R&B Realty | Maine Rentals

R&B Realty LLCPO Box 22, Orono, Maine 04473Phone 207-745-0028 · Fax 207-942-5072

1st Applicant

SS #

Present Address

How Long

Phone

DOB

Email Address

2nd Applicant

SS #

Present Address

How Long

Phone

DOB

Email Address

Who Will Be Residing In Unit?

Name

Relationship

SS #

DOB

Name

Relationship

SS #

DOB

Name

Relationship

SS #

DOB

Present Employer

All applicants must include paystubs or proof of income with application. Applications will not be processed without them.

1st Employer

Phone #

Length of Employment

Weekly Salary

2nd Employer

Phone #

Length of Employment

Weekly Salary

Upload Paystubs / Proof of Income

Rental History Past 5 Years

Previous Landlord Name and Phone

Have you ever been evicted by a past landlord? Yes No

Have you ever had a court eviction? Yes No

If yes, please explain

Have you been convicted of any crimes in the past 10 years? Yes No

If yes, please explain

Automobile

Year

Make

Model

Plate #

Year

Make

Model

Plate #

Credit Information

Do you have a checking or savings? Yes No

Bank

References

Name

Address

Name

Address

Closest Relative Not Living With You

Name

Phone

Address

Relationship

Authorization & Signature

Applicant hereby authorizes any person or company listed above, or local credit agency, to reveal to R&B Realty any necessary employment or credit information. Applicant understands a background check will be done on each applicant.

Applicant warrants and represents that all statements herein are true and understands that any false statements will be grounds for refusal of this application, and/or termination of any rental agreement or lease.

Applicant Signature

Date

Applicant Signature

Date

Demo submission only. This will not send to R&B Realty until connected to email, Discord webhook, PHP, or a database.

Rental Application

1st Applicant

2nd Applicant

Who Will Be Residing In Unit?

Present Employer

Rental History Past 5 Years

Automobile

Credit Information

References

Closest Relative Not Living With You

Authorization & Signature