limited to credit checks, criminal background checks, and rental history verification.

Please complete this form accurately and thoroughly to ensure a timely decision on your rental application. All prospective tenants over the age of 18 must complete a separate application form.

Applicant Information

• Full Name: _______________________________
• Date of Birth: ____________________________
• Social Security Number: ___________________
• Phone Number: ____________________________
• Email Address: ____________________________
• Current Address: __________________________
• City: ____________ State: VT Zip: _________

Rental History

1. Current Landlord's Name: __________________________
2. Current Landlord's Contact Information: ______________
3. Previous Address: ___________________________________
4. City: ____________ State: __________ Zip: ___________
5. Previous Landlord's Name: ___________________________
6. Previous Landlord's Contact Information: ______________

Employment Information

• Current Employer: ______________________________
• Employer Address: ______________________________
• Employer Phone: _______________________________
• Position: _____________________________________
• Gross Monthly Income: ___________________________

References

• Name: _________________________________________
• Relationship: __________________________________
• Phone Number: __________________________________

Additional Occupants

List all other persons who will live in the rental unit, including minors:

• Name: _________________________________________
• Relationship to Applicant: ________________________
• Date of Birth: __________________________________

Consent for Background Check

By signing this application, I hereby give my consent for the landlord or the landlord's agent to conduct background checks as permitted by Vermont state law. I understand that this may include checks of my credit history, criminal record, and past rental history.

Signature: ___________________________ Date: ____________

Application Fee

Note: A non-refundable application fee of $_________ is required to process this application. This fee covers the cost of conducting background checks.