Rental Application

Fill out and submit our online application below!

Or; download the rental application and send it back to us via email to info@riverbendmaine.com or mail it to

P.O. Box 262 Farmington, ME 04938

Online Application

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There was a problem with your submission. Please correct the issues below

Step 1: Applicant

Property / Apartment(s) you are applying for

Applicant Name *

Telephone *

Email Address

Date of Birth

Name of Your Bank

City

State

Zip

Owner/Rental Agent

Current Owner/Rental Agent Telephone

How Long at Current Residence?

Reasons For Leaving

Employer

Employer *

Manager

Telephone

Employer's Address

City

State

Zip

Length of Employment

Wage *

Total Hours Each Week *

Per *

Position

Other Information

Student Loans, Financial Aid, Parent Financial Assistance

Additional Income *

Do you smoke?

Pets

Step 2: Additional Occupants

List names of any additional occupants to live in the above named property.

Additional Occupant 1

Name

Relationship

Age

Additional Occupant 2

Name

Relationship

Age

Step 3: Prior Housing

Prior Housing References

Reference 1

Name

Location

Telephone

Reference 2

Name

Location

Telephone

Step 4: Prior Employment

Prior Employment References

Employment Reference 1

Name

Address

Telephone

Employment Reference 2

Name

Address

Telephone

Step 5: Other Information

Have you ever filed for bankruptcy

Been evicted from a tenancy

Willfully or intentionally refused to pay rent when due

Been convicted of the illegal manufacture or distribution of a controlled substance

Used another name or alias name(s)

If you answered yes to any of the above, please explain

The above information is true and correct to the best of my knowledge and by my signature I attest to its accuracy.

Step 6: Authorizations

(print applicant name) hereby authorize Buzz or Taffy Davis of Riverbend Apartments to inquire and receive information regarding my credit history that they may deem necessary.

(print co-applicant name) hereby authorize Buzz or Taffy Davis of Riverbend Apartments to inquire and receive information regarding my credit history that they may deem necessary.

Any false statements will constitute grounds for immediate eviction and invalidation of any lease or rental agreement.

Please check the box below before submitting.

* Required Fields

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