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Application

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The Application form is 7 pages long and contains:

  • 4 signatures
  • 66 check-boxes
  • 129 other fields

Country of origin: OTHERS
File type: PDF

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Dear Applicant:
Thank you for your recent inquiry of occupancy at a
Carabetta Management
Company
apartment community. Due to the nature of Federal Assistance provided for
these properties, we are required by the U.S. Department of Housing and Urban
Development’s (HUD) regulations to determine your eligibility for occupancy based on a
number of factors, which includes verification of your income and expenses. In addition
to performing credit checks, we also perform a criminal history background check.
Please review the enclosed Rental Application, and provide us with all of the information
requested as completely as possible. If any questions do not apply to you or your
household, please mark “N/A”. Any persons 18 years of age AND/OR older must sign
the application.
PLEASE SUBMIT ONLY ONE (1) APPLICATION PER HOUSEHOLD – EVEN IF
YOU ARE INTERESTED IN MORE THAN ONE (1) PROPERTY. THANK YOU.
We would also like to take this opportunity to advise you that the Owner’s and/or
Managing Agent and Federal and State agencies discourage the use of illegal drug use,
sale or trafficking on the Property. The Managing Agent has the responsibility to
actively promote a drug-free lifestyle and will work with Local and State Authorities to
prosecute anyone involved with illegal drug use, sale or trafficking. Therefore, in the
event that you are involved with the foregoing, we strongly discourage you
from completing and returning the application.
Again,
Carabetta Management Company
would like to thank you for your
inquiry. If you have any questions regarding the requirements of the application, please
feel free to contact our office at: (203) 237-7400.
Sincerely,
CARABETTA MANAGEMENT COMPANY
Rental Application
Dated:
Received:
Property:
Complex Name(s): Date:
Applicant:____________________________ Applicant
:
(Name) (Name)
____________________________________
(Address) (Address)
_____________________________ ____________________________________
(City/State) (City/State)
_____________________________ ____________________________________
(Telephone) (Telephone)
_____________________________ ____________________________________
(Social Security Number) (Social Security Number)
Head of Household [ ] yes [ ] no Head of Household [ ] yes [ ] no
List all household members who will be living in the unit together with the information listed below:
Name Relationship Date of Birth Sex Social Security Number
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
EMPLOYMENT HISTORY:
Head of Household: Spouse/Co-Head
:
Name: ___________________________ Name: ___________________________________
Street: ____________________________ Street: ___________________________________
City/ST: __________________________ City/ST: __________________________________
Position:___________________________ Position:__________________________________
How Long:__________________________ How Long:________________________________
Annual Income:______________________ Annual Income:____________________________
LANDLORD HISTORY:
Current: Prior:
Name: ____________________________ Name: ___________________________________
Street: ____________________________ Street: ___________________________________
City/ST: ___________________________ City/ST: __________________________________
Length of Occupancy:_________________ Length of Occupancy:_______________________
Rent: $___________________________ Rent: $__________________________________
(Annual/Monthly) (Annual/Monthly)
Return to:
Carabetta Management Company
P.O. BOX C-1011
Meriden, CT 06450
LEASING DEPARTMENT
Federally Subsidized [ ] yes [ ] no Federally Subsidized [ ] yes [ ] no
PERSONAL HISTORY:
Applicant: Applicant:
Date of Birth: Date of Birth:
Driver License #: _____________________ Driver License #: __________________________
Sex: [ ] male [ ] female Sex: [ ] male [ ] female
Race: [ ] Caucasian [ ] Hispanic Race: [ ] Caucasian [ ] Hispanic
[ ] Black [ ] Alaskan Native [ ] Black [ ] Alaskan Native
[ ] American Indian [ ] Asian [ ] American Indian [ ] Asian
Familial Status: Familial Status:
[ ] married [ ] single [ ] married [ ] single
[ ] widowed [ ] divorced [ ] widowed [ ] divorced
A) Do you wish to be considered for a handicap accessible unit? [ ] yes [ ] no
B) Do you have reason to believe that you may be entitled to a $400 disability/handicap adjustment to your
income? [ ] yes [ ] no
C) Will you require "reasonable accommodation" as defined in the Fair Housing Act Amendment to a unit that
is not designed as a handicap accessible unit? [ ] yes [ ] no
