Merrimack Property Management Tenant Application

PLEASE fill in a seperate application for each adult other than a spouse or    

Identification/Landlord Preferences
First Name:    Last Name:   18+ Years?  
Address:  City: State: Phone:
Soc Sec No.: Driver’s Lic No.:
How long at current address Pets? No./Type
Landlord Name: Landlord Phone:
Prior Address: Prior Landlord:
Spouse Name: 18+?:Spouse SSN:
Spouse Lic No.: State:
Other Occupant: SSN: Age:
Other Occupant: SSN: Age:
 
Employment/Income Information
Employer (indicate if self-imployed and d/b/a):
Business Address: Business Phone:
Nature of Business: Length of Employment:
Position/Title: Supervisor:
Monthly Gross Income: Prior Employer:
Business Address: Phone:
 
Credit and Personal References
Bank Name: Address:
Checking Acct: Balance:
Savings Acct: Balance:
Bank 2 Name: Address:
Savings Acct: Balance:
Checking Acct: Balance:
Personal Reference Address:
Phone: Relationship:
Personal Reference Address:
Phone: Relationship:
Emergency contact: Phone:
Address: City: State:
 
Additional Information and Authorization
Have you ever failed or refused to pay rent when due? When?
Explain:  
Have you ever had an eviction notice served to you? When?
Explain:  
Has a landlord ever claimed you damaged property? When?
Explain:  
Have you filed bankrupcy within the past 7 years? When?
Explain:  
 
 


Merrimack Property Management - PO Box 8624 - Lowell, MA
(978)459-8292
Copyright © 2012, Merrimack Property Management. All rights reserved.