RENTAL APPLICATION
Please answer all that apply
# Bedrooms Desired Property Address you desire
Number of Vehicles
Name1 Tel Num
Email Cell Num
Soc Sec # DOB
Employer Name Tel Num
How Long Employed Amount of Income specify wk or mo
Contact Name
Auto Make Model Year
Name2 Tel Num
Number of Children Ages Names
Present Address
Landlord Name Tel Num
How long at this address? Rent Amount Incl. Heat?
Reason for Leaving
Previous Address
How long at this address?
Do you own pets? Number Kind
Do you own Refrigerator Stove
Local References
Name1 Tel Num Relation
Name2 Tel Num Relation
Name3 Tel Num Relation
Have you always been on time with your rent payments?
Dated this day of , 20
I(we), the undersigned applicant(s) hereby certify the above information is
true and can be used and considered to obtain credit information by Jim Boone
and or Gisele Boone, and or Wayne Arsenault, Trustees, B & B Realty Trust and North
Central Investments Trust, 50 Ash Street, Gardner MA 01440
in granting me(us) the privilege of renting the premises herein.
*Please indicate "Yes" here (required)
A fee of $15.00 may be requested to obtain a credit report.
This form can also be faxed to: 888-632-0642 Phone: 978-632-0642
If submitted electronically signatures will be obtained at time of showing or prior to Rental.
_____________________________ _______________________________
Name1 (please print) Signature
Name2 (please print) Signature
q Rent is Due on or before the 1st of each month.
q Rent not received by the first will require an additional $25.00 late fee.
q 3 Late payments will constitute an eviction.
q Noise will NOT be tolerated and will constitute an eviction.
q Stove and Refrigerator are not provided.
Cleaning Deposit $ ___________
Key Deposit $ ___________
Before sending be sure to enter the required field, use Back button if error occurs.