Commercial Rental Application
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1Arin Realty Co., Inc.
17 Lincoln Street
P.O. Box 610227
Newton Highlands, MA 02461
Phone: 617/332-8886 / Fax: 617/332-0952
Email:
Commercial Rental Application
_______________________________________________________
_____________________
_________________________
Location of Leased Premises
Phone Number
Alternate Phone Number
_______________________________________________________
_________________________
______________________
Name of Applicant
Social Security Number
Date of Birth
_________________________________
____________________
__________
______________
From:_________To:_________
Present Address
City
State
Zip Code
Date of Occupancy
___________________
___________________
___________________
____________________ ___________________________
Current Employer
Salary
Length of Employment
Proposed use of premises
Email Address
_____________________________________
__________________________________________________________________________
If owned – name of bank holding mortgage and names of Recorded Owners
Present Landlord or own home
_________________________________
_________________________
_______________ _____ _____________ _______________
Banking Reference (checking / savings)
Street Address
City
State
Zip Code
Phone Number
_________________________________
_________________________
______________
_____ _____________ _______________
Credit Reference
Street Address
City
State
Zip Code
Phone Number
__________________________________ __________________________ ________________ _____ ____________
_______________
Emergency Contact Name
Street Address
City
State
Zip Code
Phone Number
__________________________________ __________________________ ________________ _____ _____________ _______________
Co-Tenant Name (if applicable)
Street Address
City
State
Zip Code
Phone Number
By your signature hereon, you agree that the information disclosed by you herein is true, complete and accurate to the best of
your knowledge, and you agree that the information disclosed by you herein is material to the potential Lessor’s decision with
respect to granting or denying your application to enter into a lease. False information will incur a $100.00 penalty charge.
This application will be approved or rejected usually within five business (5) days of being submitted to Landlord. However,
there is no obligation of Landlord to notify tenant unless the application is approved.
Signature: ________________________
Date: ________________
Base Rent per Month $___________________
(subject to escalation as set forth in lease)
Other monthly Charges $__________________
(e.g. parking,etc.)
Security Deposit $______________________
Deposit on Account $_____________________
Balance Due
Upon Acceptance $______________________
Consent to Credit Check
I,_______________________, the undersigned applicant authorize landlord, __________________________,
or his/her/their agent to review my credit and criminal history and investigate the accuracy of the information
contained in this application. I authorize all banks, employers, creditors, credit card companies, references, and
any and all other persons to provide to Landlord any and all information concerning my credit.
_________________________________
_______________________________
Signature
Date
Y:/Data on Fileserver/Forms/Commercial rental application
Revised 9/30/2011
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