BOSTON Environments | Inspired Urban Real Estate 75 Arlington Street, 5th Fl., Boston, MA 02116 O. 617-299-8000 F. 617-299-8004 E-mail:
[email protected] Web: www.BostonEnvironments.com
- LEASING APPLICATION DATE:
_______________________
NAME OF APPLICANT: ______________________________________________________________________________________ ADDRESS: _________________________________________
CITY, STATE, ZIP: __________________________________
PHONE#: _________________________________________
EMAIL: ___________________________________________
DATE OF BIRTH: ____________________________________
SOCIAL SECURITY #: ______________________________
RENTAL HISTORY PRESENT LANDLORD: ______________________________
ADDRESS: ________________________________________
PHONE NUMBER: ___________________________________
RENT: $___________________________________________
DATES OF OCCUPANCY: FROM _______ TO _______ FORMER LANDLORD: ______________________________
ADDRESS: ________________________________________
PHONE NUMBER: __________________________________
RENT: $___________________________________________
DATES OF OCCUPANCY: FROM _______ TO _______
FORMER ADDRESS: _______________________________
EMPLOYMENT HISTORY PLEASE NOTE: APPLICANT MUST ATTACH 2 RECENT PAYSTUB OR LAST 2 YEAR TAX FILINGS IF SELF-EMPLOYED APPLICANT OCCUPATION: _________________________
SALARY: _________________________________________
CURRENT EMPLOYER: ____________________________
ADDRESS: ________________________________________
PHONE NUMBER: _________________________________
LENGTH OF EMPLOYMENT: FROM _______ TO _______
FORMER EMPLOYER: _____________________________
ADDRESS: ________________________________________
PHONE NUMBER: __________________________________
LENGTH OF EMPLOYMENT: FROM _______ TO _______
REFERENCES PERSONAL REFERENCE: ____________________________
ADDRESS: _______________________________________
PHONE NUMBER: __________________________________
RELATIONSHIP: ___________________________________
IN CASE OF EMERGENCY NOTIFY: __________________
ADDRESS: ________________________________________
PHONE NUMBER: __________________________________
RELATIONSHIP: ___________________________________
CREDIT REFERENCE: _______________________________
ACCOUNT #: _____________________________________
ADDRESS: _________________________________________
PHONE NUMBER: _________________________________
HOUSEHOLD AND PROPERTY INFORMATION NUMBER OF OCCUPANTS / CO-TENANTS (EACH ADULT MUST SUBMIT A SEPARATE APPLICATION AND IS SUBJECT TO CREDIT APPROVAL): _________________ NAMES AND AGE OF MINORS: ______________________
NUMBER OF PETS: ________________________________
PROPERTY ADDRESS AND UNIT # YOU ARE APPLYING FOR: ___________________________________________________ MONTHLY RENT: $_________________________________
UTILITIES INCLUDED (IF ANY): ______________________
LEASE TERM: _____________________________________
MOVE IN DATE: __________________________________
FIRST MONTH’S RENT: $ __________
LAST MONTH’S RENT: $ __________
SECURITY DEPOSIT: $ __________
DEPOSIT ON ACCOUNT: $__________ BALANCE DUE UPON ACCEPTANCE: $__________
BACKGROUND ARE EVICTION PROCEEDINGS PENDING AGAINST YOU? (Y/N) ___________
IF YES, PLEASE SUBMIT DETAILS.
HAVE YOU EVER BEEN EVICTED? (Y/N) _________________________________
IF YES, PLEASE SUBMIT DETAILS.
HAVE YOU EVER BEEN CONVICTED OF A CRIME? (Y/N) _________________
IF YES, PLEASE SUBMIT DETAILS.
APPLICANT REPRESENTS THAT ALL INFORMATION AND STATEMENTS REPORTED HEREIN ARE TRUE AND CORRECT AND AGREES TO EXECUTE A LEASE AGREEMENT OR TENANCY AT WILL AGREEMENT UPON APPLICATION APPROVAL. DEPOSIT SHALL BE APPLIED AS INDICATED HEREIN OR SHALL RELIEVE THE OWNER FROM ANY ACTUAL DAMAGES SUSTAINED, EXCEPT IT IS TO BE REFUNDED IF SAID APPLICATION IS NOT ACCEPTED BY THE OWNER.
PURSUANT TO FEDERAL FAIR HOUSING AND MASSACHUSETTS LAW, NEITHER BOSTON ENVIRONMENTS, LLC NOR THE PROPERTY OWNER OR THE OWNER’S AGENT(S) SHALL MAKE ANY INQUIRY CONCERNING RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, AGE (WITH THE EXCEPTIONS OF MINORS), HANDICAP, FAMILIAL STATUS OR NATIONAL ORIGIN, OR WHETHER THE APPLICANT IS A VETERAN OR A MEMBER OF THE ARMED FORCES. APPLICANT GRANTS PERMISSION AND FULLY AUTHORIZES BOSTON ENVIRONMENTS, LLC TO OBTAIN A CONSUMER CREDIT REPORT RELATING TO THE APPLICANT. THE APPLICANT FURTHERMORE AUTHORIZES ANY INQUIRIES RELATED TO THE APPLICANT’S EMPLOYMENT, RENTAL HISTORY, BACKGROUND AND SEX OFFENDER REGISTRY CHECK. APPLICANT HEREBY WAIVES ANY CLAIM AND RELEASES FROM LIABILITY ANY PERSON PROVIDING OR OBTAINING SAID VERIFICATION OR ADDITIONAL INFORMATION. NEITHER THE OWNER NOR THE OWNER’S AGENT(S) IS RESPONSIBLE FOR LOSS OF PERSONAL BELONGINGS BY FIRE, SMOKE, THEFT, AND OTHER CAUSES. TENANT MAY ELECT TO PURCHASE RENTERS INSURANCE AT TENANT’S EXPENSE. THE RENTING AGENT MAKES NO REPRESENTATIONS AS TO THE CONDITIONS OF THE PREMISES AND IS ONLY WORKING IN THE CAPACITY OF AN INDEPENDENT CONTRACTOR AUTHORIZED TO SHOW THE PROPERTY AND SCREEN RENTAL APPLICANTS. APPLICANT UNDERSTANDS THAT INCOMPLETE OR INCORRECT INFORMATION PROVIDED IN THE APPLICATION MAY CAUSE A DELAY IN PROCESSING AND MAY RESULT IN DENIAL OF TENANCY.
RENTING AGENT SIGNATURE: __________________________________ APPLICANT SIGNATURE: ________________________________
Copyright © 2015 Boston Environments. All rights reserved.
