The BB Realty Corporation - Rental Application

Name:	___________________________________	Social Security No.:	______________
Home Phone:	___________________________________	Mobile Phone:	______________
Email Address:	___________________________________	Work Phone:	______________

Current Address:	_________________________________	Monthly Rent:	_____________
City, State, Zip:	_________________________________	Utilities Included?	_____________
Current Landlord:	_________________________________	Reasons for Moving:	_____________
Addr, Phone:	_________________________________	Dates at this address:	_____________

Previous Address:	_________________________________	Monthly Rent:	_____________
City, State, Zip:	_________________________________	Utilities Included?	_____________
Former Landlord:	_________________________________	Reasons for Moving:	_____________
Addr, Phone:	_________________________________	Dates at this address:	_____________

Applicant's current employment status:

Full-time Part-time Student Retired Self-employed Unemployed
Other ________________________________________________________________

Primary Employer:	____________________________________	Phone:	_________________
Street Address:	____________________________________	Position:	_________________
City, State, Zip:	____________________________________	Hire Date:	_________________

Supervisor's Name:

_______________________

Avg Weekly Hours:

______

Salary:

_________

Additional Employer:	__________________________________	Phone:	________________
Street Address:	__________________________________	Position:	________________
City, State, Zip:	__________________________________	Hire Date:	________________

Supervisor's Name:

_______________________

Avg Weekly Hours:

______

Salary:

__________

Previous Employmer:	__________________________________	Phone:	________________
Street Address:	__________________________________	Position:	________________
City, State, Zip:	__________________________________	Hire Date:	________________
Supervisor's Name:	__________________________________	Salary:	________________

Reason for Leaving?:

_____________________________________________________________

Personal Reference

Nearest living relative

Name:	_________________________	Name:	_________________________
Street Address:	_________________________	Street Address:	_________________________
City, State, Zip:	_________________________	City, State, Zip:	_________________________
Phone:	_________________________	Phone:	_________________________

Relationship to applicant:

__________________

Relationship to applicant:

__________________

In the event of an emergency, whom should we notify and how?

_______________________________________________________________________________

Please list all co-tenants and dependants. Persons over the age of 18 must complete their own application.

Name:	______________________	Minor?	_____	Name:	___________________	Minor?	_____
Name:	______________________	Minor?	_____	Name:	___________________	Minor?	_____

Total number of occupants:

____

Total number of pets:

____

What kind?

__________________

Have you ever been convicted of a felony? If yes, please explain.

________________________________________________________________________________

If we check your criminal/arrest record, what are we going to find?

________________________________________________________________________________

Have you ever broken a lease, been evicted or asked to leave any type of housing? If yes, please explain.

________________________________________________________________________________

Do you smoke?

_____

Date of Birth (optional):

__________

Are you over the age of 18?

_____

Vehicles to be kept on property:

Make:	________________	Model:	_______________	Color:	___________	Plate#:	____________
Make:	________________	Model:	_______________	Color:	___________	Plate#:	____________

Persuant to Massachusetts law, the management shall not make any inquiry concerning the race, religious creed, color, national origin, sex, sexual orientation, age (except a minor), ancestry or marital status of the applicant, or concerning the fact that the applicant is a veteran of the Armed Forces or is handicapped. The applicant authorizes the management to obtain or cause to be prepared a consumer credit report relating to the applicant.

The undersigned warrants and represents that all statements herein are true.

IF THE UNDERSIGNED IS OFFERED AN APARTMENT AND WISHES TO ACCEPT SAID OFFER, HE/SHE WILL BE REQUIRED TO MAKE A NON-REFUNDABLE CASH OR MONEY ORDER DEPOSIT, EQUIVALENT TO ONE MONTH'S RENT. THIS DEPOSIT WILL RESERVE THE APARTMENT UNTIL THE EXPECTED OCCUPANCY DATE AND WILL BE HELD AS THE SECURITY DEPOSIT. SHOULD THE UNDERSIGNED NOT TAKE OCCUPANCY FOR ANY REASON, AFTER THE DEPOSIT IS MADE, THE ENTIRE DEPOSIT WILL BE FORFEITED.

I hereby authorize BB Realty, or any credit bureau or other investigative agency employed by BB Realty, to investigate any references herein listed or statements or other data obtained from me or from any other person pertaining to my credit and financial reponsibility and moral character. I also permit my criminal background to be checked.

______________________________________________________	____________________
Applicant's Signature	Date