(By submitting this form you agree that the undersigned hereby applying for occupancy for an apartment acknowledge and understand that this Rental Application shall become a part of the Rental Agreement between the parties and that this Rental Application shall become part of the rules and regulations between the Landlord and Tenant in the event that a tenancy relationship is established. Any false information provided above and applicant will not be considered for tenancy.)
This form is unencrypted. If you wish you can print this form out and return/mail or fax to:
Robert Swan 13 Henry Street Summit, New Jersey 07901 Rswannj@gmail.com email 908-500-9213 cell 908-608-9026 fax
Applicant Information
Applicant’s Full Name Date of Birth Cell #Email address Have you ever been convicted of a crime yes or no (please check one) If (YES) please explain:
Co-applicant’s Full Name Date of Birth Cell # Email address Have you ever been convicted of a crime yesor no (please check one) If (YES) please explain:
Other Residents (Relationship, Age)
Type of size of apartment wanted
Pets: Yesor No(check one) If Yes, how many and what kind
Residential History Present Address Length of time at present address Present Landlord Present Landlord phone # Approval to contact Landlord yesor no (please check one) Amount of Rent $ Reason for Moving
Previous Address Length of time at previous address Previous Landlord Previous Landlord phone # Approval to contact Landlord yes or no (please check one) Amount of Rent/Mortgage $ Reason for Moving
Employment Information Employed By How Long Telephone Employer’s Address Position Held Annual Income $ Social Security Supervisor name Supervisor phone # Approval to contact Supervisor yesor no (please check one)
Prior Employer if current employment is less then 2 years Employed By How Long Telephone Employer’s Address Position Held Annual Income $ Supervisor name Supervisor phone # Approval to contact Supervisor yesor no (please check one)
Banking and Credit References Bank Branch Checking Account # Balance $ Saving Account # Balance $ Last known credit score Files for bankruptcy in past three years yesor no (please check one) Approval to run credit scores yesor no (please check one)
Other Information Number of Automobiles (including company cars) Year/Make/Model for automobile Year/Make/Model for automobile Applicant’s Driver’s License # Co-applicant’s Driver’s License # Monthly household income (take home) $
In case of personal Emergency, Notify, Relationship Address Telephone
