Rental Application

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This is an online version of our Rental Application. Fill it out and click the "Submit Application" button at the bottom of the page, or click the "Reset Application" if you made a mistake.

Red Fields refer to the Leasor. Blue Fields refer to the Co-Leasor.

Date:

Name: Phone Number:

Name: Phone Number:

Address: Apt#: City: State: Zip:

Landlord: Address: Phone Number:

Previous Landlord: Address: Phone Number:

How long have you been at your current address?

Employment

Social Security #: Date of Birth:

Employer: Address:

City: State: Zip: Phone:

Occupation: Dept.: How Long Have you worked there?:

Work Days: through Work Hours: through Shift:

Co-Leasor Employment

Social Security #: Date of Birth:

Employer: Address:

City: State: Zip: Phone:

Occupation: Dept.: How Long Have you worked there?:

Work Days: through Work Hours: through Shift:

Auto: Lic. Plate#: Color:

Financed by: Driver's License #: State:

 

Haven Furniture
69 Main Street, Nashua, NH
(603) 881-7467

Franklin-Rent-to-Own
343 Central Street, Franklin, NH
(603) 934-7111

Brooks Moving
69 Main Street, Nashua, NH
(603) 882-5447

If you have any questions or comments about this website, please send an e-mail to havenfurn@aol.com