Berkshire County

South Hadley

Pittsfield - (413) 446-9582

South Hadley - (413) 329-6731

Application

RENTAL UNIT

Apartment

Rent Amount

Start Date

Agent / Reffered By

APPLICATION INFORMATION

Last Name

First Name

Middle Initial

Social Security Number

Driver's License Number

Date of Birth

Phone Number

Email *

CURRENT ADDRESS

Address

Street Address

City

State

Country

Postal Code

Date In

Date Out

Landlord Name

Landlord Phone

Monthly Rent Amount

Reason For Leaving

PREVIOUS ADDRESS

Street Address

Date In

Date Out

Landlord Name

Landlord Phone

Monthly Rent Amount

Reason For Leaving

OTHER OCCUPANTS

Names and Birthdates of Occupants 18+

Names and Birthdates of Occupants Under 18

PETS

Do you have pets?

Yes

No

If yes, please describe your pets:

JOB #1

Occupation

Employer / Company

Monthly Salary

Supervisor Name

Supervisor Phone

Start Date

End Date

JOB #2

Occupation

Employer / Company

Monthly Salary

Supervisor Name

Supervisor Phone

Start Date

End Date

OTHER INCOME

Other Income Source #1

Other Income Amount #1

Other Income Source #2

Other Income Amount #2

EMERGENCY CONTACTS

Name #1

Address #1

Phone #1

Relationship #1

Name #2

Address #2

Phone #2

Relationship #2

PERSONAL REFERENCES

Reference Name #1

Reference Address #1

Reference Phone #1

Reference Relationship #1

Reference Name #2

Reference Address #2

Reference Phone #2

Reference Relationship #2

BACKGROUND INFORMATION

Filed for bankruptcy

Yes

No

Willfully or intentionally refused to pay rent when due?

Yes

No

Ever been evicted?

Yes

No

If yes, please list property name, city, state, landlord name

Ever been convicted of a crime?

Yes

No

If yes, please list type of offense, county, state

VEHICLE INFORMATION

Year, Make, and Model #1

License Plate Number and State #1

Year, Make, and Model #2

License Plate Number and State #2

If any addition vehicles, please describe here:

OTHER INFORMATION

How did you hear this property?

Any additional information that would help evaluate your application

CONSUMER REPORT DISCLOSURE

Consumer Report Consent

I authorize the owner/agent to obtain a consumer report.

Signature

Clear

Print Name

Date Signed

Optional

I would like to receive a copy of any investigative consumer report.

I would like to receive a copy of any credit report.

I authorize On-Site.com and landlord to obtain an investigative consumer report.

Some Questions & Answers

Frequently

Q. & A.

How much does it cost to find and lease an apartment?

Our services are often free for renters. Costs depend on the property, lease terms, and location. We’ll guide you through every step transparently.

How long does it take to secure an apartment?

Timelines vary based on availability and your preferences. Some renters secure a unit in a day, while others may take a week or two.

What types of renters do you work with?

We assist individuals, families, students, and professionals looking for studio apartments, luxury spaces, or multi-bedroom units.

Where are you located?

We are based in 555 East St suite 3, but we help clients nationwide. With digital tools, we make remote apartment searching easy.

At Boucher Management, we offer complete solutions in construction, property management, and rentals—delivering quality, care, and expertise at every stage. Guided by trust and transparency, we build lasting value for property owners, investors, and tenants alike.

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