D) Will you require "reasonable accommodation" as defined in the Fair Housing Act Amendment in any
common areas? [ ] yes [ ] no
Note: The information solicited under the Personal History section of the Application is requested by the Owner
and/or its Agent (Carabetta Management Co.) in order to assure the Federal Government that Federal laws
prohibiting discrimination against resident applicants on the basis of race, color, national origin, religion, sex,
familial status, age and disability are complied with. You are not required to furnish this information, but you are
encouraged to do so. This information will not be used in evaluating your application or to discriminate against you
in any way. However, if you choose not to furnish it, the Owner and/or its Agent is required to note the
race/national origin and sex of individual applicants on the basis of visual observation or surname
.
BANK REFERENCES:
Nameof Bank:_______________________ Name of Bank:______________________________
Street: ____________________________ Street:
City/ST: ___________________________ City/ST: __________________________________
Telephone: _________________________ Telephone:_________________________________
Account #: _________________________ Account #:_________________________________
Type of Acct:________________________ Type of Acct:______________________________
VEHICLES:
Model: ___________________________ Model: ___________________________________
Year: ___________________________ Year: ___________________________________
Color: ___________________________ Color: ___________________________________
License #: _________________________ License #: _________________________________
MISCELLANEOUS:
A) Have you ever lived at the apartment complex before? [ ] yes [ ] no
B) Have you ever lived at an apartment complex managed by Carabetta Management Co.
before? [ ] yes [ ] no
C) Will a credit or prior landlord investigation reveal any information that you think might
be negative? [ ] yes [ ] no
D) Source of Credit:
Name: ___________________________ Name: ___________________________________
Street: ___________________________ Street: ___________________________________
City/ST: ___________________________ City/ST: __________________________________
Telephone: ________________________ Telephone: ________________________________
Purpose: __________________________ Purpose: __________________________________
Date Opened/Closed: ________________ Date Opened/Closed: ________________________
E) Have you ever been a party to an eviction proceeding? [ ] yes [ ] no
F) Do you have any pets? [ ] yes [ ] no If yes, what type?
G) Management may conduct a home visit as a part of its application process. [ ] yes [ ] no
H) Person to Contact in Case of Emergency:
Name: ____________________________ Name: ___________________________________
Street: ____________________________ Street: ___________________________________
City/ST: ___________________________ City/ST: _________________________________
Telephone: _________________________ Telephone:__________________________
Relationship: ________________________ Personal Physician: _________________________
I) References:
Relative Not Living With You: Relative Not Living With You:
Name: ___________________________ Name: ___________________________________
Street: ____________________________ Street: ___________________________________
City/ST: ___________________________ City/ST: ___________________________________
Telephone:_________________________ Telephone:_________________________________
Friend: Relative of the Spouse/Co-Head Not Living With You:
Name: ___________________________ Name: __________________________________
Street: __________________________ _ Street: ___________________________________
City/ST: __________________________ City/ST: __________________________________
Telephone:_________________________ Telephone:_________________________________
J) How did you learn about us? [ ] newspaper [ ] referral [ ] drive by [ ] sign
K) By signing below, you agree to be bound by the terms of the Lease.
L) By signing below, you certify that the apartment you may occupy will be your permanent residence and that
you will not maintain a separate, subsidized rental unit in another location.
M) By signing below, you agree that the apartment cannot be occupied until the Lease is signed and one
month's security plus the first month's rent is paid by check or money order; CASH IS NOT
ACCEPTED. If, after being approved for occupancy, you elect not to occupy the apartment, you
agree to forfeit your deposit.
N) Upon completion of this application, we/I understand we/I have seven (7) working days to return any and
all income and expense verification documentation as may be requested by Management to confirm our/my
