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Online Rental Application

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Full Service Management Leasing & Maintenance

Looking for an Apartment?
Rental Listings
Looking for a Management Company?
Reviews
About
Contact
Facebook

Rental Application

Thank you for your interest in one of our apartments

First thing’s first, you are going to have to fill out our rental application. Please fill out the form below to start the process.

Please carefully fill out each item as completely as possible to help speed the processing of the application.

You should submit only one application, additional submissions will significantly delay the application process.

Step 1 of 5

20%

General Information
First Name*
Last Name*
Phone*
Email*
Education*
Drivers License Expiration Date (Note: if "none" enter "none")*
Current Rental Information
Complete Current Address*
Street Address Address Line 2 City State ZIP
Monthly Rent*
Move In Date?*
MM slash DD slash YYYY
Move Out Date?
MM slash DD slash YYYY
Name of Landlord*
Landlord’s Address*
Landlord’s Telephone*
Landlord’s Fax
Reason for moving
Previous Rental Information
Complete Previous Address
Street Address Address Line 2 City State ZIP
Monthly Rent
Move In Date?
MM slash DD slash YYYY
Move Out Date?
MM slash DD slash YYYY
Name of Landlord
Landlord’s Address
Landlord’s Telephone
Landlord’s Fax
Reason for moving
2nd Previous Rental Information
Complete 2nd Previous Address
Street Address Address Line 2 City State ZIP
Monthly Rent
Move In Date?
MM slash DD slash YYYY
Move Out Date?
MM slash DD slash YYYY
Name of Landlord
Landlord’s Address
Landlord’s Telephone
Landlord’s Fax
Rental Application Information
Location preference
- Chicopee
- Holyoke
- Springfield
Specific Location or Apartment Preference (if any)
Number Of Bedrooms Desired*
Select One*
How did you hear about us?*
Why are you moving?*

Please answer Yes Or No to the following questions.
Do you have rental assistance?*
- Section 8 Voucher
- MRVP Voucher
- Other
- None
List all vouchers and where they are from*
Do you have any pets?*
- Yes
- No
Type of Pet
If Dog - How Many Pounds?
Have you or any member of the household ever been a defendant in any court case related to housing?*
Caution: you may have been a defendant even if you never went to the courthouse. Sometimes eviction cases are closed before the first court date because the problem was solved. Those cases still count. Mortgage foreclosures and any other cases relating to housing also count. If you ever saw court papers with your name on them, you should assume you were a defendant. If you have questions about what it means to be a defendant, ask us before answering "no" to this question.
- Yes
- No
Have you or anyone in the household ever been arrested for a drug related offense?*
- Yes
- No
Have you or anyone in the household ever been arrested for a sex related or violent behavior related offense?*
- Yes
- No
Do you smoke?*
- Yes
- No
Please select one:*
- Marijuana
- Tobacco
- Both
Would you prefer a smoke free environment?*
- Yes
- No
Vehicle(s)
Vehicle 1
Applicant Name
Make
Model
Year
Plate
State
Registered to
Monthly Payment
Vehicle 2
Applicant Name
Make
Model
Year
Plate
State
Registered to
Monthly Payment

Confirmation
Consent*
I have answered the questions to the best of my/our knowledge.*
Please note that this is a preliminary application. Additional information may be requested at a later date to complete the processing of applicants. Your signature gives consent to the Management to verify the information contained in the application.

I/WE HAVE READ THE FORGOING AND CERTIFY THAT THE INFORMATION HEREIN SUBMITTED BY ME/US IS TRUE AND CORRECT.

WARNING: False, incomplete, or misleading information is grounds for denial of application.

An applicant with a sealed criminal record may answer 'no record' with respect to an inquiry herein relative to prior arrests or criminal court appearances.

BY MY SIGNATURE BELOW I AUTHORIZE Virgilio Property Management, Inc. to obtain a consumer credit report and/or a background report on me in connection with this rental application. I authorize Virgilio Property Management, Inc. to contact my current and previous landlords, employers and personal references to obtain information about me. I authorize all landlords, employers, credit agencies, and other persons to release any information they have about me in connection with my employment or rental history.

*ALL APPLICANTS OVER THE AGE OF 18 MUST SIGN APPLICATION*
Date*
Applicant’s Signature*
Co-Applicant’s Signature
Other Signature
Please click the submit button ONCE to submit your rental application.
Email
This field is for validation purposes and should be left unchanged.

Virgilio Property Management, Inc. 731 High Street Holyoke, MA 01040

Phone: (413) 533-5100 Fax: (413) 533-0099 Emergency Service 24 Hours / 7 Days

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