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    Massachusetts Residential Rental Application

    Uploaded by

    michaelaponick11

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Massachusetts Residential Rental Application

    Uploaded by

    michaelaponick11
    7 views1 page

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views1 page

    Massachusetts Residential Rental Application

    Uploaded by

    michaelaponick11

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Michael Aponick 05151972

    +19782700731

    017525909

    MASSACHUSETTS RENTAL APPLICATION


    (SUBJECT TO OWNER’S APPROVAL)

    NAME OF APPLICANT: DATE OF BIRTH:

    HOME PHONE: CELL PHONE: WORK PHONE:

    SOCIAL SECURITY #: EMAIL ADDRESS:

    PRESENT ADDRESS:

    CITY STATE ZIP:

    DATES OF CURRENT OCCUPANCY: CURRENT RENT:

    PRESENT LANDLORD: PHONE #:

    PREVIOUS ADDRESS:

    CITY STATE ZIP:

    DATES OF PREVIOUS OCCUPANCY: PREVIOUS RENT:

    PREVIOUS LANDLORD: PHONE #:

    CURRENT EMPLOYER:

    COMPLETE ADDRESS:

    PHONE NUMBER: DATES EMPLOYED:

    OCCUPATION: SALARY:

    OTHER INCOME/INVESTMENTS ETC:

    BANK: CHECKING OR SAVINGS?

    CAR MAKE, MODEL, YEAR, REG. STATE/NO:

    DO YOU OWN OR LEASE? IF LEASED, FROM WHERE?

    IN CASE OF EMERGENCY NOTIFY: RELATIONSHIP:

    PHONE NUMBER: EMAIL:

    NAMES OF ALL CO-TENANTS:

    NO. OF OCCUPANTS: NO. OF ADULTS: DO YOU HAVE ANY PETS?:

    DESCRIBE:

    RENTAL PROPERTY YOU ARE APPLYING: _________________________ ____ BEDROOMS: _____

    LEASE START DATE: _________________ LEASE END DATE: _________________ BASE RENT PER MONTH: $______________

    FIRST MO RENT DEP: $_________ LAST MO. RENT DEP: $__________ SECURITY DEP: $___________ TOTAL: $____________

    AMOUNT PAID TODAY: $______________ BALANCE DUE: $______________ BROKER FEE PAID: $_________

    Base rent and Other Monthly Charges are due and payable on the first day of each month in advance. In accordance with Massachusetts law, and the ethical beliefs of the Landlord and/or their
    Agent, no rental applicants will be denied housing because of race, color, religion, national origin, sex or sexual orientation, age (with the exception of minors), marital status, members of the military,
    veterans, handicapped or disabled individuals. This rental application allows the Landlord and/or their Agent to verify all information provided by the applicant and gives the Landlord and/or their
    Agent consent to obtain a consumer credit report relating to the applicant. The signature below represents that all information stated on this application is true. If any statement herein is made not
    true, the Landlord and/or their Agent reserves the right to terminate any current or future lease with the applicant. A non-refundable deposit in the amount of $_________________ is to be provided by
    the applicant with the delivery of this application. If accepted this deposit will be used toward the first month's rent. If denied Landlord and/or their Agent may or may not refund the deposit. All
    apartments are rented in “as is” condition unless repairs or improvements have been previously requested and agreed upon by Landlord and/or their Agent. To request repairs or improvements, a
    separate work request form must be completed by the applicant during the course the lease term.

    An applicant for employment or for housing or an occupational or professional license with a sealed record on file with the commissioner of probation may answer ‘no record’ with respect to an inquiry
    herein relative to prior arrests, criminal court appearances or convictions. An applicant for employment or for housing or an occupational or professional license with a sealed record on file with the
    commissioner of probation may answer ‘no record’ to an inquiry herein relative to prior arrests or criminal court appearances. In addition, any applicant for employment or for housing or an
    occupational or professional license may answer ‘no record’ with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of
    services which did not result in a complaint transferred to the superior court for criminal prosecution.

    Applicant's Signature......................................................................………………….. Date…………………………………………………

    Made Fillable by FreeForms.com

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