eligibility for occupancy. We/I also agree to provide copies of birth certificates and social security cards
for all individuals who will be residing in the unit as a household member within seven (7) working days.
Should we/I fail to submit the requested information within seven (7) working days, we/I understand that
our/my application will no longer be considered for occupancy.
It is understood that in order to determine eligibility for residency in subsidized communities, certain information
must be verified on appropriate forms provided by Management prior to occupancy. Incomplete applications
cannot be considered. These procedures are followed by every applicant, regardless of rent structure or subsidy,
and the additional information is used for determining rent amounts; it is not basis for granting or denying tenancy.
We/I hereby certify that only those persons listed in this application will occupy the premises. Further, we/I agree
that if any other information herein contained is false, Management may, at its option and without notice, cancel
any lease made on the basis of information provided as part of this application.
We/I hereby certify that we/I am 18 years of age or older. We/I hereby apply for an apartment at the above-
mentioned location with our/my signature(s) below. We/I hereby authorize and request all credit reporting
agencies, employers, credit, and personal references to release all pertinent information about us/me.
APPLICANT'S SIGNATURE:_________________________________ DATE:__________________
PRINT NAME: _____________________________________________
CO-APPLICANT'S SIGNATURE:______________________________DATE:________________
PRINT NAME: _____________________________________________
APPLICATIONS THAT HAVE BEEN ON A WAITING LIST FOR A SIX (6) MONTH PERIOD
MAY BE DISCARDED, UNLESS RENEWED BY THE APPLICANT BY MAIL. ADDITIONAL
INFORMATION MAY BE REQUESTED AT A LATER DATE TO COMPLETE THE
PROCESSING OF THIS APPLICATION.
WARNING: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful
false statements or misrepresentations to any Department or Agency of the United States as to any
matter within its jurisdiction.
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APPLICANT STATEMENT OF AUTHORIZATION
As a condition of residency, I / We authorize Carabetta Management Company or any investigative
service to investigate my background to determine suitability for residency. I/We understand that
inclusion of any false or misleading information on my application may be grounds for the denial of my
application.
I/We have reviewed this form, fully understanding the intent of this authorization and give my full
consent for the disclosure of all my records (whether personal or otherwise) from current and/or previous
employment, educational institutions, credit and financial institutions, Department of Motor Vehicles,
criminal law and law enforcement agencies, military records (which could include a copy of my DD-214
Separation Form).
I fully understand the information provided by the agent is accurate only as to what was provided
to them, and therefore do not hold the agent, Carabetta Management Company liable in anyway.
A photocopy of this release will be valid as an original, even though said photocopy does not
contain an original writing of my signature.
EVERYONE EIGHTEEN YEARS AND OVER MUST SIGN
X X
Applicant Signature Co- Applicant Signature
Date of Birth Date of Birth
Social Security Number Social Security Number
Date Date
(The inclusion of your birth date is voluntary, but could assist in verifying records obtained)
Please indicate below if you have been employed or educated under another name, and the dates
this name was used, i.e. maiden name, nickname, alias, etc.
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=====================================================================
HELLO! Providing us with the following brief information will greatly assist our Leasing Staff in
helping you find the perfect unit.
Today’s Date: What prompts you to look for an apartment?
Name(s):
Address: Are you looking for a: Studio: 1BD:
City/State: Date you need to move by:
Phone: Home ( ) Do you own pet(s)? Yes [ ] No [ ]
If Yes, What kind?
Work ( )
Affordable rent range for you: $
How did you hear about us? Your Occupation:
For How Long:
(Name of Complex, if applicable)
Resident Referral What is the most important feature in your new
apartment?
Newspaper
Size:
Closet Space:
Sign in front of building.
View:
Other:
Other ? Please explain
=====================================================================
FOR STAFF USE ONLY
Application Given:
Apartment Shown:
Staff person taking this information: Date:
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Application

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Completed 19 September 2021

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