Keystone Housing Application

Required fields are denoted by an asterisk *

Type and Size of Apartment Wanted
Name of Community
City and State of Community
Desired Date of Occupancy
* Applicant's Name Date of Birth
* Email Address Social Security # Obtained Privately
* Home Phone
Driver's License # State
Proposed Occupants Date of Birth Relationship Occuation
Will you have any pets? If so, describe

Residence History


 Present Residence Previous Residence
Address
Town, State, Zip Code
Occupancy from
to
Landlord's Name
Landlord's Phone #
Amount of Rent
Reason for Vacating

Employment Information

Applicant's Present Occupation Previous Occupation
Employer
Occupation
Business Address
Business Phone
Supervisor
How Long?
Current Salary Weekly Monthly or Annual

Co-Applicant's Present Occupation Previous Occupation
Employer
Occupation
Business Address
Business Phone
Supervisor
How Long?
Current Salary Weekly Monthly or Annual

Personal References

Name Name
Address Address
Occupation Occupation
Phone Phone

Vehicle Information

Make Make
Model Model
Year Year
Color Color
Plate # Plate #
State State
Motorcycles (other vehicles)

Other Information

In Case of Emergency, Notify:
Name
Relationship
Address
Phone

Have you ever been arrested for or convicted of a crime that has not been annulled by a court?
If yes, please explain?



I hereby make application for an apartment and certify that this information is correct. I authorize you to contact any references that I have listed, and to pull a credit and tenant report for primary applicant and all cosigners (where applicable).

Signed:

*Applicant Co-signer




Corporate Offices: 99 Fisherville Rd. Concord, NH 03303
Toll Free: 877-776-4875   Ph: 603-228-3311   Fx: 877-776-4879  
info@keystonemanagement.com