rentalapplication - Hannibal Square Community Land Trust

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P. O. Box 364 Winter Park, FL 32790Mon - Fri: 9AM - 5PM(407) 643-9111

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Hannibal Square Community Land Trust

Nonprofit Community-based Organization

EXPLORE HOUSING OPTIONS:
(407) 643-9111

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Home
About Us
- About
- History
- Board Members
- Gallery
Our Communities
- Future Projects
- Completed Projects
Applications
News
Partners
Contact

Rental APPLICATION

PLEASE NOTE: This rental application requires a $50 non-refundable application fee. Your name will be placed on our list and you will be notified of an appointment to determine your qualifications and when a home becomes available. All information must be completed, or your application will be returned. If not applicable, please mark with N/A.

If you have any questions about this application, please call 407.643.9111, email Info@HannibalSquareCLT.org.

Basic Info – Step 1 of 7

Will you be applying with a co-applicant? *

Yes
No

Applicant Name *

Co-Applicant Name

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Applicant Phone *

Co-Applicant Phone

Applicant Email

Co-Applicant Email

Name *

Adult 18+

Social Security # *

Date of Birth *

Full Time Student *

Yes
No

Us Citizen *

Yes
No

Name

Adult 18+

Social Security #

Date of Birth

Full Time Student

Yes
No

Us Citizen

Yes
No

Name

Adult 18+

Social Security #

Date of Birth

Full Time Student

Yes
No

Us Citizen

Yes
No

Children? *

Yes
No

Name

Child

School Name

Name

Child

School Name

Name

Child

School Name

Employment Information

List all household members over 18 years of age who are employed (include previous employment if less than one year).

Name *

Employer

Position / Title

Employer Contact

Contact Phone

Address

Address Line 1

City

State

Zip Code

Date(s) of Employment

From

Date(s) of Employment

To

Years Employed in this Line of Work?

Gross Monthly Income

Pay Cycle

Bi-Weekly
Monthly
Other

Name

Employer

Position / Title

Employer Contact

Contact Phone

Address

Address Line 1

City

State

Zip Code

Date(s) of Employment

From

Date(s) of Employment

To

Years Employed in this Line of Work?

Gross Monthly Income

Pay Cycle

Bi-Weekly
Monthly
Other

Include all sources of wage income and non-wage income, i.e., social security, alimony, child support, etc.

Monthly Rent Payment

How long have you lived at your present address?

Do you own any pets?

Yes
No

What kind of pets?

Do any of your household adults own a home now?

Yes
No

Have any in the past three years?

Yes
No

Current Landlord Name

Address

Address Line 1

City

State

Zip Code

Phone

Previous Addresses

Even if you lived with someone, please complete the information below.

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Person living with you

Relationship to you

Reason for leaving?

Monthly Payment

Rent or Own?

Rent
Own

Landlord or Property Name

Property Manager

If applicable

Landlord Address

Address Line 1

City

State

Zip Code

Landlord or Property Manager Phone

Date Moved in

Date Moved Out

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Person living with you

Relationship to you

Reason for leaving?

Monthly Payment

Rent or Own?

Rent
Own

Landlord or Property Name

Property Manager

If applicable

Landlord Address

Address Line 1

City

State

Zip Code

Landlord or Property Manager Phone

Date Moved in

Date Moved Out

Financial Information

Please indicate debts and amounts for applicant and co-applicant only.

Liabilities

None
Auto(s)
Credit Cards
Lease Payment
Student Loans
Medical Bills
Other

Auto – Monthly Payment

If more than one, please provide total.

Auto – Outstanding Balance

If more than one, please provide total.

Auto – Creditor Name

Auto – Delinquent?

Yes
No

Credit Cards – Monthly Payment

If more than one, please provide total.

Credit Cards – Outstanding Balance

If more than one, please provide total.

Credit Cards – Creditor Name

Credit Cards – Delinquent?

Yes
No

Lease – Monthly Payment

If more than one, please provide total.

Lease – Outstanding Balance

If more than one, please provide total.

Lease – Creditor Name

Lease – Delinquent?

Yes
No

Student Loans – Monthly Payment

If more than one, please provide total.

Student Loans – Outstanding Balance

If more than one, please provide total.

Student Loans – Creditor Name

Student Loans – Delinquent?

Yes
No

Medical Bills – Monthly Payment

If more than one, please provide total.

Medical Bills – Outstanding Balance

If more than one, please provide total.

Medical Bills – Creditor Name

Medical Bills – Delinquent?

Yes
No

Other

Please provide Type of Liability, Monthly Payment, Outstanding Balance, Creditor Name, and if the Liability is Delinquent.

Other

Please provide Type of Liability, Monthly Payment, Outstanding Balance, Creditor Name, and if the Liability is Delinquent.

Other

Please provide Type of Liability, Monthly Payment, Outstanding Balance, Creditor Name, and if the Liability is Delinquent.

Have any of your household adults filed a bankruptcy in the past three years?

Yes
No

Please provide an explanation for the bankruptcy.

We, the undersigned, give our permission to run a credit check on our family. The purpose of this credit check is to assist in determining our eligibility for a home.

Applicant Name *

Date *

Co-Applicant Name

Date

Application Fee

Pay $50 Application Fee Via PayPal

Selecting this button will re-direct you to PayPal to complete the payment. Applications will not be processed without a paid application fee.

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Contact

Address:
P. O. Box 364
Winter Park, FL 32790
Business hours:
Mon - Fri: 9AM - 5PM
Phone number:
(407) 643-9111

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© Hannibal Square Community Land Trust Inc. 2019. All rights reserved.

Home
About Us
- About
- History
- Board Members
- Gallery
Our Communities
- Future Projects
- Completed Projects
Applications
News
Partners
Contact

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