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Rental Application
Please fill out completely – this will ensure an expedient approval
Download forms: Rental Application | Sample Lease

Property Requested:
Name:
Home Address:
City:
State: Zip:
Phone Number: Cell:
Email Address:
Driver Lic. #
Soc. Sec. #
PLEASE FILL OUT EITHER THE "STUDENT" SECTION OR THE "PROFESSIONAL" SECTION, NOT BOTH.
Student - School/University:
Year: Projected Graduation:
Parents/Emergency:
Address:
City:
State: Zip:
Phone Number: Relationship:
Personal Reference: Relationship:
Address:
City:
State: Zip:
Phone Number:

PLEASE DO NOT FILL OUT IF YOU ARE FILLING OUT THE "STUDENT" SECTION ABOVE

Professional - Occupation:
Employer: Annual Salary:
Parents/Emergency:
Address:
City:
State: Zip:
Phone Number: Supervisor:
Emergency Contact: Relationship:
Address:
City:
State: Zip:
Phone Number:
Rental History
Current Address:
Dates at Address: Landlord Name:
Landlord Ph#: Reason for Leaving:
 
Previous Address:
Dates at Address: Landlord Name:
Landlord Ph#: Reason for Leaving:
Savings acct #: Bank:
Checking acct #: Bank:
Ever filed bankruptcy?
Ever been evicted?
Ever been convicted of a felony?
PLEASE DO NOT SUBMIT AN INCOMPLETE APPLICATION -THIS WILL ONLY DELAY THE PROCESS FOR YOU!!
 

** Applicant hereby authorizes verification of any and all information set forth in this application, including release of information by any bank or savings and loan, employer (present & former) and any lender. Applicant represents that the information set forth on the application is true and complete. Material misrepresentation on this application will constitute default under the lease between the parties. The submission of this application does not constitute a binding agreement to lease. Any property rental is subject to the parties entering into a mutually acceptable lease agreement.

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99 Stokes Rd.• Medford, NJ 08055 • Email:
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