Massachusetts Rental Application

Property Address: [[Property Street Address, Unit Number]], [[City]], Massachusetts [[ZIP Code]]

Monthly Rent: $[[Monthly Rent Amount]]

Security Deposit (max one month's rent): $[[Security Deposit Amount]]

Last Month's Rent (if requested): $[[Last Month Rent Amount or "N/A"]]

Key/Lock Deposit (reasonable actual cost only): $[[Key Deposit Amount or "N/A"]]

Lease Term Requested: [[Lease Term, e.g., 12 months beginning [[Lease Start Date]]]]

Date of Application: [[Application Date]], -

IMPORTANT, MASSACHUSETTS LAW NOTICE

Under M.G.L. c. 186 § 15B, landlords and their agents may not charge an application fee, screening fee, credit check fee, or any other fee to a prospective tenant except for:

• Rent for the first full month of occupancy

• Rent for the last full month of occupancy (at the same rate)

• A security deposit not exceeding one month's rent (held per strict rules)

• A reasonable key/lock change deposit (actual cost only)

Any other charges are prohibited. Brokers may have limited rights under 254 CMR 7 in certain circumstances, but direct landlord charges for applications are forbidden.

All information provided will be used solely for evaluating this rental application in compliance with the federal Fair Credit Reporting Act (FCRA) and Massachusetts law., -

1. Applicant Information

Full Legal Name: [[Applicant Full Legal Name]]

Date of Birth: [[Date of Birth]] | Social Security Number (last 4 for verification): [[XXX-XX-]] [[SSN Last 4]]

Driver's License / State ID: [[DL or ID Number]] , State: [[State]]

Current Phone: [[Phone Number]] | Email: [[Email Address]]

Current Address: [[Current Street Address, Unit]], [[City]], [[State]] [[ZIP]]

How long at current address: [[Duration]] | Reason for leaving: [[Reason]]

Current Landlord / Property Manager Name: [[Current Landlord Name]]

Current Landlord Phone / Email: [[Current Landlord Contact]]

Monthly Rent at Current Address: $[[Current Monthly Rent]], -

2. Additional Applicants / Occupants

List all adults (18+) who will reside in the Premises:

1. [[Additional Adult 1 Full Name]], Relationship: [[Relationship]], DOB: [[DOB]]

2. [[Additional Adult 2 Full Name]], Relationship: [[Relationship]], DOB: [[DOB]]

Minor children (under 18) who will reside: [[Number and ages, or "None"]]

Will any occupants require a reasonable accommodation under fair housing laws? [[Yes / No, if Yes, describe without providing medical details: [[Description]]]], -

3. Employment and Income Information

Current Employer: [[Employer Name]]

Position / Title: [[Job Title]]

Supervisor / HR Contact: [[Contact Name and Phone]]

Length of Employment: [[Years/Months]]

Gross Monthly Income: $[[Gross Monthly Income Amount]]

Other Income Sources (alimony, child support, disability, investments, voluntary disclosure): [[Describe or "None"]]

Previous Employer (if current < 2 years): [[Previous Employer]], [[Dates Employed]], [[Monthly Income]]

Co-Applicant Employment (if applicable): [[Details for co-applicant or "N/A"]], -

4. Rental / Housing History (Last 3 Years)

Prior Address 1: [[Street, City, State, ZIP]]
Dates: [[From, To]]
Landlord Name & Phone: [[Name / Phone]]
Monthly Rent: $[[Amount]]
Reason for Leaving: [[Reason]]

Prior Address 2: [[Street, City, State, ZIP]]
Dates: [[From, To]]
Landlord Name & Phone: [[Name / Phone]]
Monthly Rent: $[[Amount]]
Reason for Leaving: [[Reason]]

Have you ever been evicted or had an eviction filed against you? [[Yes / No, if Yes, explain: [[Explanation]]]]

Have you ever been a party to a lawsuit involving a landlord/tenant dispute? [[Yes / No, if Yes, explain]], -

5. Credit and Background Authorization (FCRA Disclosure)

Consumer Report Authorization

I/We authorize [[Landlord or Property Management Company Full Legal Name]] ("Landlord") and its agents to obtain one or more consumer reports (credit reports, criminal background, eviction history, and other permissible reports) about me/us for the purpose of evaluating this rental application.

This authorization is made pursuant to the federal Fair Credit Reporting Act (FCRA), 15 U.S.C. § 1681 et seq., and Massachusetts General Laws c. 93 §§ 50, 68.

I/We understand that:

1. A consumer report may be obtained.

2. If the application is denied in whole or in part based on information in a consumer report, I/we will be provided an "adverse action" notice containing the name and address of the consumer reporting agency and a statement of my/our rights under the FCRA.

