Please fill out the information below to the best of your knowledge.
Giving false information is cause for immediate termination of rental request.
All reference sheets must be accompanied with a check for a non refundable
application fee of $10.00.

Checks should be made out and sent to the following address:

Vacation Cottages
PO Box 1600
Blue Hill, ME 04614


What house are you applying for: ________________________________________


About You:

Full Legal Name: Co Applicants Name:
Social Security Number: Co Applicants SSI:
D O B: Co Applicants DOB:
Current Mailing address:
Current Home Phone #:
Current Work Phone #: Co Applicants Work Phone #:
Current Cell Phone #: Co Applicants Current cell Phone #:
Current Annual Income : Current Annual Income :


(Giving a false income will throw off your credit rating and possibly hurt your chance of renting a house through our company)


Your History:

Current Job title:
Name & Number of Employer:
Years at Current Job:
Previous Job title:
Previous Name & Number of Employer:
Dates worked at Previous Job:
Reason for leaving:



References:

Please list three people below who are NOT related to you:

Reference # 1 Name:
Reference # 1 Phone #:
Reference # 1 Relationship to applicant:
Reference # 2 Name:
Reference # 2 Phone #:
Reference # 2 Relationship to applicant:
Reference # 3 Name:
Reference # 3 Phone #:
Reference # 3 Relationship to applicant:



Tell Us About Yourself:

How Many adults in your family?_____________________
How many children?_____________________________
What types of pets do you have? ____________________
(Sorry, no cats (or exceptions) allowed in any of the rentals):
Do you or anyone in your family smoke?_____________
What date do you need to move in by?________________________
What date would you like to stay to?_________________________
Is there any additional information that you would like to share about yourself?:



By Signing below you are giving Vacation Cottages
permission to do a credit check by using your SSI # and birth date.




Signature:




Date: