Please print and fill out this application, bring to Lanmar Corp. 362 Central Avenue, Pawtucket, R.I 02860
Application fee of 25$ will be due when you drop off the application
Required items - license, two most recent pay stubs, and application fee
Lanmar Corporation LANMAR CORP-RENTAL APPLICATION Date: __________
362 Central Ave
Pawtucket, RI 02860
(401) 723-4012 Email: ___________________________ (email required)
Applicant’s Name (Print) Social Security # Phone: Work# Home# Cell#
Are You of Legal Age? Are You A Legal Resident of the U.S.? (If not, you will need to show proof)
Yes No Yes No If No - Alien Registration #
Names of Other Occupants Including Children
___________________________________________________ Bedrooms Needed: 1 2
PLEASE GIVE YOUR LIVING STATUS FOR THE PAST 3 YEARS (START WITH CURRENT ADDRESS)
Present Address (Street) Apt. # City State Zip code
Current Landlord (Owner/Management Co.) Address Phone#
Do you have a Lease? Expires? Rental Amount? Are Utilities Included?
How Long Have You Lived There?
Previous Address (Street) Apt.# City State Zip code
Previous Landlord (Owner/Management Co) Address Phone #
Current Employer Full Time? Part Time? Student?
Employer’sAddress City State Phone #
How long Working? Position? Monthly Pay?
Do You Have a Housing Voucher? Section 8? if so, Amount Given?
Please list any other income that you may receive and from what source is this income derived?
If Employed by Above For Less Than 3 Years, Give Name & Address of Previous Employer(s)
Please Give (2) Personal References
Name Address Phone #
Name Address Phone #
Bank References/ Bank Name:
Drivers License#: Car/Color: Make: Year: Plate#:
X Today’s Date:
Please, Sign above where (X) is, Credit Check/Bureau of Criminal Identification Waiver
Please, Present State Photo ID & Current Proof of Income, In Person & Sign Above. This Application Must be Completely Filled Out by Every Adult who is Going to Live in the Apartment. Having Accounts Closed for Non Payments or Unfavorable Previous Landlord Referrals will Result in Denial of the Apartment.