RENTAL APPLICATION: (Updated 11/2014)
IF NOT MARRIED OR A ROOMMATE SITUATION, EACH PERSON
NEEDS TO FILL OUT A SEPARATE APPLICATION FILLING OUT THE APPLICANT INFORMATION
Owner(s) of Property:
Jeffrey Allen
Cell 617-312-0096
Application can be Faxed or emailed to me
(Application needs to be signed by Applicant and Co-Applicant)
jwallen@bu.edu
Date you desire to Move-in: _______________________________
Applicant Information: (Only Non-Smokers)
Full Name of occupants (Please list below)
Applicant Name: _______________________________________________________________
Social Security #: ________________________________
Smoker or Non-Smoker: ________________________________
State of Drivers License and Drivers License Number: ______________________
Copy of the Drivers license must also be provided and must be copied/faxed/scanned and sent
via email along with Application or given in person. Must be readable and clear picture of face
Birth Date (MM/DD/YYYY): _________________________________
Email address: ______________________ Phone #: (H): ________________, (W): ______________
(C): ________________
Co-Applicant Information: (Only Non-Smokers)
=================Any Roommates need to complete an Entire Separate application===============
Co-Applicant Name: ______________________________________________________________
Line of Occupation: _________________________________________________
Smoker or Non-Smoker: ________________________________
Relationship to Applicant: _________________________
Social Security #: ________________________________
State of Drivers License, Drivers License Number, Expiration date: _________________________________________
Copy of the Drivers license must also be provided and must be copied/faxed/scanned and sent
via email along with Application or given in person. Must be readable and clear picture of face
Birth Date (MM/DD/YYYY): _________________________________
Email address: _______________________ Phone #: (H): _________________, (W): ______________
(C): _________________
List Others who plan to occupy the Home:
Name Social Security # Birthdate Relationship to You
_________________________________________________________________________________________
_________________________________________________________________________________________
__________________________________________________________________________________________
Present Address Information: Full Information Needed including names of contact person and phone numbers:
Present Address: ___________________________________City: ________________
St:_________Zip:________
Present Landlord Name: ________________________________________
Address of Present Landlord: ____________________________________
Area Code/Phone of Landlord: __________________________________
Monthly Payment$ ____________________ Dates Property Occupied: ________________
Reason for moving:_____________________________________
Previous Address Information
Length of time at previous address: ____________________________________
Previous Landlord/Mortgage: ___________________________________
Area Code/Phone: _________________
Monthly Payment$ ___________________ Dates Property Occupied: ________________
Reason for moving:_____________________________________
Applicant’s Employment (You might also be asked to provide a copy of your most recent pay stub)
Full Company Name:____________________________________________________
(No Abbreviations)
How Long Employed: _____________________
Employer’s Full address:___________________________________
City:____________St:______Phone:_________________
Phone number for Human Resources/Personnel for the company your employed: ________________________________
Current Position held:_____________________________________________
Current Salary per Month: $_____________
Supervisor’s name: __________________________________________________
Supervisor’s Phone Number: __________________________________________
Co-applicant’s Employment: (You might also be asked to provide a copy of your most recent pay stub)
Full Company Name: ________________________________________________
(No abbreviations)
How Long Employed: _______________________
Employer’s address:___________________________________
City:____________St:______Phone:_________________
Phone number for Human Resources/Personnel for the company your employed: ________________________________
Position held:_______________________________________________
Current Salary per Month: $_____________
Supervisor’s name:__________________________________
Supervisor’s Phone #: ___________________________________________________________
Provide two References with Full contact Information (Can NOT be family members):
Reference Name Phone number(s) Relationship
1) ________________________________________________________________________________________
2) __________________________________________________________________________________________
| Bank and Credit Information |
Bank Name/Branch: ______________________________________
Bank Address:____________________________________
Phone Number: ___________________________________
Checking Account Number: _______________________________
Other Information: (Number of Vehicles you intend to have at the property (including cars, boats, RVs, etc)
Vehicle 1:
Make: ________________ Model/Year:_______________ Color:_________________
Tag Number: __________________ Tag State: ______________
Vehicle ID #: ______________________
Vehicle 2:
Make: ________________ Model/Year:_______________ Color:_________________
Tag Number: __________________ Tag State: ______________
Vehicle ID #: ______________________
Pet Information:
Pet Information: Dog or Cat (Circle one or both):
Breed of Animal_____________ Weight
of Animal_______________
In case of emergency notify: ______________________________ Phone: _______________
Relationship to you: ___________________________________________________________
I/We hereby authorize landlord to contact Credit services, personal and credit references given herein,
plus my/our employers to verify the information I have given. In addition, if necessary, I understand that
landlord might if they desire to run a background check and history of possible past evictions as well as a
credit check.
If after the acceptance of this application, and the receiving of the agreed upon security deposit between
I and the landlord, I fail or refuse to execute a lease, the security deposit may be retained by the landlord
as liquidated damages in payment for time, effort and possible loss of rent in processing my inquiry and
this application, including making necessary investigation of my character and reputation.
I acknowledge the above facts to be true to the best of my knowledge. I further realize that the landlord
is leasing the home predicated on the above facts supplied by me being true, and should any fact not be
true, the landlord may cancel said lease at his option by giving me notice in writing.
X Applicant’s Signature: ________________________________________ Date: ____________
X Co-Applicant’s Signature: _____________________________________ Date: ____________
No Application Fee Security deposit $: ____________