GREATER BOSTON REAL ESTATE BOARD

Rental Application
(Subject to Owners Approval)
Date Number


NAME OF ALL CO-TENANTS (EACH ADULT MUST FILE A SEPARATE APPLICATION)


APARTMENT NO./TYPE TOTAL NO. OF OCCUPANTS NO. OF ADULTS NO. OF PETS
Base rent per month: $ (Subject to escalation as set forth in lease)
Other Monthly Charges:
(e.g. parking, etc.)
Key/Lock:
Last Month's Rent:
Security Deposit:
Deposit on Account:
Balance Due Upon Acceptance:

ARE YOU A CONVICTED FELON?


(Y/N) if "Yes" Please submit detail of conviction(s).