Rental Application Renter Information Property Interested In: Select a property #A & B, West Wareham Massachusetts Name: Date of Birth: Home phone Cell: Name and ages of children Personal History Present Address: City/State/Zip Landlord Name: Phone: Monthly Rent: Dates: From To Previous Address: City/State/Zip Landlord Name: Phone: Monthly Rent: Dates: From To Employment History Present Employer: Position: Address: City/State/Zip Supervisor's Name: Phone: Gross Salary: Dates: From To Previous Employer: Position: Address: City/State/Zip Supervisor's Name: Phone: Gross Salary: Dates: From To Reference Please list persoonal references: (Not Relatives) Name: Phone: Address: City/State/Zip Years Acquainted: Name: Phone: Address: City/State/Zip Years Acquainted: Nearest Relative Name: Phone: Address: City/State/Zip Relationship: By submitting this application, I authorize the Landlord or agent to contact all references listed above to obtain information about me. I understand the above information is to be used for a Credit and or Reference check. This information will not be released or misrepresented in any way by the holder. By clicking the submit button below, I give my consent to do a credit report and or call for references. I agree that the Landlord may terminate any tenancy made in reliance on any misrepresentation made in this application. I understand that there is no agreement to rent until a lease/tenancy agreement is signed by the Landlord. I AFFIRM THAT THE FOREGOING IS TRUE AND CORRECT UNDER THE PAINS AND PENALTIES OF PERJURY Type your initials: Saturday January 22nd 2022 Please check all information before submitting.
