Massachusetts Rental Application

Massachusetts Rental Application

Landlord Date

Location of Residence

Applicant’s Personal Information:

Full Name

Home Phone ( ) Work Phone ( ) Cell Phone ( )

Date of Birth Social Security No.

Drivers License No. State

Co-Applicant Name

Co-Applicant Date of Birth Co-Applicant Social Security No.

Names and Ages of everyone who will live in the residence and their relationship to applicant

List all pets

Email Address

EMPLOYMENT INFORMATION:

Applicants Current Employment Status: Full Time Part Time Student Unemployed

Retired Other

If you would like us to consider other sources of income for this Rental Application, please list the sources. Please do not reveal alimony, child support, or anyone else’s income unless you want us to consider it in this Massachusetts Rental Application.

RESIDENTIAL HISTORY:

Current Address

Move In Date Did you Own Own Rent Monthly Rent/Mortgage $

Name of present landlord/ manager (if applicable)

Landlord’s Phone ( )

Reason for Leaving

Previous Address

Move In Date Move Out Date Rent $

Previous landlord /Owner Phone ( )

Reason for Leaving

Previous Address

Move In Date Move Out Date Rent $

Owner/Agent Phone ( )

Reason for Leaving

HISTORY:

Have you every filed bankruptcy? Yes No

Have you ever been evicted from a rental residence? Yes No

Are you a party to any lawsuits? Yes No

Have you had any late rental payments in the last year? Yes No

Are there any judgments against you? Yes No

Have you ever broken a lease? Yes No

If you answered yes to any of the above questions, please explain on the back as to each question.

Emergency Contact Information:

Contact Name: Phone:

Relationship:

REFERENCES:

Bank References

Bank Name

Account Type Account No.

Bank Name

Account Type Account No.

Personal References

1. Name City: State: Zip:

Phone ( ) Relationship: How long:

2. Name City: State: Zip:

Phone ( ) Relationship: How long:

3. Name City: State: Zip:

Phone ( ) Relationship: How long:

Professional References (including last/present employer):

1. Name City: State: Zip:

Phone ( ) Relationship: How long:

2. Name City: State: Zip:

Phone ( ) Relationship: How long:

3. Name City: State: Zip:

Phone ( ) Relationship: How long:

By my signature below, I represent that all of the information that I have disclosed in this Massachusetts Rental Application is true, accurate, and complete. I acknowledge that all of the information I have disclosed is material and Landlord is relying on the information to decide whether to grant or deny this Application.

AUTHORIZATION

I authorize Landlord to order and review my credit and criminal history and investigate the accuracy of all information contained in this Massachusetts Rental Application. I further authorize all banks, employers, and creditors to provide Landlord any and all information concerning my credit. Please note your failure to authorize a credit report will in no way impact your application, and is purely voluntary.

Please note a completed application will also require the submission of the following, which will be copied and attached to this application:

❖ Driver’s license or picture ID

❖ Personal Voided Check from the account you intend to pay your rent from, if applicable, (to verify bank).