Skip to content

Home
About Us
House For Sale
Houses For Rent
- House to Rent Great Cranberry Island
- House to Rent Islesford
News
- FOUR NEW ISLESFORD YEAR-ROUND RENTAL HOMES
- Photo & Video Gallery
Contact Us
Donate
- Ways to Donate

Home Houses For Rent Application – 15 Komusin Lane

Application – 15 Komusin Lane

Complete the form below or print out the form and send it to us:

Application for: *1 Bedroom2 Bedroom3 Bedroom

PERSONAL QUESTIONS

Name (First,Last) *

Email Address *

Phone *

Street Address *

City *

State *

ZIP / Postal Code *

Names and ages of all members of the household *

Present occupations/employment of income earner(s) in the household *

5. Do you rent or do you own your current home? *

Will you be living in the CIRT house year-round, that is, at least 11 months a year? *

7. List all of the addresses where you have lived for the past ten years. If you were in rental housing, please provide the name and phone number of your current or most recent landlord. *

WRITTEN STATEMENT

Please provide us with additional information about yourself and your household in a brief written statement or essay, addressing the following questions:

What interests you about living in the Cranberry Isles?
What are your plans for earning a living while living on Great Cranberry or Islesford?
If you have school-age children, will they be enrolled in the Cranberry Isles School?
Describe how you think you will handle and thrive living in a small, isolated community year-round.
What do you think you will be able to contribute to community life in the way of skills, abilities, interests and hobbies and what is your degree of interest or past experience in getting involved in community events and groups?

FINANCIAL QUESTIONS

What is the total combined annual income of the income earner(s) in the household in the past two years? *

Please attach a copy of the previous two year’s IRS Form 1040 *

No file chosen

What is the current source of income of the income earner(s) in the household? *

Please attach a recent pay stub or evidence of income. *

No file chosen

What are the major assets and their current value of the household? *

What is the total current debt of the household? (Please List how much is owed, to whom and the payment schedule.) *

DECLARATIONS

Are you a US citizen? *YesNo

Have you ever declared bankruptcy? *YesNo

Have you ever gone through foreclosure or been to court for debt? *YesNo

Are you currently in or have you ever been involved in a lawsuit? *YesNo

Have you ever been convicted of a felony? *YesNo

If you answered NO to the citizenship question or YES to any of the other questions, please explain:

REFERENCES

Please list at least three personal references with their telephone numbers and/or email addresses. *

CIRT will obtain current bank statements and/or do credit checks.

AUTHORIZATION

I/We understand that CIRT and/or its agents will be verifying all information included in this application and I/we certify that all statements are true and accurate. I/We hereby authorize CIRT and/or its agents to verify information contained in this application. I/We understand that CIRT reserves the right to reject any application and that filling out an application, having information verified, participating in an interview and/or a home visit does not imply any offer or right to residency in any CIRT property.

Printed Name: *

Date *

Signature *

Start signing your signature here

Printed Name:

Date

Signature

Start signing your signature here

Powered by Nirvana & WordPress.