Rental Application

Rental Application for Delphi Properties, LLC.

If you would like to download a PDF version of the application form, please click here.

Personal Information
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Social Security:*
Present Landlord*
Full Address*
Phone*
Former Landlord
Full Address
Phone Number
Employment
Current Employer*
Full Address*
Phone*
Occupation*
Type of Business*
Salary*
Length of Employment*
Other Sources of Income
Recent Employment
Former Employer
Length of Employment
Phone
Full Address
References
Personal Reference Name*
Full Address*
Phone*
Credit Reference Name*
Full Address*
Phone*
Account Information
Bank Checking Account*
Branch Address*
Bank-Savings Account
Branch Address
In Case of Emergency
Notify this person in case of an emergency.
Full Name*
Full Address*
Phone*
Other Information
Total Number of Occupants*
Names of Co-Tenants

Separate full names with commas (Each adult must file a separate application).
Names & Ages of Minor Children

Please enter name with age separated with commas.
Number of Adults
Number of Pets
Apartment No. / Type
Are You a Convicted Felon?*
- Yes
- No
If "Yes" Please submit detail of conviction(s):
Rent
To be completed by Delphi Properties, LLC
Base rent per month:
Subject to escalation as set forth in lease
Other Monthly Charges:

(e.g. parking, etc.)
Key/Lock:
Last Month's Rent:
Security Deposit:
Balance Due Upon Acceptance:
Notice
Base rent and other monthly charges are due and payable on the first day of each month in advance. Pursuant to Massachusetts law, the Management shall not make any inquiry concerning race, religious creed, color, national origin, sex, sexual orientation, 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 handicapped. The Applicant authorizes the Management and/or Renting Agency to obtain or cause to be prepaired a consumer credit report retailing to the Applicant. Neither the Owner nor the Management is responsible for the loss of personal belongings caused by the fire, theft, smoke, water or otherwise, unless caused by their negligence. The undersigned warrants and represents that all statements herein are true and agrees to execute upon presentation a Rental Housing Association lease or tenancy at Will agreement in the usual form, a copy of which the Applicant has received or has had occasion to examine, which lease or agreement may be terminated by the Lessor if any statement herein made is not true. This deposit is to be applied to rent if the owner accepts you as a tenant and you execute the lease, if the owner does not accept you as a tenant your deposit will be immediately refunded. If the owner accepts you as a tenant, but you refuse to sign the lease, you agree to forfeit your deposit and the owner agrees he will not sue you. This application and deposit are taken subject to previous applications. THIS APPLICATION MUST BE ACTED UPON BY THE OWNER ON OR BEFORE ______________________ The Renting Agent is an independent contractor and has no authority to make any representation concerning the premises; the Renting Agent is only authorized to show the apartment for rent and to assist in the screening of Rental Applicants.
If you agree to these terms, please check below*
- I Agree.
I have read and agree to the above notice

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Rental Application

Rental Application

Personal Information

Employment

Recent Employment

References

Account Information

In Case of Emergency

Other Information

Rent

Notice

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