Rental Application – Bermuda Real Estate Rentals and Sales

Application Form

Applicant Information

Full Name

Date of Birth

Occupation

Marital Status

National ID / Passport Number

Country of Issue

Expiration Date

Phone Number

Email Address

Current Address

Street Address

City / Parish

Postal / Zip Code

Country

Monthly Rent / Mortgage

Reason for leaving

Have you lived at this address for more than 3 years?

Previous Address

Street Address

City / Parish

Postal / Zip Code

Country

How long did you live there?

Monthly Rent / Mortgage

Reason for moving

Was your full security deposit returned?

If not, please explain:

Employment

Do you have a work permit?

Permit start date

Permit expiration date

Current Employer

Employer's Address

City / Parish

Postal / Zip Code

Job Title

Supervisor's Name

Supervisor's Phone Number

Supervisor's Email Address

Employment Start Date

Employment End Date

Income (Monthly / Annual)

Do you have additional income?

Source of Additional Income

Monthly Amount

Co-Applicant Information

Do you have a co-applicant?

Full Name

Date of Birth

National ID / Passport Number

Country of Issue

Expiration Date

Phone Number

Email Address

Emergency Contact

Name

Address

Phone Number

Email Address

Relationship

Pets

Do you have any pets?

Specify the type, breed, and number

Guarantor

Are you required to have a guarantor?

Guarantor's Full Name

Relationship to Applicant

Guarantor's Address

Guarantor's Phone Number

Guarantor's Income (Monthly / Annual)

Guarantor's Employer

Household Information

Total Number of Occupants (Including yourself)

List All Occupants & Relationship (One per line)

Smoking Policy

Do you or any occupants smoke?

Inside or Outside the premises?