Name
*
First Name
Last Name
Phone
(###)
###
####
Email
*
Apartment Size
*
Birth Date
*
Current Address
*
Previous Landlord
*
Other Occupants
*
Employment Information
*
Please fill out employment info for all occupants
Emergency Contact
*
Personal Reference 1
*
Personal Reference 2
*
Have you ever filed for bankruptcy
*
Yes
No
Willfully or intentionally refused to pay rent
*
Yes
No
Been Evicted? If yes, please explain
*
Have you been convicted of a crime? If yes, please explain
*
How did you hear about us?
When are you looking to move?
*
Please include any other information you believe would be helpful to evaluate this application
I/we, the undersigned, authorize Westford Arms Realty, Landlord, and its agents to obtain and investigate consumer credit report including, but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender search. I authorize the release of information from previous or current landlords, employers, and bank representatives. This investigation is for resident screening purposes only, and is strictly confidential. This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold Westford Arms Realty and it's agents free and harmless of any liability for damages arising out of any improper use of this information. A summary of your rights under the Fair Credit Reporting Act is available by visiting http://www.ftc.gov/credit
*
