ITIINT'A [-, A I'I'L,I(]ATION
ITIINT'A [-, A I'I'L,I(]ATION 2001 EDITION
(SUL]JECT TO OWNF.R'S APPROVAL)
PREPARED BY:
DATE
INITIAL IF OVER 1B YEARS OF AGE
NAME OF APPLICANT
HOME PHONE
PRESENT ADDRESS
DATES OF CURRENT OCCUPANCY. FROM STATE
CITY
AUTOMOBILE: MAKEA/EAR/REG STATE &
TO
NO
SOCIAL SECURITY # PHONE NUMBER
PRFSENT LANDLORD TORMEN
NUMBER
LANDLORD OCCUPANCY
.
COMPLETEADDRESS
PHONE NUMBER PHONE NUMBER
ffiNGTH
OF
EMPLOYMENT
PHONE NUMBER
COMPLETE ADDRESS
Base rent per month $ (Subject to escalation as set forth in lease) Other Monthty Charges (e.9. parking, etc.) NAMES & AGES OF MINOR CHILDREN
ADDRESS
[31ifr1,"'
*.
Security Deposit DePosil on Account
Base rent and other Monthly charges are due and payable on the
first day of each month in advance.
Balance Due Upon Acceptance
pursuant to Massachusefts law, the Management shall not make any inquiry concerning race, religious creed, color, national origin, sex, sexual orientalion. gge, (except if a thearmedfrorcesotrshandicapped Theapplicant rinoii rnieri.voi-m;ritat statusoitneapipt'cantorconcernrngtheiactihaitheapplica'ntisawteranoramemberof authoiizes lhe Management anOloi nentinq Agency to obtain oi cause lo 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.
will The undersigned warrants and represents lhat all statements herein are true and agrees to ex€cute upon presentation a Rental Housrng Assoclatlol le-a:e.Pl Ienancy-al igr."*L;iii ih" usuai roim, ti,-pv 6i*nidn-tn. appiicant nas recei\ed or has had"occasion lo examine, which lease or agreement may be terminated by the Lessor if anv
"
not accepted by the owner. This appliiation and deposit are taken subiect to previous applications. THIS APPLICATION MUST BE ACTED UPON BY THE OWNER ON OR BEFORE
lo show the The renting agent is an andependent contractor and has no authority to make any representation concerning the premises; the renting agent is only aulhorized apartment forlent and lo assist in the screening of rental applicarlts
llcnlilrlj Aqent
Signature
COPYRIGHT O 1969
I)
PPOffI UilI I
Y
GREATER BOSTON REAL ESTATE BOARD All riohts rescryed. This form mav not be copiod or reproduced in w6ole or in oart in anv manner whatsoever without the prior express written'consent 6f thc Grcater Boston Rcal Estate Board CWV 1 0 Form No R[1101
(SUL]JECT TO OWNF.R'S APPROVAL)
PREPARED BY:
DATE
INITIAL IF OVER 1B YEARS OF AGE
NAME OF APPLICANT
HOME PHONE
PRESENT ADDRESS
DATES OF CURRENT OCCUPANCY. FROM STATE
CITY
AUTOMOBILE: MAKEA/EAR/REG STATE &
TO
NO
SOCIAL SECURITY # PHONE NUMBER
PRFSENT LANDLORD TORMEN
NUMBER
LANDLORD OCCUPANCY
.
COMPLETEADDRESS
PHONE NUMBER PHONE NUMBER
ffiNGTH
OF
EMPLOYMENT
PHONE NUMBER
COMPLETE ADDRESS
Base rent per month $ (Subject to escalation as set forth in lease) Other Monthty Charges (e.9. parking, etc.) NAMES & AGES OF MINOR CHILDREN
ADDRESS
[31ifr1,"'
*.
Security Deposit DePosil on Account
Base rent and other Monthly charges are due and payable on the
first day of each month in advance.
Balance Due Upon Acceptance
pursuant to Massachusefts law, the Management shall not make any inquiry concerning race, religious creed, color, national origin, sex, sexual orientalion. gge, (except if a thearmedfrorcesotrshandicapped Theapplicant rinoii rnieri.voi-m;ritat statusoitneapipt'cantorconcernrngtheiactihaitheapplica'ntisawteranoramemberof authoiizes lhe Management anOloi nentinq Agency to obtain oi cause lo 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.
will The undersigned warrants and represents lhat all statements herein are true and agrees to ex€cute upon presentation a Rental Housrng Assoclatlol le-a:e.Pl Ienancy-al igr."*L;iii ih" usuai roim, ti,-pv 6i*nidn-tn. appiicant nas recei\ed or has had"occasion lo examine, which lease or agreement may be terminated by the Lessor if anv
"
not accepted by the owner. This appliiation and deposit are taken subiect to previous applications. THIS APPLICATION MUST BE ACTED UPON BY THE OWNER ON OR BEFORE
lo show the The renting agent is an andependent contractor and has no authority to make any representation concerning the premises; the renting agent is only aulhorized apartment forlent and lo assist in the screening of rental applicarlts
llcnlilrlj Aqent
Signature
COPYRIGHT O 1969
I)
PPOffI UilI I
Y
GREATER BOSTON REAL ESTATE BOARD All riohts rescryed. This form mav not be copiod or reproduced in w6ole or in oart in anv manner whatsoever without the prior express written'consent 6f thc Grcater Boston Rcal Estate Board CWV 1 0 Form No R[1101
