AMA
(781)-662-9000 Tel 2005 EDITION (781)-662-2200 Fax
RENTAL APPLICATION
(Subject to owner’s approval)
DATE
_____/_____/2005 INITIAL IF OVER 18 YEARS OLD________________________________(_____)______________________/____/_____________
NAME OF APPLICANT HOME PHONE SOCIAL SECURITY #
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PRESENT ADDRESS AMOUNT PAID DATES OF CURRENT OCCUPANCY: FROM TO:
______________________________________________________________________________________________CITY STATE ZIP AUTOMOBILE -MAKE YEAR NUMBER PLATE STATE
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E-MAIL ADDRESS HOME WORK
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PRESENT LANDLORD ADDRESS PHONE NUMBER
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FORMER LANDLORD ADDRESS YEARS. THERE PHONE NUMBER
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FORMER LANDLORD ADDRESS YEARS THERE PHONE NUMBER
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CURRENT EMPLOYER ADDRESS PHONE NUMBER
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OCCUPATION TYPE OF BUSINESS YEARS. THERE SALARY: WEEK/ MONTH// YEAR
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PERSONAL REFERENCE (NAME) ADDRESS PHONE NUMBER
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IN CASE OF EMERGENCY NOTIFY (NAME) ADDRESS PHONE NUMBER
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NAMES OF ALL CO-TENANTS (EACH ADULT MUST FILE A SEPARATE APPLICATION)
_______________Base rent per month____________________ TOTAL NO. OF OCCUPANTS_____ NO. OF ADULTS_____ NO. OF PETS_________ Last Months rent _________________
__________________________________________________Security deposit_____________________ NAMES & AGES OF MINOR CHILDREN Lock Charge________________________
Rental Agent fee _______________________ __________________________________________________________________________________________ Amount DueADDRESS APT # CITY Upon Acceptance _________________________
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TERM OF LEASE (MONTHS) OCCUPANCY DATE FROM TO
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 any inquiry concerning the race, religious creed, color, national origin, sex, 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 undersigned warrants and represents that all statements herein are true and agrees to execute upon presentation an Action Management Associates 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.
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.
The applicant authorizes Action Management Associates, Inc. Rental Division to obtain a consumer credit report relating to the applicantRENTING AGENT______________________ APPLICANT SIGNATURE __________________________