Text Box: APPLICATION FEE(s) :  $  20.00 FOR 1st APPLICANT;     $ 10.00 SECOND APPLICANT;    $ 5.00 PER APPLICANT THEREAFTER                                                                  PROCESSING FEE :        $100.00 If Accepted  (Application fee will be credited toward processing fee if accepted)  

 

Date______________________         Desired Location __________________________                                  Rental Application Only Subject to Owner Approval and Acceptance.

__________________________________________________________________________________________________________________________                                                                                Name of Applicant                            Number of Dependents                  Home Phone                    Date of Birth                              Social Security #

__________________________________________________________________________________________________________________________                                                                              Present Address                                 City/State/Zip                      Length of Tenancy                     Number of cars                          Registration #

__________________________________________________________________________________________________________________________                                                                         Present Landlord                                                         Complete Address                                         Phone #                               Reason for Leaving

__________________________________________________________________________________________________________________________                                                                         Former Address #1                                                      Former Landlord                                Phone #                                          Occupancy Years

__________________________________________________________________________________________________________________________                                                                         Former Address #2                                                     Former Landlord                                Phone #                                           Occupancy Years

__________________________________________________________________________________________________________________________                                                                                     Current Employer                                                      Complete Address                               Phone #                                          Employment Start / Salary

__________________________________________________________________________________________________________________________                                                                                  Former Employer                                                      Complete Address                               Phone #                                          Length of Employment

__________________________________________________________________________________________________________________________                                                                       Personal Reference (name)                                       Complete Address                               Phone #                                          Occupation

__________________________________________________________________________________________________________________________                                                                                   In Case of Emergency Notify                                  Complete Address                                                                                        Phone #

__________________________________________________________________________________________________________________________                                                                                  Credit Reference                                                    Complete Address                                                                                          Phone #

__________________________________________________________________________________________________________________________                                                                              Bank Savings/Checking Acct.                                Branch Address                                                Account Number(s)

__________________________________________________________________________________________________________________________                                                                                  Names of All Co-Tenants (each adult must file separate application)                                            Make of Vacuum cleaner

__________________________________________________________________________________________________________________________                                                                              Apartment Number                 Total Number of Occupants              Number of Adults                    Pets                          Smoker / Non-Smoker (circle one)

__________________________________________________________________________________________________________________________                                                                    Address                                            Names and Ages of Minor Children                                                        Base Rent per Month $_______________                                                                                                                                                                                                                                         Subject to escalation as                                                                                                                                                                                                                                                                           Set forth in lease $ _____________________________________________________________________________________________________________________________________________                                            Additional Comments                                                                                        Other Monthly Charges

Terms of Lease (months)            From          /          /           To         /        /                                                     Key/Lock $_______________________

Base Rent and Other Monthly Charges are Due and Payable on the First Day of Each Month                                                                            

Last Month’s Rent $________________               Security Deposit    $________________                           Deposit on Acct.    $________________

Pursuant to Massachusetts Law, the Management shall not make any inquiry concerning the race, religious creed, color, national origin, sex, age (except if a minor), ancestry, or marital status of the applicant or concerning the fact that the applicant is a veteran, a member of the Armed Forces, or is blind.  Neither the Owner nor the Management is responsible for the loss of personal belongings caused by fire, theft, smoke, water or otherwise, unless cause by their negligence.  The undersigned warrants and represents that all statements herein are true and agree to execute upon presentation a Rental Housing Association Lease or Tenancy at Will Agreement in the usual form, a copy of which the applicant has received or has had occasion to examine, which lease or agreement may be terminated by the Lessor if any statement herein made is not true.  Deposit is to be applied as shown above, or applied to actual damages sustained by the owner, except it is to be refunded if said application is not accepted by the Owner.  This application and deposit are taken subject to previous applications.

The Renting Agent is an independent contractor and has no authority to make any representation concerning the premises.  The Renting Agent is only authorized to show the apartment for rent. The Landlord reserves the right to discriminate against smokers and pets. By singing this form the Applicant understands that a credit and reference check may be undertaken to determine rental history and ability to pay the rental amount.  The applicant hereby authorizes the references listed about to release credit and other appropriate information to landlord for his purpose.  All information gathered by the Landlord would remain confidential.

 

 

APPLICANT SIGNATURE ____________________________________________                Application taken by_      _____________________