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:

Former 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 Employer:		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:

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