Mill City Properties; Lowell, MA, Massachusetts, Property Management, Condominium Management, Rentals and Sales
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Mill City Properties; Lowell, MA, Massachusetts, Property Management, Condominium Management, Rentals and Sales

 

Projects (Before & After) Rental Application Property Management Real Estate Sales Contact Us Back Home
 

 

Section 1 - About You:

Select the type of accomodations you are interested in:

Please select one or more of the following:

Furnished

Unfurnished

Short-term lease (< 12 mos)

12 months or longer

House

Apartment

When are you looking to move?

As soon as possible

Next month

Flexible (any time over the next few months)

Other (please specify): 

Full Name (exactly as it appears on driver's license or gov't ID card:

Your E-mail address:

Former last names (maiden and married)

Home Phone #

Cell Phone #:

Beeper #

Your Social Security #:

Driver's license # and state:

Birth Date:

Sex:

Marital Status:

Single

Married

Divorced

Widowed

Separated

 

Current address where you live:

Monthly rent: (specify utilities included)

Current owner or manager's name:

Their phone:

Date moved in:

Why are you leaving your present residence?

Your previous home address (street/city/state/zip):

Apartment name:

Name of above owner or manager:

Their phone:

Previous monthly rent:

Date moved in:

Date you moved out:

Names and ages of children/occupants that will occupy apartment with you:

 

Section 2 - Your Work

Present employer:

Employer address (street/city/state/zip):

Work phone:

Position:

Your gross monthly income is:

Date you began this job:

Supervisor's name and phone:

Previous employer:

Previous employer address (street/city/state/zip):

Work phone:

Position:

Gross monthly income was:

Dates job began and ended:

Previous supervisor's name and phone:

List any other income:

List all regular monthly payments: (car payments, phone bills, credit cards, insurance, utilities, medical, etc)

Car Payment:

Credit Cards:

Child Support:

Alimony:

Car Insurance:

Other Insurance:

Mobile Phone:

Home Phone:

Other Payments:

 

 

Section 3 - Your Rental History

Have you, your spouse, or any occupants listed above ever (check any that apply):

Been evicted or asked to move out?

Broken a rental agreement or lease contract?

Declared bankruptcy?

Been sued for nonpayment of rent?

Been sued for damage to rental property?

If you checked any of the above items, please provide a brief explanation here:

Have you, your spouse, or any occupants listed above ever (check any that apply):

Ever been convicted of a felony?

Received deferred adjudication for a felony?

If you checked either of the above items, please provide a brief explanation here:

 

Your Vehicles
(list all vehicles to be parked by you)

Make and color of vehicle:

Year:

License:

State:

Make and color of vehicle:

Year:

License:

State:

 

Emergency
(Emergency contact person over 18, who will not be living with you)

Name:

Address (street/city/state/zip):

Work phone:

Home phone:

Relationship:

If you are seriously ill, missing, or in jail or penitentiary according to an affidavit of the above person, or if you die, you authorize (check one or more): the above person, your spouse, and / or your parent to enter your dwelling to remove contents, as well as your property in the mailbox, storerooms, and common areas. If you are seriously ill or injured, you authorize us to send for an ambulance at your expense. We're not legally obligated to do so.

 

Authorization

Checking this box represents your legal signature of acceptance of the following statement:

I authorize Mill City Properties to verify the above information by all available means. Owner is not required to reverify or investigate preliminary findings.

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Copyright 1999, 2000, 2001Millcity.lowellarea.com.

Rental Application

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Mill City Properties
927 Franklin Street
Melrose, MA 02176
Phone: (617) 699-6403
Email:
info@millcityproperties.com