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Welcome to Diemer Properties
Voted #1 Landlord
For Rent/Apartment Rentals / Condo Rentals / UVM Off Campus Housing /Room For Rent
Burlington, Vermont
Why are you leaving your current unit apartment?
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Current address: Write landlords name, telephone number, and monthly rental amount or just write "Dorms".
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All Housemates 1st & Last Names
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Social Security Number
Former Address #2 (within the last 3 years). Write landlords name, telephone number, and monthly rental amount.
APPLICATION
ONLY PRESS SUBMIT APPLICATION ONE TIME
Preferred Name:
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The ESIGN Act is a federal law passed in 2000. It grants legal recognition to electronic signatures and records if all parties to a contract choose to use electronic documents and to sign them electronically. No contract, signature, or record shall be denied legal effect solely because it is in electronic form.
I understand
Previous Employment ( skip if none) Write supervisors name, telephone number, start date, and rate of pay.
Do you need to sublet at any point in order to rent this unit?
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Specific address you are looking to rent
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How many total vehicles for your whole group?
Please tell us a bit about yourself, why you would make a great candidate?
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I have already viewed this unit with Jill Diemer in person/ virtual
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Yes
No
Do you or any of your housemates have any animals?
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Email Address
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Date of birth
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Do you have a UVM Preferred Renters Card?
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Yes
No
Vehicle Make and Model
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WAITING LIST / APPLICATION
Former Address #3 (within the last 3 years). Write landlords name, telephone number, and monthly rental amount.
Telephone number
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IF this does not work please email image to Jill- diemerproperties@gmail.com
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We were unable to upload your file. Please ensure your file is 10MB or smaller in size.
Parent/Guardian ( Relation to you) / Emergency address email & cell #
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Specific start date you are looking for
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May
June
July
August
Another date not listed here
Is anyone in your group a smoker?
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Yes
No
Employment ( skip if none) Write supervisors name, telephone number, start date, and rate of pay.
Do you have a vehicle?
I am currently enrolled AND taking classes @:
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UVM
Champlain College
CCV
Out of State
Not an enrolled student
Enrolled but taking semester off
Manual E-Signature:
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Name:
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Present address
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Student Status presently
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Not a student
Freshman
Sophomore
Junior
Senior
Graduate
Post- Bacc Pre- Med
Medical
Medical Resident or Fellow
I warrant that the information supplied is true and correct, and that I am at least 18 years of age. I further authorized the owner/manager to contact my references and have said references release my information to them. Owner warrants that any verification/s are for the purpose of entering into a Rental Agreement, and further warrants that any information derived from TRW credit aka Smart Move/ criminal reports or other sources will be kept confidential and not revealed to any other outside party. If credit report is necessary there is a $42.00 charge directly from TransUnion Smartmove. ( You will be notified in advance if credit report is required). I agree to these terms.
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Yes
No
Thank you. Please look out for instructions and Renters Code within 24-48 hours.
If you do not least 3 years of solid rental history/ employment history, are your parents/guardians/legal adult willing to co-sign for you?
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Yes
No
How did you here about us?
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On a scale of 1-10. 10 being the best. How interested are you in getting this unit?
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