Vermont Rental Application Template
This Rental Application is tailored specifically for use within the State of Vermont. It aims to collect essential information from potential tenants to help landlords make informed decisions. Vermont laws, including the Vermont Fair Housing and Public Accommodations Act, guide the creation and processing of this application to ensure fairness and compliance.
Applicant Information
Full Name: ___________________________________________________
Date of Birth: ______________________
SSN (Social Security Number): _________________________________
Phone Number: ________________________________________________
Email Address: ________________________________________________
Current Address: ______________________________________________
City/State/Zip: _______________________________________________
Driver’s License Number and State: ______________________________
Rental History
Current Landlord’s Name: ________________________________________
Current Landlord’s Phone Number: _______________________________
Previous Address: ______________________________________________
City/State/Zip: _______________________________________________
Previous Landlord’s Name: ______________________________________
Previous Landlord’s Phone Number: ______________________________
Employment Information
Current Employer: ______________________________________________
Employer Address: _____________________________________________
City/State/Zip: _______________________________________________
Position: ______________________________________________________
Supervisor’s Name: _____________________________________________
Supervisor’s Phone Number: ____________________________________
Monthly Income: $______________________________________________
Additional Occupants
List all individuals who will reside in the rental unit, including children:
Name: ___________________________________ Relationship: _______________ Age: ____
Name: ___________________________________ Relationship: _______________ Age: ____
Personal References
Provide at least two references who are not family members:
Name: _____________________________________ Relationship: ________________ Phone Number: ________________
Name: _____________________________________ Relationship: ________________ Phone Number: ________________
Consent and Signature
I hereby authorize the verification of the information provided on this form as to my rental, credit, and employment history. I understand that this information will be used to determine my eligibility for renting the property located within the State of Vermont. I affirm that the information provided on this application is true and complete to the best of my knowledge.
Date: ___________________________________ Applicant Signature: _________________________________
Please note that according to Vermont statutes, the landlord may require a reasonable application fee. This fee is used to cover the costs associated with the processing of the rental application, including credit and background checks. It is non-refundable, even if the application is denied.