Stonehenge Road
Londonderry, NH 03053
P (603) 622-6223 F (603) 622-7342
www.StonehengeLondonderry.com
[email protected]
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16
APPLICATION INFORMATION
Brady Sullivan Properties takes great care in selecting their residents. In order to provide the
best living conditions for all our residents we do a thorough background check on all
applications. These background checks consist of:
1.
2.
3.
4.
5.
Credit, Criminal, and Eviction Check
Employment Verification – 1 year of steady employment required.
Landlord Verification – 1 year of positive Landlord reference required.
Income Requirement – Rent should not exceed 30% of gross income.
Copy of last 2 paystubs
LEASE REQUIREMENTS
• One Month’s Rent
• Security Deposit
Holding Deposit: The apartment home you wish to lease can be held for 15 days with a full
months’ Holding Deposit. If the Applicant is approved, the full amount of the Holding
Deposit becomes non-refundable under any circumstances. Upon the execution of a Lease
Agreement with the Landlord, the full amount of the Holding Deposit will be applied to the
Security Deposit. The Holding Deposit should be made out to Brady Sullivan Southside
Manor, LLC. The Holding Deposit must be in the form of a certified bank check or money
order (no personal checks, cash, debit/credit cards accepted). The Holding Deposit is 100%
refundable if your application is denied.
Application Fee: We are currently waiving all application fees.
Security Deposit: We require a deposit equal to one month’s rent.
Renter’s Insurance: A liability insurance policy no less than $300,000 in coverage must be
provided to Landlord on or before the date of lease signing. Please note: this insurance must
list Brady Sullivan Southside Manor, LLC as an Additional Interest and shall provide that
the insurance indicated therein shall not be cancelled without at least ten (10) days written
notice to the Landlord. All dogs must be specifically referenced on the proof of insurance.
Pet Rent (if applicable): $50 monthly rent per dog; $25 monthly rent per cat. We allow no
more than two (2) pets per apartment. Breed restrictions apply as well as a 50lb weight limit on
all dogs. All dogs must be specifically referenced on the proof of insurance.
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16
Desired Unit#
Desired Move-In Date:
Desired Lease Length
Primary Applicant Information
Name:
Social Security #
Phone #
Date of Birth:
Email Address:
Present Address:
City:
State:
Zip:
Landlord Name:
Phone:
From:
To:
Reason for Moving:
Rent:
Previous Address:
City:
State:
Zip:
Landlord Name:
Phone:
From:
To:
Reason for Moving:
Rent:
Employed By:
Address:
City:
State:
Phone:
Salary $
From:
per:
Zip:
To:
Position:
Previous Employer:
Address:
City:
State:
Phone:
From:
Zip:
To:
Co-Applicant Information
Name:
Social Security #
Phone #
Date of Birth:
Email Address:
Present Address:
City:
State:
Zip:
Landlord Name:
Phone:
From:
To:
Reason for Moving:
Rent:
Previous Address:
City:
State:
Zip:
Landlord Name:
Phone:
From:
To:
Reason for Moving:
Rent:
Employed By:
Address:
City:
State:
Phone:
Salary $
From:
per:
Zip:
To:
Position:
Previous Employer:
Address:
City:
Phone:
State:
From:
Zip:
To:
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16
OTHERS TO OCCUPY THE UNIT
***All adults must appear as “applicants”, this section is for minors only (18 and under)
Name
Social Security #
DOB
Relationship
Year
Color
License Plate #
Automobile Information
Make/Model
Primary Applicant
Co-Applicant
Have you ever been convicted of a criminal offense?
☐ Yes ☐ No
☐ Yes ☐ No
Have you ever filed bankruptcy?
☐ Yes ☐ No
☐ Yes ☐ No
Had a judgment filed against you?
☐ Yes ☐ No
☐ Yes ☐ No
Have you ever been brought to court by a previous Landlord?
☐ Yes ☐ No
☐ Yes ☐ No
Miscellaneous
If yes, explain fully with names and dates (include evictions and small claims)
What type of pets do you own?
In Case of Emergency Please Contact:
Name:
Relation:
Address:
City:
State:
Zip:
Phone:
NOTE: PHOTO ID IS REQUIRED AT THE TIME OF APPLICATION SUBMISSION
PLEASE MAKE PAYMENTS PAYABLE TO: Brady Sullivan Southside Manor, LLC.
By signing this application, the applicant authorizes Management to research credit references, employment, rental and
eviction history, and criminal history. A credit, criminal, and eviction report may be obtained from the appropriate
consumer credit reporting agency.
