Statewide Property Management, Apartment Rentals, Vacation Rentals, Project Consultant Services, General Contracting Services. Serving the East Coast located in Ellsworth Maine.

Applicant Information

First Name:

Last Name:

Town Looking to Rent In:

Date of Birth:

Phone:

Email Address:

Current Address:

City:

State:

Zip:

Rent or Own:

Monthly Payment / Rent:

How Long:

If renting, what's the name of your current landlord?

What's their phone number?

Previous Address:

City:

State:

Zip:

Rent or Own:

Monthly Payment / Rent:

How Long:

Employment Information

Employment Status:

Current Employer:

How Long:

Phone:

Email:

Fax:

Address:

City:

State:

Zip:

Position:

Hourly or Salary:

Annual Income:

If you would like us to consider other sources of income for this Rental Application, please list the amount and the person we may contact for confirmation. Please do not reveal alimony, child support, or anyone else's income unless you want us to consider it for this application.

Amount:

Contact Name / Number:

Emergency Contact

Name of a person not residing with you:

Relationship:

Address:

City:

State:

Zip:

Phone:

Do You Have a Co-Applicant?

Yes or No:

Co-applicant name if applicable:

Credit History

Have you ever filed for bankruptcy?

Have you ever been evicted from a rental residence?

Have you ever had a court order eviction?

Are you a party to any lawsuits?

Are there any judgments against you?

Have you ever been convicted of any crimes?

Bank References

Bank Name:

Contact Name:

Phone:

Bank Name:

Contact Name:

Phone:

Bank Name:

Contact Name:

Phone:

Personal References

Reference Name:

Relationship:

Phone:

Reference Name:

Relationship:

Phone:

Reference Name:

Relationship:

Phone:

Referral Information

How did you hear about us?

Other Information

Do you own any pets?

If yes, how many pets and what type(s)?

Authorization & Signatures

I recognize that as part of your procedure for processing my rental application, an investigative consumer credit report may be prepared whereby information is obtained through current and/or previous landlords.

By my signature(s) below, I represent that all of the information that I have disclosed in this Rental Application is true, accurate, and complete. I acknowledge that all of the information I have disclosed is material and Landlord is relying on the information to decide whether to grant or deny this Application.

I authorize to order and review my credit and criminal history and investigate the accuracy of all information contained in this Rental Application. I further authorize all banks, employers, and creditors to provide any and all information concerning my credit.

Applicant Signature (Initials):

Date:

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