NJ 07601
ph: (201) 403-6105
tamerh55
TO START THE APPLICATION PROCESS, PLEASE FOLLOW THE LINK BELOW.
>>>>>> ONLINE APPLICATION <<<<<<<
CLICK ABOVE
ROOM RENTAL APPLICATION
APPLICANT
Full Name____________________________ D.O.B.____________Phone ________________
Social Sec. # _____-____-_______ How long do you think you will stay with us? __________ Vehicle: Year________Make________________ Model_______________ Color___________
Have you ever been served an eviction notice or asked to vacate the property? NO / YES Explain________________________________________________________
Do you smoke? NO / YES
Have you ever been arrested? NO / YES
Have you ever been convicted of a crime? NO / YES
CURRENT RESIDENCE__________________________________________________
How Long There_________ Name Of Landlord__________________ Phone ________________
Reason For Moving ______________________________________________________________
PRIOR RESIDENCE ______________________________________________________ How Long There_________ Name Of Landlord__________________ Phone________________
Reason For Moving______________________________________________________________
CURRENT EMPLOYMENT
Position________________ Employer_________________ How Long Employed*___________
Address______________________________________________Phone_____________________
Supervisor’s Name___________________ Salary (Week, Month, Year)_____________________
*If less than two years give prior employment information below
Position________________ Employer_________________ How Long employed_____________
Address______________________________________________Phone____________________
Supervisor’s Name___________________ Salary (Week, Month, Year)_____________________
EMERGENCY CONTACTS
Name Phone Relationship
1)___________________________ ______________________ _______________________
2)___________________________ ______________________ _______________________
3)___________________________ ______________________ _______________________
I/We offer the foregoing information as inducement to you to rent or lease Me/Us your rental unit. UNDER PENALTY OF PERJURY, I/We declare said foregoing information to be true and correct and do hereby authorized you to conduct an employment and credit check and to verify our references. Any misrepresentation on this application can be grounds for termination of tenancy.
SIGNATURE_________________________________DATE_____________________
We will reach out to you when your application is reviewed and decided upon.
Copyright 2014 ROOMS FOR RENT. All rights reserved.
NJ 07601
ph: (201) 403-6105
tamerh55