3. I/We have the right to obtain a free copy of the consumer report if requested within 60 days of an adverse action notice.

4. I/We have the right to dispute the accuracy of information in the report directly with the consumer reporting agency.

Applicant Signature for FCRA Authorization: _______________________________ Date: [[Date]]

Co-Applicant Signature for FCRA Authorization: _______________________________ Date: [[Date]], -

6. Screening Criteria Disclosure

Landlord uses objective, uniformly applied screening criteria. The following factors are considered (subject to fair housing compliance):

• Income: Minimum gross monthly income typically [[Income Multiple, e.g., 3 times the monthly rent]] (may vary with compensating factors).

• Credit history and score (no specific minimum cutoff; negative items reviewed in context).

• Rental history and references from prior landlords.

• Criminal background (convictions relevant to safety of persons/property may be disqualifying; individualized assessment performed).

• Eviction history.

• Completeness and accuracy of application.

Landlord does not discriminate on the basis of race, color, national origin, religion, sex, disability, familial status, age, ancestry, genetic information, marital status, sexual orientation, gender identity, veteran status, or source of income., -

7. Pets and Other Requests

Pets: [[Number, type, weight, and age of pets or "None"]]

Requested Pet Deposit or Fee: [[N/A, note: additional pet deposits beyond key/lock may be restricted; confirm with landlord]]

Smoking Policy Preference: [[Non-smoking unit requested / Smoker in household]]

Vehicles: [[Number and types of vehicles to be parked]]

Other Special Requests: [[Describe or "None"]], -

8. Fair Housing and Non-Discrimination Notice

Massachusetts and Federal Fair Housing Protections

It is unlawful to discriminate in the rental of housing on the basis of:

• Race or color

• National origin

• Religion

• Sex (including gender identity and sexual orientation)

• Disability

• Familial status (families with children under 18)

• Age

• Ancestry

• Genetic information

• Marital status

• Veteran or military status

• Source of income (in many cases under MA law)

• Any other status protected by federal, state, or local law

If you believe you have been discriminated against, you may contact:

• U.S. Department of Housing and Urban Development (HUD)

• Massachusetts Commission Against Discrimination (MCAD)

• Local fair housing organizations

Landlord is committed to equal housing opportunity., -

9. Applicant Certification and Signature

I/We certify that all information provided in this application is true, complete, and accurate to the best of my/our knowledge. I/We understand that any false statement or material omission may result in denial of the application or termination of any tenancy granted.

I/We authorize verification of all information, including contacting current and former landlords, employers, and obtaining consumer reports as described.

I/We have read and understand the Massachusetts law notice regarding prohibited fees.

Primary Applicant:

Signature: _______________________________
Printed Name: [[Applicant Full Legal Name]]
Date: [[Date]]

Co-Applicant (if any):

Signature: _______________________________
Printed Name: [[Co-Applicant Full Legal Name]]
Date: [[Date]], -

10. Landlord / Agent Use Only (Internal)

Application Received Date: [[Date]]

Application Fee Charged: $0.00 (per M.G.L. c. 186 § 15B, prohibited for landlords)

Consumer Report Ordered: [[Yes / No]], Agency: [[Name]], Date: [[Date]]

References Contacted: [[Summary of landlord/employer feedback]]

Screening Decision: [[Approved / Approved with Conditions / Denied]]

Reason for Denial (if applicable, must be provided to applicant if based on consumer report): [[Specific reason or "N/A"]]

Adverse Action Notice Sent (if applicable): [[Date / Method]]

Agent / Landlord Signature: _______________________________ Date: [[Date]], -

Disclaimer and Sources

> Template, not professional legal advice. This rental application form is designed for compliance with Massachusetts law prohibiting application and screening fees for most landlords. Always use current forms and consult legal counsel for your specific situation. Consumer reporting must fully comply with FCRA and Massachusetts credit reporting statutes. Protected classes listed are illustrative and may not be exhaustive. As of June 2026.

Sources (as of June 2026):

• M.G.L. c. 186 § 15B (Security deposits, entrance fees, and prohibited charges)

• 254 CMR 7 (Apartment rentals, broker fee rules)

• Fair Credit Reporting Act, 15 U.S.C. § 1681 et seq.

• Massachusetts Commission Against Discrimination fair housing guidance

• U.S. Department of Housing and Urban Development fair housing resources

• M.G.L. c. 93 §§ 50, 68 (Massachusetts credit reporting), -

*Massachusetts Rental Application, airealtydesk.pro*