Maine Rental Application

Property Address: [[Property Full Address]], [[City]], ME [[ZIP Code]]
Monthly Rent: $[[Monthly Rent]]
Desired Move-In Date: [[Desired Move-In Date]]
Application Date: [[Application Date]]
Application / Screening Fee Amount: $[[Application or Screening Fee Amount]] (disclosed below)

Landlord / Property Manager: [[Landlord or Management Company Name]]
Contact: [[Landlord Phone]] | [[Landlord Email]]

This Rental Application is used to evaluate applicants for tenancy at the above-referenced property. All information provided will be used solely for screening purposes in accordance with the Fair Credit Reporting Act (FCRA, 15 U.S.C. §1681 et seq.), the Fair Housing Act (42 U.S.C. §3604), and Maine law (MRSA Title 14, including provisions governing residential rental units and disclosures).

Maine has no statutory cap on rental application or screening fees. However, any screening fee must be reasonable and limited to actual costs for background checks, credit checks, or other screening processes. A landlord who obtains a consumer report or screening information must provide the applicant a complete copy of the information obtained. For declined applicants, any screening documents or reports obtained must be returned or provided to the applicant within 5 days of the decision.

Important Disclosures Before Completing
- There is no statutory maximum on application or screening fees in Maine. The fee amount is disclosed above. Any screening fee is for actual costs of processing and is generally non-refundable.
- A consumer report (credit report, background check, eviction history, criminal records, etc.) may be obtained with your authorization.
- You have the right under FCRA to a copy of any consumer report obtained and to dispute inaccurate information.
- Lead-based paint disclosure is required for any residential property built before 1978 (MRSA Title 14 §6030-A and federal 42 U.S.C. §4852d). If applicable, the required pamphlet and disclosure form will be provided.
- This application does not create a tenancy or guarantee approval. All decisions are based on objective, consistently applied screening criteria that comply with fair housing laws.

All user-supplied values are `[[Token Name]]` placeholders.

1. Applicant personal / contact information and residency history

Applicant Full Legal Name: [[Applicant Full Name]]
Date of Birth: [[Date of Birth]]
Social Security Number (last 4 for verification): [[SSN Last 4]] (full SSN required on consent page)
Driver's License / Government ID State & Number: [[DL State and Number]]
Current Phone: [[Applicant Phone Number]]
Email Address: [[Applicant Email Address]]
Current Address: [[Current Street Address, City, State, ZIP]]
How long at current address: [[Duration at Current Address]]

Previous Addresses (past 3 years, attach additional sheet if needed)

Emergency Contact
- Name: [[Emergency Contact Full Name]]
- Relationship: [[Relationship]]
- Phone: [[Emergency Contact Phone]]

Other Occupants (all adults and children who will reside in the unit)
[[List full names, ages, and relationship for all proposed occupants or state "None other than applicant(s)"]]

2. Government ID / SSN and consent / authorization for background and credit check (FCRA disclosure)

Authorization and Release for Consumer Reports

I authorize [[Landlord or Management Company Name]] and its screening agents to obtain consumer reports, including but not limited to credit reports, criminal background checks, eviction history, employment and income verification, and rental history, for the purpose of evaluating this rental application.

I understand that:

1. This is a consumer report as defined by the Fair Credit Reporting Act (15 U.S.C. §1681).

2. If any adverse action (denial, conditional approval, or increased deposit) is taken based in whole or in part on information in a consumer report, I will be provided a copy of the report and a summary of my rights under FCRA.

3. I may obtain a free copy of my credit report annually at www.annualcreditreport.com.

4. I may dispute inaccurate information directly with the consumer reporting agency.

5. Maine law requires that the landlord provide me a complete copy of any information obtained pursuant to a background check, credit check or other screening process.

Full Legal Name (as appears on ID): [[Applicant Full Name]]
SSN: [[Full Social Security Number, will be redacted after screening]]
Date of Birth: [[Date of Birth]]
Current Address for Report: [[Current Address]]

Applicant Signature / Electronic Signature Authorization

By signing below (or checking the electronic consent box), I certify that all information provided is true and complete, and I authorize the procurement of consumer reports as described.

Applicant Signature: _______________________________ Date: [[Application Date]]

Printed Name: [[Applicant Full Name]]

Co-Applicant (if applicable)
Co-Applicant Signature: _______________________________ Date: [[Application Date]]
Printed Name: [[Co-Applicant Full Name]]

3. Employment and income verification (income multiple: [[Income Multiple]]× monthly rent)

Current Employment
- Employer Name: [[Current Employer Name]]
- Position / Title: [[Job Title]]
- Supervisor / HR Contact: [[Supervisor Name and Phone]]
- Employer Address: [[Employer Address]]
- Dates of Employment: [[Start Date]] to Present
- Monthly Gross Income: [[Monthly Gross Income]]
- Other Income Source 1: [[Other Income Source and Amount, e.g. "Social Security $1,200/mo"]]
- Other Income Source 2: [[Additional Income or "None"]]

Employment History (past 2 years if current employment less than 2 years)

