Vermont Rental Application

Vermont rental application form. Vermont does not impose a statutory cap on application fees for most private rentals (subject to reasonableness and any local rules). Provide the property details, screening criteria, and fee information to receive a complete, ready-to-use application collecting personal/contact/residency history, employment/income, prior rental references, pets/occupants/vehicles, FCRA consent for screening, objective criteria, fair housing notices, and signatures.

Fee note: Any application fee must be reasonable and tied to actual screening costs. Disclose the amount and what it covers. Vermont licensees have duties to disclose material facts (26 V.S.A. § 2296).

This form complies with federal FCRA and FHA requirements and uses HUD guidance for criminal history (individualized assessment).

This is a screening template only, not a lease or guarantee of tenancy. Verify all applicant information and consult local counsel or the Vermont Department of Public Safety / housing resources for compliance., -

Property and Tenancy Details

Property Address: [[Property Full Address Including Unit Number if Applicable]], [[City]], Vermont [[ZIP Code]]

Landlord / Property Manager: [[Landlord or Property Management Company Full Legal Name]]

Contact for Application: [[Landlord Phone Number]] | [[Landlord Email Address]]

Monthly Rent: $[[Monthly Rent Amount]]

Security Deposit: $[[Security Deposit Amount]]

Lease Type: [[Fixed Term / Month-to-Month]]

Proposed Lease Start Date: [[Lease Start Date]]

Application Fee Amount: $[[Application Fee Amount]] (disclose exact amount and what costs it covers; must be reasonable)

Application Fee covers: [[e.g. credit report and background check costs]]

Application Submission Deadline: [[Application Deadline Date]], -

Applicant Information, Primary Applicant

Full Legal Name: [[Applicant Full Legal Name]]

Date of Birth (MM/DD/YYYY): [[Applicant Date of Birth]]

Social Security Number (last 4 or as required for screening): [[SSN Last 4 or Full for FCRA Purposes]]

Government-Issued Photo ID (type and number): [[Driver's Licence / Passport / Other ID Type and Number]]

Current Phone Number: [[Applicant Primary Phone]]

Current Email Address: [[Applicant Email]]

Current Residential Address: [[Current Address]], [[City]], [[State]] [[ZIP Code]]

Length of Time at Current Address: [[Months/Years at Current]]

Reason for Leaving Current Residence: [[Reason for Leaving]]

Current Monthly Rent or Housing Cost: $[[Current Monthly Housing Cost]]

Current Landlord / Property Manager Name: [[Current Landlord Name]]

Current Landlord Phone: [[Current Landlord Phone]]

Current Landlord Email: [[Current Landlord Email]], -

Previous Residences (Last 3 Years, Provide at Least Two)

Previous Residence 1

Address: [[Previous Address 1]], [[City]], [[State]] [[ZIP Code]]

Dates of Tenancy: [[Start Date 1]] to [[End Date 1]]

Monthly Rent Paid: $[[Rent Amount 1]]

Landlord / Property Manager Name: [[Previous Landlord 1 Name]]

Landlord Phone: [[Previous Landlord 1 Phone]]

Landlord Email: [[Previous Landlord 1 Email]]

Reason for Leaving: [[Reason for Leaving 1]]

Previous Residence 2

Address: [[Previous Address 2]], [[City]], [[State]] [[ZIP Code]]

Dates of Tenancy: [[Start Date 2]] to [[End Date 2]]

Monthly Rent Paid: $[[Rent Amount 2]]

Landlord / Property Manager Name: [[Previous Landlord 2 Name]]

Landlord Phone: [[Previous Landlord 2 Phone]]

Landlord Email: [[Previous Landlord 2 Email]]

Reason for Leaving: [[Reason for Leaving 2]]

Previous Residence 3 (if applicable)

Address: [[Previous Address 3]], [[City]], [[State]] [[ZIP Code]]

Dates of Tenancy: [[Start Date 3]] to [[End Date 3]]

Monthly Rent Paid: $[[Rent Amount 3]]

Landlord / Property Manager Name: [[Previous Landlord 3 Name]]

Landlord Phone: [[Previous Landlord 3 Phone]]

Landlord Email: [[Previous Landlord 3 Email]]

Reason for Leaving: [[Reason for Leaving 3]], -

Co-Applicants and All Proposed Adult Occupants

Co-Applicant / Occupant 1 Full Name: [[Co-Applicant 1 Full Name]], Relationship to Primary: [[Relationship]], DOB: [[DOB]], Phone: [[Phone]], Email: [[Email]]

Co-Applicant / Occupant 2 Full Name: [[Co-Applicant 2 Full Name]], Relationship to Primary: [[Relationship]], DOB: [[DOB]], Phone: [[Phone]], Email: [[Email]]

Additional Adult Occupants (if more): [[List Additional Adult Names, DOBs, Phones, Emails and Relationships]], -

All Proposed Occupants (Including Minors)

