Apartment Rental Applications – Portland, South Portland Maine

Rental Application

Please enter information on this form to submit a Rental Application. The application fee amount you need to pay is $25.00.

First name and M.I.*
Last name*
Current Address*
Current Address 2
Current City*
Current State*
Current Zip*
Phone*
Secondary Number
Email*
Social Security #*
D.O.B.*
Apartment Information
Apartment Number
Rental Location
Rental Rate*
Rental Agent
Preferred Move-in Date
Possible Roommate(s)
Employment History
Salary*
Salary Frequency*
Place of Employment
Occupation
Supervisor
Work Number
Start Date
Are You a Student?*
If so, what's your income source and monthly amount?
If you are unemployed please describe source of income
Rental History (Please provide most recent 2 years)
Street Address
City
State
Zip
Rent
Utilities Included
Dates of Residency
Landlord
Landlord's Phone #
Landlord's E-mail Address
Reason for Moving
Additional Rental History
Street Address
City
State
Zip
Rent
Utilities Included
Dates of Residency
Landlord
Landlord's Phone #
Reason for Moving
Additional Rental History
General Questions
Do You Have Housing Assistance?
If so, which agency?
Do You Have Pets?*
Pet Description (type, size, age)
Do You Smoke?
Have you ever been evicted? *
If you have been evicted, please explain why.
Have you ever been convicted of a felony?*
If you have been convicted of a felony please explain why
How did you hear about us?
If from a PPM resident, please list name.
In Case of Emergency
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Relationship
Electronic Signature
I/We do hereby certify that the information on this application is correct and complete to the best of my/our knowledge. I/We do hereby authorize Port Property Management, any of its staff and/or an authorized representative to contact any prior employers, companies, credit bureaus, law enforcement agencies and/or consumer reporting bureaus, including but not limited to FIRST Advantage Corporation Saferent. I/We agree to pay a $25.00 application fee per person. In the case that I/We decide to also pay a one month's rent deposit to secure an apartment, should I/We decide NOT to rent the aforementioned apartment within twenty-four (24) hours of the verbal approval of this application, the deposit may take up to two (2) weeks to be refunded. Should I/We decide NOT to rent the aforementioned apartment AFTER twenty-four (24) hours of the verbal approval of this application, the deposit will be held as a security deposit to cover any rent lost incurred due to PPM taking the apartment off the rental market. I/We understand that at the time of lease signing, the first month’s rent and security deposit will be due. In the event that Port Property Management rejects this application, I/We understand that the deposit of one month's rent will be returned, but any and all fees are non-refundable. I authorize and consent to the permanent recording and retention by FIRST Advantage Corp. of this application. However, this application and the information herein may only be re-published and released upon my subsequent written or electronic authorization and only to a third party I specifically designate. I release and hold FIRST Advantage Corp. harmless from any and all liability for said acts provided these conditions are met.
I agree to the above*
Yes  
I understand this $25 application fee is nonrefundable.*
Yes  
Payment Information
Credit Card Number*
Expiration Date* /
Card (CVV) Code*

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