4. Rental history and landlord references (minimum 2 years preferred)

Current / Most Recent Landlord
- Landlord Name: [[Current Landlord Name]]
- Landlord Phone: [[Current Landlord Phone]]
- Address of Rental: [[Current Rental Address]]
- Monthly Rent Paid: $[[Current Monthly Rent]]
- Dates of Tenancy: [[Current Rental From]] to [[Current Rental To or Present]]
- Reason for Leaving: [[Reason for Leaving Current]]

Previous Landlord
- Landlord Name: [[Previous Landlord Name]]
- Landlord Phone: [[Previous Landlord Phone]]
- Address of Rental: [[Previous Rental Address]]
- Monthly Rent Paid: $[[Previous Monthly Rent]]
- Dates of Tenancy: [[Previous Rental From]] to [[Previous Rental To]]
- Reason for Leaving: [[Reason for Leaving Previous]]

Additional References (personal or professional, not relatives)
1. Name: [[Ref1 Name]], Phone: [[Ref1 Phone]], Relationship: [[Ref1 Relationship]]
2. Name: [[Ref2 Name]], Phone: [[Ref2 Phone]], Relationship: [[Ref2 Relationship]]

5. Application and screening fee disclosure

Fee Details
- Application / Screening Fee: $[[Application or Screening Fee Amount]]
- This fee covers the actual costs of processing the application and obtaining consumer reports or other screening (background check, credit report, eviction search, etc.).
- Maine law does not impose a statutory cap on application or screening fees.
- The fee is disclosed here and is payable as indicated by the landlord (often due with the completed application or upon approval as a screening fee for successful applicants).
- A complete copy of any screening report or information obtained will be provided to the applicant upon request or as required by law. For declined applicants, screening documents will be returned or made available within 5 days of the decision.
- The fee is generally non-refundable once screening has commenced, except as may be required by law or the landlord's policy.

6. Screening criteria (objective standards applied consistently)

The landlord uses the following objective criteria when evaluating applications. These criteria are applied uniformly and in compliance with the Fair Housing Act and Maine fair housing laws. Meeting the criteria does not guarantee approval.

• Income: Gross monthly income must be at least [[Income Multiple, e.g. 3]] times the monthly rent (or combined for multiple applicants). Stable employment or other verifiable income sources required.
• Credit: Minimum credit score of [[Minimum Credit Score]] or acceptable alternative history (e.g., no recent bankruptcies, collections related to housing, or patterns of delinquency).
• Rental History: No prior evictions within the past [[Eviction Lookback Years]] years; positive references from prior landlords regarding timely payment, property care, and compliance with lease terms.
• Criminal Background: No convictions for certain violent crimes, sex offenses, or crimes involving property damage or drugs within the lookback period [[Criminal Lookback Period]]. Individualized assessment applied per fair housing guidance.
• Other Factors: Compliance with occupancy limits, pet policies, and no history of lease violations that would pose a direct threat or substantial interference.

7. Pets, occupants, vehicles and additional information

Pets
- Will you have pets? [[Yes/No, specify type, number, weight, age]]
- Pet deposit or fee (if applicable): [[Pet Deposit or Fee Amount or "None required by lease"]]

Vehicles
- Number of vehicles: [[Number of Vehicles]]
- Make/Model/Year/License for each: [[Vehicle 1 Details]] ; [[Vehicle 2 Details]]

Additional Information or Explanations
[[Provide any additional information that may assist with the application, such as explanations for credit issues, gaps in employment, or special circumstances]]

8. Fair-housing nondiscrimination notice (federal FHA + Maine)

We are committed to equal housing opportunity. We do not discriminate on the basis of race, color, religion, sex, national origin, familial status, disability, or any other protected class under federal, state, or local law. Maine fair housing protections align with and may expand upon federal requirements. If you believe you have been discriminated against, you may contact the Maine Human Rights Commission or the U.S. Department of Housing and Urban Development.

9. Signature and authorization

I certify that the information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that any false statement may result in denial of the application or termination of any resulting tenancy. I authorize verification of all information provided, including consumer reports, and I understand my rights under FCRA and Maine law regarding copies of screening information and adverse action notices.

Applicant 1
Signature: _______________________________ Printed Name: [[Applicant Full Name]] Date: [[Application Date]]

Applicant 2 / Co-Applicant (if applicable)
Signature: _______________________________ Printed Name: [[Co-Applicant Full Name]] Date: [[Application Date]]

Landlord / Agent Acknowledgment of Receipt
Received by: [[Landlord or Agent Name]] Date: [[Date Received]], -

Sources and Notes (as of 2026-06-27)
- MRSA Title 14 (various provisions governing residential tenancies, including screening and disclosures).
- MRSA Title 14 §6030-A (lead-based paint disclosure requirements for pre-1978 housing).
- Fair Credit Reporting Act (FCRA), 15 U.S.C. §1681 et seq.
- Fair Housing Act, 42 U.S.C. §3601 et seq.
- Recent Maine legislation addressing screening fees and total price disclosures (e.g., requirements to provide copies of screening reports and limits on certain fees).

> ⚠️ Template example, not professional (legal/financial/medical) advice. Figures and clauses must be verified for the applicable jurisdiction and kept current. This is a sample form only. Consult current Maine statutes and a qualified attorney for compliance. Invented values are tokenized as [[merge fields]]; replace with actual information when using.