Enter your full name below:

Enter your current address below:

Enter your phone number below:

Enter your email address below:

Enter your current landlord's name below:

Enter your current landlord's phone number below:

Do you currently Rent or Own?

How long have you lived at your current residence?

Why are you moving?

Enter your most recent prior landlord's name below:

Enter your most recent prior landlord's phone number below:

Enter the name of your current employer(s) below:

How long have you been employed by your current employer?

What is your current weekly income from all sources, not just employment?

How many people will occupy the unit?

How many bedrooms do you need?

Do you have any pets?

If you answered yes to the above, please list number of and types of pets you want to bring to Jackson Square.

Do you need to keep more than one vehicle at Jackson Square?

Have you ever been convicted of a felony? If so, please provide date and type of felony.

Desired start date of lease?

Is your credit score over 620?

Is your monthly take home income at least 3 times the monthly cost of rent?

Anything else you'd like us to know?

To be considered for tenancy at Jackson Square, anyone over the age of 18 that will be occupying the unit must submit a full tenant screening application where a credit, criminal, and eviction check will be performed. The cost per applicant is $45 due at time of screening. Once your information is submitted on this page we will review and follow up with a link to complete the full tenant screening. The Landlord will be considering applicants with a minimum credit score of 620, income of 3 times the monthly rental amount, and no prior evictions on their record. Final approval is subject to the Landlord's satisfactory review of the full credit, criminal, and eviction report. By checking this box you acknowledge that you understand and agree to these terms and give consent for us to contact your current and/or prior landlord(s). If you have questions please email us directly at info@haynesrealtygroup.com. 

By checking this box I acknowledge that I have reviewed the below Brokerage Disclosure Form and understand that Michael Haynes of Keller Williams Gateway Realty represents the Landlord of Jackson Square as Designated Agent of the Landlord. I also acknowledge that Michael Haynes is related to the Landlord and that the Landlord is a licensed real estate agent in the state of New Hampshire.