Application to Sublet
Greenbaum Rentals Inc.
17 Hallock Street Amherst, MA. 01002 (413) 253-1000 fax: (413) 253-8904
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Email *
Note: You must submit a $200.00 check with this application, made payable to "Joel Greenbaum"
Today's date: *
Name: *
Date of Birth: *
Cell Phone: *
Rental Address *
Rental Unit Number *
Who are you subletting from? *
Start Date: *
List the other roommates' FULL names *
Do the current roommates consent to you subletting? *
Animals/Pets? *
Position When Coming to Amherst?
Permanent/Parents' Address
Parent's Phone Number
Previous Address(es), Dates, Rent, Utilities:
Name of Landlord
Landlord Phone Number
Have you ever been arrested?
Have you even been evicted?
Employer Address
Employer Phone
Present Title/Position
How long at this position?
Supervisor Name:
Supervisor Phone:
Other income (all sources) :
Guarantor Address:
Guarantor Phone:
TWO Personal References (other than relatives): Name, Address, and Phone
Automobile: Make, Model, Color, Reg, State:
 If for any reason the landlord does not accept me as a tenant, I shall be entitled to the return of this fee.  Furthermore, by signing this form, I understand that a credit/reference check may be undertaken to determine rental history and ability to pay rent. I hereby authorize the references listed above to release credit and other appropriate information to the owner or his agents for this purpose.                                                           Electronic Signature and Date:   *
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