Foreside Management

202 U S Route One, Falmouth Me. 04105                                                                    Jeff Martin, President

Tel. (207) 775-2325/1-800-675-0808/ Fax (207) 879-1770 / TDD (800) 545-1833

RENTAL APPLICATION

PLEASE ENCLOSE A $25.00 APPLICATION FEE. APPLICATIONS WITHOUT THE FEE WILL NOT BE PROCESSED.

Property:  _____________________________________________________

Applicant Name:__________________________    SS #: _____________ _____________________

Date of Birth ______________________________

Street Address:____________________________    City:____________    State: ___  Zip: ________

PO Box Address:__________________________    City:____________    State: ___  Zip: ________

Home Telephone: _________________________    Work Telephone: ________________________

Co-Applicant:____________________________    SS #___________________________________

Date of Birth: ___________________________

Number of Dependents: _______________________________________ Ages:  _______________

Other Occupants and Their Relationship: __________________________ 

CURRENT RESIDENCE: Rented: _____ Owned: _____   How Long? ______    Pmt/Mo.: $______

Name of Landlord/Mortgage Holder: ____________________________    Tel. #: _______________

Reason for Leaving: ________________________________________________________________

   _______________________________________________________________________________

FORMER LANDLORD:

Name: _________________________________    Tel. #:_____________    Rental Amount: $______

Apt. Address: _____________________________________________________________________

Dates Rented:   From_____ To______    Reason for Leaving: _______________________________

   _______________________________________________________________________________

Name: _________________________________    Tel. #:_____________    Rental Amount: $______

Apt. Address: _____________________________________________________________________

Dates Rented:   From _____ To______    Reason for Leaving: _______________________________

   _______________________________________________________________________________

EMPLOYMENT:

Applicant:       Name: ____________________________    Tel. #: ________________________

Address:__________________________________________________________

                        City:______________________________    State: _________    Zip: _________

                        Position: ___________________________    How Long: ____________________

                        Gross Earnings: $____________________    Supervisor: ____________________

Co-Applicant:     Name: ____________________________    Tel. #: ________________________

Address:__________________________________________________________

                        City:______________________________    State: _________    Zip: _________

                        Position: ___________________________    How Long: ____________________

                        Gross Earnings: $____________________    Supervisor: ____________________

Have you ever:  filed for bankruptcy?                                                          [  ] Yes     [  ] No

been evicted from tenancy?                                                [  ] Yes     [  ] No

willfully or intentionally refused to pay rent when due?    [  ] Yes     [  ] No

Explain: ________________________________________________________________________

I hereby authorize Foreside Management or any agent/servant/employee of Foreside Management to contact any prior employers, companies, credit bureaus, law enforcement agencies and/or consumer reporting bureaus, including but not limited to Tenant-Net, Inc., for the purposes of verifying, confirming and recording the above information which I herein state is true to the best of my knowledge and belief.  I authorize and consent to the recording, release and re-publication of this information by Tenant-Net, Inc., without further permission, fee or compensation; and hereby release the above and their agents/servants and employees, including Tenant-Net, from any and all liability and responsibility for said re-use.

By signing below, applicant certifies that all statements herein are true, and that applicant has agreed to these terms.

Applicant Signature: ________________________________________Date____________________

Co-Applicant Signature: _____________________________________Date____________________

FM2006 (4/00)