Dear Applicant,
Please fill out application and either email or fax back a copy to our office as soon as possible.
Please call if you have any questions.
Thank you,
Hub Realty, Inc.
Tel/fax: 617 424 0100
Email:
Hub Realty, Inc. Rental Application
Date:______________
Name of Applicant Cell / Home Phone Initial if Over 18 years of Age
______________________________________________________________________________________
Present Address Dates of Current Occupancy From To
______________________________________________________________________________________
City State Zip Code Auto make/year Social Security #
______________________________________________________________________________________
Present Landlord Complete Address Phone Number
______________________________________________________________________________________
Former Landlord Occupancy Complete Address Phone Number
______________________________________________________________________________________
Current Employer/ Current College (for students) Complete Address Phone Number
______________________________________________________________________________________
Occupation/Source of Income Type of Business Salary Length of Employment
______________________________________________________________________________________
Former Employer Length of Employment Complete Address Phone Number
______________________________________________________________________________________
Personal Reference (Name) Complete Address Phone Number
______________________________________________________________________________________
In Case of Emergency Notify (Name) Complete Address Phone Number
______________________________________________________________________________________
Credit Reference Complete Address Phone Number
______________________________________________________________________________________
Bank Account Branch Address Account Number
______________________________________________________________________________________
Name of All Co-Tenants
__________________________________________________________ Base Rent per month $_________
Apartment Number Total No. of Occupants No. of Adults Pets Other Mo. Charges $__________
__________________________________________________________ Key/Lock $_________________
Street Address / City Occupancy Date Rent Begins Last Month Rent $____________
__________________________________________________________ Security Deposit $____________
Terms of Lease (Months) From (date) To (date) Deposit on Account $__________
__________________________________________________________ Balance Due $_______________
The undersigned warrants and represents that all statements herein are true, complete and accurate to the best of my knowledge. I also give the landlord or its agents permission to obtain a consumer credit report relating to the Applicant, and contact any of the above mentioned references.
I understand that this application is not a rental agreement and that this application does not create any obligation on the Landlord or its agents. This application and deposit are taken subject to previous applications.
Renting Agent/Broker________________________ Signature____________________________________
Hub Realty, Inc. I have read the above and understand the foregoing.