Rental Application

You can fill out our online application below or download the rental application and email the completed application to info@riverbendmaine.com. You can also drop your application off in our “drop box” located outside our "Brick Inn" apartment building located at 148 High Street in Farmington or mail it to: Riverbend Property Management P.O. Box 262, Farmington, Maine, 04938 or fax to 207-860-2630. Incomplete applications will not be accepted.

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

Home Address

Street Address

City

State

Zip

Current Address

Street Address

City

State

Zip

Owner/Rental Agent

Current Owner/Rental Agent Telephone

How Long at Current Residence?

Reasons For Leaving

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: Co-Applicant 1

Co-applicant 1 Name

Telephone

Email Address

Date of Birth

Pets

Home Address

Street Address

City

State

Zip

Current Address

Street Address

City

State

Zip

Owner/Rental Agent

Telephone

How Long at Current Residence?

Reasons For Leaving

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?

Name of Your Bank

Step 3: Co-Applicant 2

Co-applicant Name

Telephone

Email Address

Date of Birth

Pets

Home Address

Street Address

City

State

Zip

Current Address

Street Address

City

State

Zip

Owner/Rental Agent

Telephone

How Long at Current Residence?

Reasons For Leaving

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?

Name of Bank

Step 4: 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

Additional Occupant 3

Name

Relationship

Age

Step 5: Prior Housing

Prior Housing References

Reference 1

Name

Location

Telephone

Reference 2

Name

Location

Telephone

Reference 3

Name

Location

Telephone

Step 6: Prior Employment

Prior Employment References

Employment Reference 1

Name

Address

Telephone

Employment Reference 2

Name

Address

Telephone

Employment Reference 3

Name

Address

Telephone

Step 7: Automobiles

Automobiles to be parked at Riverbend Apartment building

Vehicle 1

Owner

Make

Model

Color

Year

License Plate

Vehicle 2

Owner

Make

Model

Color

Year

License Plate

Vehicle 3

Owner

Make

Model

Color

Year

License Plate

Step 8: 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 9: 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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