Rental Application
$30 due upon submission per application
Delapa Properties
511 Washington Street
P O Box 277
Norwood, MA 02062
Phone (781) 769 - 3429 Fax (781) 769 - 4769
Application will automatically be denied if not completely filled-in. A separate application must be filled out by each applicant 18 or older (even if married).
PERSONAL INFORMATION
APPLICANT______
CELL PHONE (______)______SSN# ______DOB ___ /__ /______
HOME PHONE (______)______
EMAIL ADDRESS______
DRIVERS LICENSE#______STATE ISSUED: ______
ADDRESSES
CURRENT ADDRESS______Street City State Zip
Street City State Zip
RESIDING SINCE MONTHLY RENT $ ______
ARE UTILITIES INCLUDED? Y/N IF YES WHICH ONES______
CURRENT LANDLORD NAME AND COMPLETE ADDRESS:
______(_____)______
Street City State Zip Phone
Is current rent up to date? q Yes q No
Have you given notice? q Yes q No
Have you been asked to leave? q Yes q No
If yes, Please Explain:
______
Do we have permission to contact your landlord q Yes q No
PREVIOUS ADDRESS:______
Street City State Zip
RESIDED SINCE MONTHLY RENT $ WERE UTILITIES INCLUDED?____
PREVIOUS LANDLORD NAME AND ADDRESS ______(____)______
Street City State Zip Phone
Was the rent up to date? q Yes q No
Did you give notice? q Yes q No
Were you asked to leave? q Yes q No
If Yes Please Explain:
______Do we have permission to contact your landlord q Yes q No
COMPLETE ON REVERSE SIDE→→
EMPLOYMENT
NAME OF COMPANY ______
COMPANY ADDRESS :______(___)______
Street City State Zip Phone
CURRENT SALARY : $______(wkly/mnthly/annual) Circle one
LENGTH OF EMPLOYMENT ______POSITION______
SUPERVISOR ______PHONE (_____)______,
ADDITIONAL INCOME SOURCES:______
______
PREVIOUS EMPLOYMENT
PREVIOUS INCOME $______(wkly/mnthly/annual) Circle one
SUPERVISOR ______PHONE (_____)______,
CHILDREN
NAME/S OF CHILDREN AGE/S
______
______
PETS: q Yes q No If yes, give details (number, type, size)______
AUTOMOBILES
MAKE______MODEL______COLOR ______STATE___ LIC. PLATE ______
MAKE______MODEL______COLOR ______STATE___ LIC. PLATE ______
ARE YOU A CONVICTED FELON?(Yes/No) If YES Please submit details of conviction.
IN CASE OF EMERGENCY NOTIFY:
______(_____)______
Street City State Zip Phone
Pursuant to Massachusetts Law, the Management shall not make any inquiry concerning the race, religious, creed, color, national origin, sex, age, (except if a minor), ancestry or marital status of the applicant, or concerning the fact that the applicant is a veteran or a member of the armed forces or is blind.
Applicant authorizes the owner to contact past and present landlords, employers, creditors, credit bureau, and any other sources deemed necessary to investigate applicant.
All the information is true, accurate and complete to the best of applicant's knowledge. Owner reserves the right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME
X______
APPLICANT DATE:
Unit you are applying for (include City, State, Street and Unit number)______
Agent who showed Unit to You______