RENTAL APPLICATION

Please fill out the information below.

The Applicant understands that the Landlord may perform a credit check to verify the Applicant’s credit references and credit history in connection with the processing of this Rental Application. Each adult occupant must provide a separate Rental Application.

Applicant Information

Please fill out the application below. All fields are required. If any are N/A just type "none."

Listing

Full Name

Primary Phone #

DOB (Month/Day/Year)

Driver's License #

Present Address

How Long at Present Address

Landlord's Name

Current Rent

Landlord's Phone

Previous Address

How Long at Previous Address

Previous Landlord's Name

Previous Rent

Previous Landlord's Phone

Additional Tenant 1 / Relationship (If none type "none")

Additional Tenant 2 / Relationship (If none type "none")

Current Employer

Position

Employer Address

Supervisor

Supervisor Phone

Length of Employment

Annual Income

Previous Employer

Position

Employer Address

Supervisor

Supervisor Phone

Length of Employment

Annual Income

Signature

Date (Month/Day/Year)

Founder

Michael Hutchinson

26 Richardson Road Leverett MA 01054

Contact

Phone: (413) 531-3744

Phone: (413) 531-3744

Email: fliplocal@gmail.com

Hours

Mon - Sat: 7:00am - 7:00pm
Sun: Closed

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