RENTAL APPLICATION 2016 Equal Housing Opportunity 1192 Lower Ferry Rd. Please feel out this questionnaire as thoroughly as possible to be considered for the rental.
Your Information Your Full Name: _____________________________________________________________________________ Your Contact Information: (email)______________________________________ (Phone)____________________________ Your Date of Birth:______/_______/__________ Your Social Security Number: ______________________________ Co-‐Applicant Full Name:_____________________________________________________________________ Names of Dependents: ______________________________________________________________________ Social Security of Co-‐Applicant:______________________________ Dependents’ Date of Birth:_______/_______/__________ Pets’ Names, Age & Race:____________________________________________________ Your Residential History (Last 3 years) Your Current Address:_______________________________________________________________________ Month/Year Moved in: ________________________________________ Reasons for leaving:_________________________________________________________________________ ________________________________________________________________________________________________ Owner/Agent:____________________________________ Contact Number:________________________ Previous Address (last 3 years): ___________________________________________________________ Owner/Agent:____________________________________ Contact Number:________________________
Your Work History Your Current Employer:____________________________________________________________________ Employer Contact Name & Number:_______________________________________________________ Your Current Annual/Monthly Income:________________________ Length of Employment:______________________________ Employer of Co-‐Applicant:_________________________________________________________________ Employer Contact Name & Number:_______________________________________________________ Co-‐Applicant’s Current Annual/Monthly Income:________________________ Co-‐ Applicant’s Length of Employment:______________________________ How long are you looking to rent for?____________________________________ Would you be interested in a Two-‐Year-‐Agreement Deal? ($1,450 monthly) Furnished Option ($500 one time payment for all furniture included1) yes / No Please sign: __________________________________ Date: ___________________________ AUTHORIZATION Release of Information I authorize an investigation of my credit; tenant history, banking and employment for the purposes or renting 1192 Lower Ferry Road, Ewing NJ 08618 Name (please print)____________________________________________ Signature:____________________________________________ Date:__________________________ Deposit of $_______________________Received by:__________________________ Date:___/___/____ 1 Please refer to the Rental Packet for furniture that is eligible to stay in the premises.