Total Number of Occupants: [[Total Number]]

Full List of All Persons Who Will Reside at the Premises (include ages for minors):

• [[Occupant Full Name 1]], Age [[Age]], Relationship [[Relationship]]

• [[Occupant Full Name 2]], Age [[Age]], Relationship [[Relationship]]

• [[Occupant Full Name 3]], Age [[Age]], Relationship [[Relationship]]

• [[Additional Occupants as Needed]], -

Pets

Will any pets reside at the premises? [[Yes / No]]

If yes, provide details for each:

• Type/Breed: [[Pet Type 1]], Age: [[Age]], Weight: [[Weight]], Number: [[Count]]

Service or support animals (protected under FHA): [[Description or "None"]], -

Vehicles and Parking

Number of Vehicles to be Parked: [[Number of Vehicles]]

Vehicle 1: Make/Model/Year [[Vehicle 1 Details]], Licence Plate [[Plate 1]], State [[State]]

Vehicle 2: Make/Model/Year [[Vehicle 2 Details]], Licence Plate [[Plate 2]], State [[State]]

Parking Requirements / Requests: [[Assigned Parking, Visitor, or Other]], -

Employment and Income Verification

Current Employment, Primary Applicant

Current Employer / Company: [[Current Employer Name]]

Position / Title: [[Job Title]]

Length of Employment: [[Years/Months]]

Gross Monthly Income (before deductions): $[[Gross Monthly Income]]

Pay Frequency: [[Weekly / Bi-weekly / Semi-monthly / Monthly]]

Employer Address: [[Employer Address]]

Supervisor / HR Contact Name: [[Supervisor Name]]

Supervisor Phone: [[Supervisor Phone]]

Supervisor Email: [[Supervisor Email]]

Other Income Sources (if any)

Source and Monthly Amount: [[Other Income Source]], $[[Monthly Amount]]

Employment, Co-Applicant (if applicable)

Employer: [[Co-Applicant Employer]], Position: [[Title]], Gross Monthly: $[[Income]], Length: [[Length]], -

Rental History Summary and References

Personal or Professional Reference 1:

Name: [[Reference 1 Full Name]]

Relationship: [[Relationship]]

Phone: [[Phone]]

Email: [[Email]]

Personal or Professional Reference 2:

Name: [[Reference 2 Full Name]]

Relationship: [[Relationship]]

Phone: [[Phone]]

Email: [[Email]], -

Background and Credit Check Consent (FCRA Disclosure)

I/We authorize the Landlord or its agents to obtain consumer reports (credit, background, eviction history, etc.) for evaluating this rental application pursuant to the Fair Credit Reporting Act. I/We understand my rights to obtain a copy of any report and the identity of the reporting agency.

Applicant Signature / Acknowledgment for FCRA: [[Applicant Signature]] Date: [[Date]], -

Application / Screening Fee Disclosure (Vermont)

Application Fee: $[[Application Fee Amount]], Disclosed amount. Vermont does not set a specific statutory dollar cap on reasonable application fees for private rentals. The fee should reflect actual costs of screening (credit report, background check, etc.). Any fee charged must be clearly disclosed in advance. Refunds of unused portions follow general contract and consumer principles.

Fee covers: [[credit report, background check, administrative screening costs]], -

Screening Criteria (Objective and Consistently Applied)

• Income: Minimum gross monthly income [[e.g. 3 times]] the monthly rent.

• Credit: Minimum score or compensating factors [[e.g. 600+ or stable employment and references]].

• Rental History: No recent evictions or significant lease violations.

• Criminal Background: Individualized assessment per HUD guidance, nature, timing, and relevance to tenant safety/property.

• Other: [[Any consistently applied additional criteria]], -

Fair Housing Nondiscrimination Notice

We comply with the federal Fair Housing Act and Vermont fair housing requirements. No discrimination on protected bases (race, color, religion, national origin, sex, familial status, disability, and other categories recognized under applicable law). Reasonable accommodations for disabilities upon request., -

Pets, Occupants, and Vehicles Acknowledgment

The information above is accurate. Landlord approval is conditioned on verification and any separate pet or occupancy policies., -

Signature and Authorization

I/We certify the information is true and complete. False statements may result in denial or lease termination. I/We authorize verification and consumer reports as stated.

Primary Applicant Signature: _______________________________ Date: [[Date]]

Printed Name: [[Applicant Full Legal Name]]

Co-Applicant Signature (if applicable): _______________________________ Date: [[Date]]

Printed Name: [[Co-Applicant Full Name]]

Landlord / Agent Receipt: _______________________________ Date: [[Date]], -

Sources / Law references (as of June 2026): 26 V.S.A. § 2296 (licensee material facts duty); VRLTA-equivalent practices; Fair Credit Reporting Act; Fair Housing Act; HUD criminal screening guidance. No specific statutory application fee cap for most private rentals. This is a template only, not legal advice. Confirm current requirements with Vermont authorities or counsel.