I hereby warrant and represent that all statements herein are true and agree to execute upon presentation a lease agreement
in the usual form, which may be terminated by the Management if any statement on this application is not true. I
recognize that as part of the application process an investigative criminal check and eviction check may be prepared and
verified through personal interviews and through a credit agency. I authorize those sources to release such information to
Brady Sullivan Properties and I release the procurer and furnisher of such information from liability in the use,
procurement or furnishings of such information. I understand that the lease may be cancelled if any of the enclosed
information proves inaccurate or if I have altered the Terms & Conditions letter in any way.
Primary Applicant
Date:
Co-Applicant
Date:
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16
INFORMATION RELEASE AUTHORIZATION
Applicant Name:
Date:
Applicant Name:
Date:
LANDLORD AUTHORIZATION
I hereby authorize Brady Sullivan Properties to obtain information from my past and present Landlords with regard to my
tenancy at any of my former or present addresses. I understand that any information obtained will be used in the decision
making process for the property at which I have applied to rent a luxury apartment home.
Initial
Initial
EMPLOYMENT AUTHORIZATION
I hereby authorize Brady Sullivan Properties to obtain information from my past and present employers with regard to my
length of employment, rate of pay, typical hours worked per week and position. In addition, they are authorized to ask
additional questions as needed for the purpose of processing my rental application. I understand that any information
obtained will be used in the decision making process for the property at which I have applied to rent a luxury apartment
home.
Initial
Initial
CREDIT/CRIMINAL/EVICTION AUTHORIZATION
I hereby authorize Brady Sullivan Properties to obtain a credit, criminal, and eviction report from the appropriate creditreporting agency. I understand that any information obtained will be used in the decision making process for the property
at which I have applied to rent a luxury apartment home.
Initial
Initial
Signature of Applicant
Date
Signature of Applicant
Date
WITNESSING OF SIGNATURE/IDENTITY FOR APPLICATIONS RECEIVED VIA FAX OR EMAIL
State of
County of
On this,
day of
, 20
, before me a notary public, the above
Applicants, personally appeared
, known to me (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same for the
purposes therein contained. In witness hereof, I hereunto set my hand and official seal.
Notary Public
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16
REQUEST FOR PET APPROVAL
Applicant’s Name:
Applicant’s Address:
Applicant’s Contact Phone Number:
*I wish to obtain written authorization for a pet or pets at the above location:
Breed of Animal:
Size/Weight of Animal:
Rabies Certification Number:
Please Note: All Applicants must submit proof of liability insurance for said pet(s) with completed request for pet
approval. All dogs must be specifically referenced on the proof of insurance.
It is understood by Applicant that he/she will clean-up after, and properly dispose of, any waste left by the pet on the
Premises. Should the Applicant, Family Members, Guests, Residents, Employees, Agents, or Invitees of Applicant fail
to properly clean-up after said pet(s), Applicant will be charged a $25.00 (twenty-five dollar) per incident clean up fee.
Signature of Applicant
Date
Signature of Applicant
Date
*Please provide the following information for dogs:
Proof of breed confirmed.
Vaccination record received.
Vet confirmed weight if 50+ lbs.
Color photos of pet.
Approved by:
Brady Sullivan Properties Representative
Date
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16
HOLDING DEPOSIT AGREEMENT
The apartment home you wish to lease can be held for 15 days or until approved occupancy date, whichever is latest.
If the Applicant is denied, the deposit will be refunded in full. If the Applicant is approved, the full amount of the
Holding Deposit becomes non-refundable under any circumstances. Upon the execution of a Lease Agreement with
the Landlord, the full amount of the Holding Deposit will be applied to the Security Deposit. This check must be in the
form of a cashier’s check or money order. Please make payable to: Brady Sullivan Southside Manor, LLC.
Applicant(s) Name:
Date of Deposit:
Amount of Deposit $
, 20
Building
Reservation Expires on:
Desired Unit
, 20
Special on Hold:
(If none, state none.)
The undersigned agrees to the terms and conditions of this agreement.
Signature of Applicant
Date
Signature of Applicant
Date
Brady Sullivan Properties Representative
Date
Deposit on hold/Check # ________________________
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16
MANDATORY RENTER’S INSURANCE
Congratulations on choosing a Brady Sullivan property for your new home! Please be aware that insurance coverage is in
place for the building in which you will be residing; however, it is a requirement that you carry your own policy for Renter’s
Insurance of no less than $300,000 in personal liability. Renter’s Insurance will cover loss or damage from:
• Fire or Lightning
• Collapse of Building
• Glass Breakage
• Theft or Vandalism
• Weight of Ice or Snow
• Falling Objects
• Windstorm or Hail
• Riot or Civil Commotion
• Water Damage
• Explosion
• Aircraft
A Renter’s Insurance package will also include personal liability protection for unintentional acts committed by you or a
qualified family member both on and off your Premises and includes coverage for acts of your pets.
