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Regent Park Apartments and Townhomes
40 A Squire Drive - Nashua, NH 03063 - (603) 883-2720



LOCATION

AMENITIES

PICTURE GALLERY

RENTAL RATES

APPLICATION



Regent Park Apartments and Townhomes
Application To Lease

*No Pets Allowed*


Please fill out the following form, print it, sign it and fax it to us directly at (603) 883-6720. The form cannot be submitted online. Thank you!

Personal Information:

Name:

Birthdate: SSN:

Current Residence:

Street:

Apt/Suite:

City: State: Zip:

Country:

Phone: Do You Own or rent?

If you rent: How long? Amount of Rent:

Landlord's Name:

Landlord's Phone:

Landlord's Address:

Reason for Moving:


Previous Residence:

Address:

How Long? Did you own or rent?

Landlord's Name:

Landlord's Phone:

Employment:

Current Employer:

Position:

Address:

Phone (with Extension):

Length of Employment:

Salary:

Additional Income:

Previous Employer:

Phone:

Address:

Credit References:
                           

To Be Contacted In Case Of Emergency:

Name:

Relationship:

Address:

Phone:

Vehicles to be Parked on the Property:

Number of Vehicles to be Parked on the Property Including Company Car(s):

Make/Model: Year: Color:

Plate #:

Make/Model: Year: Color:

Plate #:

Individuals that will Occupy the Apartment:

Name:

Age: Relationship:

Name:

Age: Relationship:

Name:

Age: Relationship:

Name:

Age: Relationship:

Have you or anyone who is included in this apartment rental application ever been:

Evicted from any residential occupancy?    Yes   No  

The owner of real estate which was foreclosed?    Yes   No  

Convicted of a felony?    Yes   No  

Placed under a restraining order?    Yes   No  

Is your personal property encumbered by judgment or lien?   Yes   No  

If yes to any of the above questions, please explain below:



How Did You Hear of Regent Park?




BY SIGNING THIS APPLICATION, I SWEAR THAT ALL THE INFORMATION CONTAINED HEREIN IS TRUE TO THE BEST OF MY KNOWLEDGE. ANY MISSTATEMENT SHALL CONSTITUTE A BREACH OF ANY LEASE ENTERED INTO PURSUANT TO THIS APPLICATION. I ALSO AUTHORIZE THE MANAGEMENT TO OBTAIN A CONSUMER CREDIT REPORT AND TO CONFIRM MY INCOME.

ALL DEPOSITS ARE NON-REFUNDABLE.

___________________________________   _______________
SIGNATURE (APPLICANT)                         DATE

Return in person or call Regent Park at (603) 883-2720 for faxing instructions

Regent Park Leasing Office Hours:
Monday through Friday: 9:00 AM - 4:30 PM
Thursday evenings: 5:00 PM - 8:00 PM
Saturday: 11:00 AM - 3:00 PM; Sunday: by appointment only

40 A Squire Drive
Nashua, NH 03063
Telephone: (603) 883-2720 (within New Hampshire),
        (800) 258-6373 (out-of-state only);
Fax: (603) 883-6720
E-mail: Contact@RegentParkApartments.com