EmailMe Form - TXNJ Properties Rental Application

Applicant Name

First Last

Applicant Email

Phone

### - ### - ####

Social Security Number

No spaces or dashes

Drivers License Number

Driver License State

Apartment Size Requested

Do you have pets?

Yes

No

All rental units are under a no-pet policy.

Do you or your roommates smoke?

Yes

No

All rental units are no smoking.

Would you be willing to sign a two-year rental agreement?

Yes

No

Will you be applying for HUD

Yes

No

Upon move in, will you be able to pay first months rent along with a $500 security deposit?

Yes

No

Anticipated Move-In Date

MM / DD / YYYY

Current Residence

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

is your current residence rented?

Yes

No

Landlord's Name

First Last

Landlord's Phone

### - ### - ####

Have you ever been evicted?

How many people will be living in the unit you're applying for?

Please list full name and age of all persons who will be living in the residence

Required. List every resident including children. Each adult applicant will be required to submit their own application

Current Source of Income

Place(s) of employment or other means of income.

Monthly income amount

Rent is due in full, in advance, on or before the first day of each calender month. This is non-negotiable. Please check yes if you understand this requirement.

Present or most recent Rent or Mortgage amount?

References

If last residence was not rented, please list at least one previous Landlord as a reference in the following section. References will be verified and called on so please ensure phone number is working. Business phone numbers are requested rather than cell phone numbers.

#1 Professional Reference

First Last

Phone

### - ### - ####

#1 Relationship

FRIENDS OR RELATIVES WILL NOT BE CONSIDERED VALID REFERENCES

#2 Professional Reference

First Last

Phone

### - ### - ####

#2 Relationship

FRIENDS OR RELATIVES WILL NOT BE CONSIDERED VALID REFERENCES.

#3 Prior Landlord

First Last

Phone

### - ### - ####

Moved in (approximate)

MM / DD / YYYY

Moved out (approximate)

MM / DD / YYYY

Moved out (approximate)

MM / DD / YYYY

Rental Unit Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Additional information regarding this residence, landlord, or any of the above references.

Comments or special requests

Information submitted here will be used to determine eligibility of renter. All information submitted is complete and correct to the best of my knowledge. *

Select "Yes" if true. All applications submitting "No" will be discarded.

Signature

Clear