Download Massachusetts Rental Application for Free

Massachusetts Rental Application is a rental application applied for a house or an apartment in the state of Massachusetts. This application is written on one page. This application can be divided into two sections. As an applicant, you should fill in all the spaces in the first section; you should read the second section carefully.

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RENTAL APPLICATION

2001 EDITION

(SUBJECT TO OWNER'S APPROVAL)

PREPARED BY:

_________________________________________

DATE NUMBER

__________________________________________________________________________________________________

NAME OF APPLICANT HOME PHONE INITIAL IF OVER 18 YEARS OF AGE

__________________________________________________________________________________________________

PRESENT ADDRESS DATES OF CURRENT OCCUPANCY: FROM TO

__________________________________________________________________________________________________

CITY* STATE AUTOMOBILE: MAKE/YEAR/REG STATE & NO. SOCIAL SECURITY #

__________________________________________________________________________________________________

PRESENT LANDLORD COMPLETE ADDRESS PHONE NUMBER

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FORMER LANDLORD OCCUPANCY COMPLETE ADDRESS PHONE NUMBER

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CURRENT EMPLOYER COMPLETE ADDRESS PHONE NUMBER

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OCCUPATION/SOURCE OF INCOME TYPE OF BUSINESS SALARY LENGTH OF EMPLOYMENT

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FORMER EMPLOYER LENGTH OF EMPLOYMENT COMPLETE ADDRESS PHONE NUMBER

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PERSONAL REFERENCE (NAME) COMPLETE ADDRESS PHONE NUMBER

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IN CASE OF EMERGENCY NOTIFY (NAME) COMPLETE ADDRESS PHONE NUMBER

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CREDIT REFERENCE COMPLETE ADDRESS PHONE NUMBER

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BANK-CHECKING ACCOUNT BRANCH ADDRESS ACCOUNT NUMBER

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BANK0SAVINGS ACCOUNT BRANCH ADDRESS ACCOUNT NUMBER

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NAMES OF ALL CO-TENANTS (EACH ADULT MUST FILE A SEPARATE APPLICATION)

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APARTMENT NO/TYPE TOTAL NO. OF OCCUPANTS NO. OF ADULTS NO. OF PETS

_____________________________________________________________

ADDRESS NAMES & AGES OF MINOR CHILDREN

_____________________________________________________________

CITY OCCUPANCY DATE RENT BEGINS

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TERM OF LEASE (MONTHS) FROM (DATE) TO (DATE)

Base rent per month $

____________________

(Subject to escalation as set forth in lease)

Other Monthly Charges (e.g. parking, etc.)

_______________ _______________

Key/Lock

____________________________

Last Month's Rent

_______________________

Security Deposit

________________________

Deposit on Account

______________________

Balance Due

__________________________

Upon Acceptance

_______________________

Base Rent and Other Monthly Charges are due and payable on the first day of each month in advance.

Pursuant to Massachusetts law, the Management shall not make an inquiry concerning race, religious creed, color, national am, sexual orientation, age, (except if a

minor), ancestry or marital status

of the applicant or concerning the fact that the applicant is a veteran or a member of the armed forces or is handicapped. The applicant

authorizes the Management and/or Renting Agency to obtain or cause to be prepared a consumer credit report relating to the applicant.

Neither the Owner nor the Management is responsible for the loss of personal belongings caused by fire, theft, smoke, water or otherwise unless caused by their negligence.

The undersigned warrants and represents that all statements herein are true and agrees 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.

THIS APPLICATION MUST BE ACTED UPON BY THE OWNER ON OR BEFORE

________________________________________________

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 and to assist in the screening of rental applicants.

________________________________________________ ____________________________________________

Renting Agent Signature

GREATER BOSTON REAL ESTATE BOARD

in whole or in part in any manner whatsoever without the prior

express written consent of the Greater Boston Real Estate Board.

Form No. RH101 CWV 1.0

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