Another important coverage included in a Renter’s Insurance policy is Loss of Use. If the Premises should be rendered
uninhabitable due to a covered occurrence, Loss of Use Coverage covers the extra expense of maintaining temporary
living quarters until repairs are completed.
Your insurance carrier will need the following information:
• Additional Interest as Landlord
Brady Sullivan Southside Manor, LLC
670 N. Commercial Street, Suite 303
Manchester, NH 03101
• Liability coverage of no less than $300,000.
• Pet Damage Insurance. (Required for all pet owners.)
• Must provide a paid in full receipt for the duration of the lease.
• Must provide one of the following: Binder, Certificate of Insurance, Declaration Page
• Coverage must indicate that insurance therein shall not be cancelled without at least ten (10) days written
notice to the Landlord.
To receive a quote and to begin protecting your personal belongings and liability exposure contact:
First American (administered through CoreLogic)
o 866-654-9900
o www.rentersinsuranceselect.com
Please be prepared to provide the following information to CoreLogic/First American:
o Zip code
o Full Name
o Physical address, including unit #, of your new home
o Phone Number
o Email address
The coverage’s listed are subject to the provisions, exclusions and conditions of the applicable policy. For an accurate
description of all coverage’s and limits, please refer to your insurance policy.
.
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16
IF APPLICANT HAS A CURRENT OR PREVIOUS MASSACHUSETTS ADDRESS,
THIS FORM MUST BE COMPLETED.
CRIMINAL OFFENDER RECORD INFORMATION (CORI)
ACKNOWLEDGEMENT FORM (Page 1 of 2)
TO BE USED BY ORGANIZATIONS CONDUCTING CORI CHECKS FOR EMPLOYMENT, VOLUNTEER,
SUBCONTRACTOR, LICENSING, AND HOUSING PURPOSES.
Brady Sullivan Properties is registered under the provisions of M.G.L. c. 6, § 172 to receive CORI for the purpose of
screening current and otherwise qualified prospective employees, subcontractors, volunteers, license Applicants, current
licensees, and Applicants for the rental or lease of housing.
As a prospective or current employee, subcontractor, volunteer, license Applicant, current licensee, or Applicant for the
rental or leasing of housing, I understand that a CORI check will be submitted for my personal information to the DCJIS.
I hereby acknowledge and provide permission to Brady Sullivan Properties to submit a CORI check for my information to
the DCJIS. This authorization is valid for one year from the date of my signature. I may withdraw this authorization at
any time by providing Brady Sullivan Properties written notice of my intent to withdraw consent to a CORI check.
FOR EMPLOYMENT, VOLUNTEER, AND LICENSING PURPOSES ONLY:
Brady Sullivan Properties may conduct subsequent CORI checks within one year of the date this Form was signed by me
provided, however, that Brady Sullivan Properties must first provide me with written notice of this check.
By signing below, I provide my consent to a CORI check and acknowledge that the information provided on Page 2 of
this acknowledgement form is true and accurate.
Signature of Applicant
Date
Signature of Applicant
Date
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16
IF APPLICANT HAS A CURRENT OR PREVIOUS MASSACHUSETTS ADDRESS,
THIS FORM MUST BE COMPLETED.
CRIMINAL OFFENDER RECORD INFORMATION (CORI)
ACKNOWLEDGEMENT FORM CONTINUED (Page 2 of 2)
SUBJECT INFORMATION: (An asterisk (*) denotes a required field.)
*Last Name:
*First Name:
Maiden Name (or other name(s) by which you have been known):
Place of Birth:
*Last Six Digits of Your Social Security Number:
Height:
ft.
in.
Eye Color:
Driver’s License or ID Number:
State of Issue:
Mother’s Full Maiden Name:
Father’s Full Name:
Current and Former Addresses:
Address:
City/Town:
State:
Zip:
State:
Zip:
Address:
City/Town:
****************************************************************************************
Office Use Only
*The above information was verified by reviewing the following form(s) of government issued identification:
☐ Driver’s License
☐ Military ID
☐ Other:
*Verified by:
Name of Verifying Employee (Please Print)
*Signature of Verifying Employee:
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- 01 STONEHENGE LONDONDERRY Application Packet Rev. 8.23.16