Online Application Form | South Coast Landings, Fall River, MA

After clicking submit below you will be prompted to submit payment for your deposit. A $150 deposit is required when renting a one or two bedroom apartment and a $300 deposit is required when renting a three bedroom apartment. Please note: When multiple people are applying for the same apartment only one deposit will need to be paid per apartment and NOT PER APPLICANT. Deposits can also be paid by clicking here.

Applicant's Full Legal Name: *

Applicant's First Name: *

Applicant's Middle Name:

Applicant's Last Name: *

Date of Birth: *

(mm/dd/yyyy)

Home Phone: *

Work Phone: *

Cell Phone: *

Email Address: *

What date do you need the apartment?: *

How were you referred to Landings?: *

Residency Information

Present Street Address: *

Apt #:

City: *

State: *

Zip Code: *

Resident Dates: From-To: *

Do you own this home?: *

If No, What is your landlord's name.:

Landlord's Phone:

Previous Street Address (1):

Apt #:

City:

State:

Zip Code:

Resident Dates: From-To:

Did you own this home?:

If No, What is your landlord's name.:

Landlord's Phone:

Previous Street Address (2):

Apt #:

City:

State:

Zip Code:

Resident Dates: From-To:

Did you own this home?: *

If No, What is your landlord's name.:

Landlord's Phone:

Did you owe rent to a previous landlord?: *

Have you ever been evicted and/or sued for non-payment of rent?: *

Current Rent Payment:

Have you ever been sued for damage to a rental property?: *

Have you ever filed for bankruptcy?: *

If yes, what year?:

Employment Information

Current Employer (1): *

Employer's Street Address:

City:

State:

Zip Code:

Applicant's Position:

Dates (To-From):

Annual Gross Income:

Verification Contact Name:

Contact's Phone #:

Contact's Fax #:

Contact's Email Address:

Current Employer (2) - if applicable:

Employer's Street Address:

City:

State:

Zip Code:

Applicant's Position:

Dates (To-From):

Annual Gross Income:

Verification Contact Name:

Contact's Phone #:

Contact's Fax #:

Contact's Email Address:

Occupant Information (if applicable)

Other Occupant's Name: Co-applicant or Dependant (1):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (2):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (3):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (4):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (5):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (6):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (7):

Date of Birth:

(mm/dd/yy)

Co-Signer / Guarantor:

Date of Birth:

(mm/dd/yy)

Pet Information

Pet Type:

Breed:

(If mixed breed, list all breeds part of ancestry)

Weight:

Pet Type:

Breed:

(If mixed breed, list all breeds part of ancestry)

Weight:

Vehicle Information

Make:

Model:

Year:

Color:

License Plate # and Issuing State:

Driver's License # and Issuing State:

Make:

Model:

Year:

Color:

License Plate # and Issuing State:

Driver's License # and Issuing State:

Emergency Contacts

Emergency Contact's Name (1): *

Relationship to you: *

Emergency Contact's Address: *

Apt #: *

City: *

State: *

Zip Code: *

Home Phone: *

Work Phone: *

Cell Phone: *

Email Address: *

Emergency Contact's Name (2):

Relationship to you:

Emergency Contact's Address:

Apt #:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

Email Address:

TERMS:

I understand that the Owner/Agent will collect a deposit as stated above. I also understand that this deposit will be applied to the security deposit at the time of move-in. I understand that this application is subject to acceptance or denial. If the application is denied or is rescinded, the deposit will be refunded. The application will be processed in accordance with the applicable property's Resident Screening Guidelines in effect on the date of application. I hereby authorize Owner/Agent to obtain consumer reports, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I understand that subsequent consumer reports may be obtained and utilized under this authorization in connection with an update, renewal, extension or collection with respect to or in connection with the rental or lease of a residence for which application was made. I hereby expressly release Owner/Agent, and any procurer or furnisher of such information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state, and/or federal government agencies, including and without limitation, various law enforcement agencies. Should any statement made in this rental application be a misrepresentation or untrue, the application will be denied immediately.

Resident Screening Guidelines:
By initialing below I agree to the Resident Screening Guidelines that are available here.

Initials: *

Place your intials here if you agree with these above terms.

* indicates required information

First Name: (you must leave this field blank)
Last Name: (you must leave this field blank)