Rental Application

Property Information
Property Address Unit Move in date: Rent amount: Deposit amount: Landlords name:

Applicant Information: (Note: Separate application required for each applicant)

Full Name (First, Middle, Last ) Birth Date Social security number

Home Ph: Work Ph: Cell Ph: Email DL # & State

Current Address City State Zip

Rent / Own? Dates Monthly Payment Landlord Name Landlord Ph:

_________ To __________

(Note: Complete this section if you’ve lived at your current address for less than 3 years)
Previous Address City State Zip

Rent / Own? Dates Monthly Payment Landlord Name Landlord Ph:

_________ To __________

Occupants Information:
Full Name (First, Middle, Last ) Birth date Social security number

Full Name (First, Middle, Last ) Birth date Social security number

Pets? Number of pets? Type of pets? Smoker? (applicant or occupants)

Employment Information
Employer name (current) Employer address

Position Length of employment Monthly salary Other income / source

From _______________to _____________
Supervisor Supervisor Ph Best time to contact

(Note: If time with current employer is less than 3 years, complete information for prior employment)
Employer name (prior) Employer Address

Position Length of employment Monthly income Other income / source

From _______________to _____________
Supervisor Supervisor Ph Best time to contact

Personal Information
Emergency contact person (First, Middle, Last ) Relationship Address Phone:

Do you have a vehicle? How many? Make Model Plate number(s) & State

Provided by: The Boston Landlord WWW.THEBOSTONLANDLORD.COM 1

 Reason(s) for relocation Do you have renters insurance? Do you have any water furniture? (Beds or Aquariums)

Background Information
(Please circle the appropriate answer)

Have you, or one of the proposed occupants ever been evicted? Yes No
Have you, or one of the proposed occupants ever been convicted of a felony? Yes No
Have you, or one of the proposed occupants ever defaulted on a lease? Yes No
Have you, or one of the proposed occupants ever filed for bankruptcy? Yes No

Personal references
Reference name (First, Middle, Last ) Relationship Phone

Reference name (First, Middle, Last ) Relationship Phone

I am interested in renting property represented by the above Landlord /Property manager. By signing below I
authorize the property manager and/or his/her agents to make an independent investigation of my background,
references, character, past employment, salary verification, education, credit history, criminal or police records.
Applicant grants such consent and authorization to Landlord from the day the application is signed, until the
retirement of the applicant’s tenancy

I certify that the following is my true and complete legal name and all information contained here in this
application is true and correct to the best of my knowledge. It is understood that if any information provided here
is found to be false, such false statements will be grounds for disapproval of my application, or termination of
my (lease) rental agreement.

Tenant Signature: __________________________________________________ Date: ____________

Landlord / Manager Signature: ________________________________________ Date: _____________

Landlord / Manager Comments:

Provided by: The Boston Landlord WWW.THEBOSTONLANDLORD.COM 2