RentNoho.com

Your Source for Greater Northampton Rentals

19 Hawley Street, Suite A

Northampton, MA 01060

Phone: 413-582-0300 Fax: 582-0248

Office Hours by Appointment Only

info@rentnoho.com

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APPLICANT INFORMATION
GUARANTOR INFORMATION
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CURRENT EMPLOYMENT

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HAVE YOU EVER BEEN CONVICTED OF THE FOLLOWING CRIMES?

Rape

Child Sexual Assault

Violent Crime

Other Felony

Have You Ever Been Evicted?

SIGNATURE / DATE

I understand that all application fees are not refundable. The 60% commission shall be refunded if this application is not accepted by the owner, Lessor or Agent. Once accepted, First Month's Rent may be due as a deposit. All rents are due and payable on the first day of each month in advance. I hereby waive all rights to the return of the commission and will forfeit the same as liquidated damages in the event I decide not to enter into the leasing agreement applied for herein.

Pursuant to the Fair Housing Law, the lessor or lessor agent shall not refuse to rent a unit to any person because of race, creed, color, religion, national origin, handicap, or familial status, nor discriminate in the terms offered or services rendered.

RELEASE: In consideration for being permitted to apply for this apartment, I, the applicant do represent all information on this application to be true and accurate and that owner/agent may rely on this information when investigating and accepting this application. I hereby authorize the owner/agent to make independent investigations to determine my credit, financial, criminal check and character standing. I authorize any person, or credit checking agency having any information on me to release any and all such information to the owner or their agent or credit checking agencies. I hereby release, remise and forever discharge from any action whatsoever, in law and equity, all owners, managers, employees and/or agents, both of Landlord and their credit checking agencies in connection with processing, investigating, or credit checking this application, and will hold them harmless from any suit or reprisal whatsoever. I declare that a photocopy of my signature shall be as valid and the original.