Rental Application

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?: Yes

DESCRIBE:

APARTMENT YOU ARE APPLYING FOR: 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 BY RCG/TENANT:

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 RCG, 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 RCG to verify all information provided by the applicant and gives RCG 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, RCG reserves the right to terminate any current or future lease with the applicant. A non-refundable deposit in the amount of one month’s rent is to be provided by the applicant with the delivery of this application. If accepted this deposit will be used toward the last months rent. If denied RCG will refund the deposit in full. All apartments are rented in “as is” condition unless repairs or improvements have been previously requested and agreed upon by RCG LLC. To request repairs or improvements, a separate work request form must be completed by the applicant.

BROKER: I have reviewed and agree to the latest RCG Broker Procedures: Date:

RCG LLC • 17 Ivaloo St. Suite 100 • Somerville, MA 02143 • Tel: 617 625 8315 • Fax: 617 625 8345 • www.rcg-llc.com