Tenant Application Form

If you have questions about the form below, please call 413-537-4929 for assistance.

Property Information

Address:

Rent $

Deposit $

Applicant History

Full Name (Last, First, Middle Initial)	Date of Birth	Social Security #	Drivers License #
Primary Phone	Work Phone	Alternate Phone	Email
Separate Application required for each Co-Applicant
Name of Co-Applicants 1	Name of Co-Applicants 2	Name of Co-Applicants 3

Present Address	City	State	Zip	Dates: From - To
Monthly Payment $	RentOwn	ApartmentHouse
Landlord's Name	Address	City	Zip	Phone

Prior Address	City	State	Zip	Dates: From - To
Monthly Payment $	RentOwn	ApartmentHouse
Prior Landlord's Name	Address	City	Zip	Phone

Proposed Occupants

Full Name 1	DOB 1	Full Name 2	DOB 2
Full Name 3	DOB 3	Full Name 4	DOB 4
Does Applicant or any Proposed Occupant smoke?YesNo
Do you own a pet?YesNo	Number of Pets	Type of Pets

Employment

Current Employer If self employed, name of business	Business Address
Position	Type of Business	Dates: From - To	Monthly Income
Supervisor	Supervisor Phone	Other Income $	Source

Prior Employer If self employed, name of business	Business Address
Position	Type of Business	Dates: From - To	Monthly Income
Supervisor	Supervisor Phone	Other Income $	Source

Financial Info

Checking: Bank an Branch (include City / State)	Account #
Savings: Bank an Branch (include City / State)	Account #
Have you ever filed bankruptcyYesNo	County / State where filed:	What Year?
Have you or any proposed occupant ever:
Been convicted of a felonyYesNo	Describe:
Been evicted from a rental?YesNo	Describe:
Defaulted on a lease?YesNo	Describe:

Applicant Name

Applicant's Full Name:

Personal Info

In case of emergency, please notify: (local name, address & phone number)	Relationship
Auto Make	Model	Year	Plate #	State
Reason for relocation?	Do you have renter's insurance?YesNo

Consent to Verification of Credit and Other Information

I warrant, to the best of my knowledge, all of the information provided in this Application is true, accurate, complete and correct as of the date of this Application. If any information provided by me is determined to be false; such false statement will be grounds for disapproval of my Application or termination of my Lease with Owner.

I understand and agree: (i) this is an application to rent only and does not guarantee that I will be offered the Property, and (ii) Landlord or Manager or Agent may accept more than one application for the Property and, using their sole discretion, will select the best qualified applicant. I hereby authorize the Landlord or Manager or Agent to verify the information provided and obtain a credit report on me.

Applicant's Signature:
Date:

If you have questions about the form, please call 413-537-4929 for assistance.