JCITYRENTALS.COM

 
Rental Application for: 155A Sherman Ave., Jersey City, NJ 07307

Complete  ALL information on this application.  Print, Sign  and scan    or E-mail completed Word document to: askus@jcityrentals.com                                                                                                         

APPLICANT #1: ______________________________ E-Mail Address: _____________________________

Home Phone ____________________ Cell Phone________________________  Birth Date ____________

Social Security #___________________ Drivers License #____________________State______ Exp.____

Move-in Date Required____________ Current Lease Expiration Date:     /      /

Advertised Rental Amount $ ___________ Current Rent Paid $__________ My Rent Is Paid Thru    /        /        

Current Address__________________________________ City_________________State_____Zip_______

Current Landlord Name _______________________________Landlord Phone #_____________________

How long at this address _______ Reason for leaving__________________________________________

Previous Address ________________________________City_________________ State____ Zip_______

Previous Landlord Name __________________________Previous Landlord Phone # ________________

How long at this address  _______Rent Paid $________ Reason for leaving________________________

Auto Owned Yr._____ Make_____________ Model____________ State/License Plate #_______________

Name of Employer_________________________ Position ___________________ Years At This Job____

Supervisor Name & Title______________________ Phone #______________Current Salary $__________

Employer Address______________________________City__________________State_____Zip________

Other Income and Source__________________________________________________________________

Bank Reference: Name ___________________ Account # ________________ Phone ________________

Nearest Relative: Name ______________________Phone __________________ Relationship _________ 

CO-APPLICANT #2: ___________________________ E-Mail Address: _____________________________

Home Phone _____________________  Cell Phone ________________________ Birth Date __________

Social Security # ____________________Drivers License #_____________________State ___Exp._____

Current Rent $_________ Rent Paid Through   /        /         Current Lease Expiration Date      /         /

Current Address__________________________________City_________________State_____Zip_______

Current Landlord Name  _______________________________Landlord Phone # ____________________

How long at this address _______Reason for leaving___________________________________________

Previous Address ______________________________City__________________ State ____ Zip________

Previous Landlord Name___________________________ Previous Landlord Phone #________________

How long at this address _______ Rent Paid $_________ Reason for leaving ______________________

Auto Owned Yr._____ Make _____________Model ____________State/License Plate # _______________

Name of Employer____________________________ Position________________Years At This Job_____

Supervisor Name & Title _________________________ Phone # ____________ Current Salary ________

Employer Address_______________________________City__________________State_____Zip_______

Other Income and Source__________________________________________________________________

Bank Reference: Name ______________________ Account # ___________________ Phone __________

Nearest Relative: Name ______________________Phone __________________ Relationship _________

 

Has either applicant ever been evicted from an apartment? (  ) Yes or (  ) No

If Yes, Applicant Name & Explanation________________________________________________________

Does either applicant have a criminal record? (  ) Yes or (  ) No

If Yes, Applicant Name & Offenses__________________________________________________________

Has either applicant ever had a judgment against them in a court of law? (  ) Yes or (  ) No

If Yes, Applicant Name & Explanation________________________________________________________

Has any applicant ever filed for Bankruptcy? (  ) Yes or (  ) No

If Yes, Name of Applicant & Explanation______________________________________________________

Total number of adults to occupy apt. ___

I, WE CERTIFY AND DECLARE THAT ALL OF THE ABOVE INFORMATION IS TRUE, CORRECT AND COMPLETE.

BY FILLING IN OUR NAMES BELOW, AND, E-MAILING THIS APPLICATION I, WE HEREBY AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF CONSUMER CREDIT REPORTS AND CRIMINAL BACKGROUND REPORTS, SO THAT ALL INFORMATION AND ANY VERBAL DECLARATIONS PERTINENT TO THIS APPLICATION, AS MADE BY THE APPLICANTS, CAN BE EVALUATED.

I, WE FULLY UNDERSTAND THAT THE BUILDING OWNER WILL IMMEDIATELY TERMINATE ANY LEASE THAT HAS BEEN PREVIOUSLY GRANTED AND APPROVED, IF THE OWNER IS SUBSEQUENTLY INFORMED OF ANY MISREPRESENTATIONS OF INFORMATION BY ANY APPLICANT, AS CONTAINED IN THIS RENTAL APPLICATION. 

SIGNATURE (Applicant #1) _________________________________________DATE__________

SIGNATURE (Applicant #2) _________________________________________DATE__________