Border City Mill Apartments – Contact Us, 508-677-9738, 2 Weaver Street, Fall River, MA 02720

Tel: 508.677.9738
Fax: 508.678.4978

Rental Application

(Each adult must file a separate application)

Date:

PERSONAL INFORMATION

Applicant name:
Last: First: M.I.:
Social Security Number:
Check if you are over 18 years of age:
FIRST AND LAST NAMES OF ALL OTHER RESIDENTS:
	Name: Relationship to you: Over 18?
	Name: Relationship to you: Over 18?
	Name: Relationship to you: Over 18?
	Name: Relationship to you: Over 18?

Present Address:
Street: City: State/Zip:
Present Phone (Residence):

RESIDENCE HISTORY

Check One:
	Own: Date of Current Occupancy From: m yr TO: m yr
	$ Monthly Mortgage Payments
	Rent: Date of Current Occupancy From: m yr TO: m yr
	$ Monthly Rental Payments


Present Landlord (if Rents): Name:
	Address:	Phone:
Former Landlord(if Rents): Name:
	Address:	Phone:

EMPLOYMENT HISTORY

Currently Employed By:
Occupation:
Address:
Length of Employment: Supervisor Name: Supervisor Phone:
Annual Gross Salary: Other (Comm/Bonus):
Other Source of Income: (i.e. social security, retirement fund, disability, workman's compensation, pension, alimony/child support, investments, etc.)
	Type:		Amount:
	Type:		Amount:
	Type:		Amount:
	Type:		Amount:
Former Employer:
Former Occupation:
Address:
Dates of Employment: From: To:
Supervisor Name: Supervisor Phone:

Credit Reference:
Bank (Checking Account):
	Branch Address:		Checking Acct. No:
Bank (Savings) Account):
	Branch Address:		Checking Acct. No:
Bank (Certificate of Deposit):
	Branch Address:		Checking Acct. No:
No. of Autos: No. of Pets: Type of Pets:

In Case of Emergency Notify:
Name: Address:
Phone:

APPLICATION TERMS (Applicant Read Carefully)

This application is for Apartment No. or similar type of occupancy on (date) The applicant warrants and represents that all statements herein are true and promises to execute, upon presentation, a lease in the usual form and on the terms and condiditons stated therein. The Applicant hereby grants permission to carry out necessary credit checks to verify the informatin contained in the application. Applicant agrees that the information set forth on the application is true and complete, and any misrepresentation on this application will constitute a default under the lease or Rental Agreement between parties. The deposit taken with this application is to be applied to the Security Deposit. If the applicant fails to exectue a lease, then the deposit shall be retained by the owner as liquidated damages. However, the owner will refund the deposit if he rejects this application. A breach of the above warranty regarding the veracity of any statements made herein releases the owner from all obligations and liabilities arising from either this agreement or a subsequent lease. This application and deposit are taken subject to previous applications and shall be acted upon within 10 days. The rental agent is only authorized to show the apartment for rent and has no authority to make any representations concerning the premises.
Deposit with Application: Yes: No:
Dated:
Please check here to authorize:
This property does not discriminate against any person because of race, color, religion, sex, sexual orientation, handicap, familial status, or national origin.