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J & N REALTY

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APPLICATION TO RENT OR LEASE

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ADDRESS OF PROPERTY APPLIED FOR:
TIME OF INTENDED MOVE-IN:
NAME OF APPLICANT (First, Middle, Last):
DATE OF BIRTH (Month, Day, Year):
SOCIAL SECURITY NUMBER:
DRIVER'S LICENSE NUMBER:
ISSUING STATE:
EXPIRATION DATE (Month, Day, Year):
OTHER NAMES USED ANY TIME IN THE PAST:
HOME PHONE NUMBER:
WORK PHONE NUMBER:
CELL PHONE NUMBER:
FAX NUMBER:
E-MAIL:
NAME OF ADDITIONAL APPLICANT (First, Middle, Last):
RELATIONSHIP TO APPLICANT:
NAME OF ADDITIONAL APPLICANT (First, Middle, Last):
RELATIONSHIP TO APPLICANT:
NAME OF ADDITIONAL APPLICANTS (First, Middle, Last):
RELATIONSHIP TO APPLICANT:
NAME OF ADDITIONAL APPLICANTS (First, Middle, Last):
RELATIONSHIP TO APPLICANT:
CURRENT ADDRESS OF APPLICANT:
BEGINNING OF STAY AT ADDRESS (From):
NAME OF OWNER/MANAGER:
PHONE NUMBER OF OWNER/MANAGER:
REASON FOR LEAVING:
LAST RENT PAID PER MONTH:
PREVIOUS ADDRESS OF APPLICANT:
DATES OF STAY AT ADDRESS (From - To):
NAME OF OWNER/MANAGER:
PHONE NUMBER OF OWNER/MANAGER:
REASON FOR LEAVING:
LAST RENT PAID PER MONTH:
NEXT PREVIOUS ADDRESS OF APPLICANT:
DATES OF STAY AT ADDRESS (From - To):
NAME OF OWNER/MANAGER:
PHONE NUMBER OF OWNER/MANAGER:
REASON FOR LEAVING:
LAST RENT PAID PER MONTH:
NAME OF CURRENT EMPLOYER OF APPLICANT:
ADDRESS OF EMPLOYER:
PHONE NUMBER OF EMPLOYER:
NAME OF SUPERVISOR:
BEGINNING DATE OF EMPLOYMENT (From):
JOB TITLE:
TYPE OF BUSINESS:
INCOME PER MONTH:
NAME OF PREVIOUS EMPLOYER OF APPLICANT:
ADDRESS OF EMPLOYER:
PHONE NUMBER OF EMPLOYER:
NAME OF SUPERVISOR:
DATES OF EMPLOYMENT (From - To):
JOB TITLE:
TYPE OF BUSINESS:
INCOME PER MONTH:
OTHER SOURCES OF INCOME:
VEHICLE TYPE (Car, Motorcycle, Pickup Truck, etc) OF APPLICANT:
MAKE:
MODEL:
YEAR:
LICENSE NUMBER:
STATE:
TYPE OF SECOND VEHICLE OF APPLICANT:
MAKE:
MODEL:
YEAR:
LICENSE NUMBER:
STATE:
NAME OF EMERGENCY CONTACT:
ADDRESS:
PHONE NUMBER:
NAME OF BANK OF APPLICANT:
ADDRESS OF BANK:
CHECKING ACCOUNT NUMBER:
ACCOUNT BALANCE:
SAVINGS ACCOUNT NUMBER:
ACCOUNT BALANCE:
NAME OF SECOND BANK OF APPLICANT:
ADDRESS OF BANK:
CHECKING ACCOUNT NUMBER:
ACCOUNT BALANCE:
SAVINGS ACCOUNT NUMBER:
RELATIONSHIP TO APPLICANT:
ACCOUNT BALANCE:
TYPE OF CREDIT ACCOUNT OF APPLICANT:
ACCOUNT NUMBER:
ACCOUNT BALANCE:
MINIMUM PAYMENT:
TYPE OF CREDIT ACCOUNT OF APPLICANT:
ACCOUNT NUMBER:
ACCOUNT BALANCE:
MINIMUM PAYMENT:
TYPE OF CREDIT ACCOUNT OF APPLICANT:
ACCOUNT NUMBER:
ACCOUNT BALANCE:
MINIMUM PAYMENT:
DO YOU SMOKE?:
DOES ANY OTHER PROPOSED OCCUPANT SMOKE?:
DO YOU HAVE PETS?:
IF YES, WHAT KIND?:
HOW MANY?:
DO YOU HAVE ANY MUSICAL INSTRUMENTS?:
IF YES, WHAT KIND?:
WILL YOU INTEND TO USE WATER-FILLED FURNITURE OR AQUARIUM IN YOUR RESIDENCE?:
HAVE YOU EVER FILED FOR BANKRUPTCY?:
HAVE YOU EVER BEEN CONVICTED OF A FELONY?:
IF YES, WHAT KIND?:
HAVE YOU EVER HAD ANY CREDIT PROBLEMS?:
IF YES, WHAT KIND?:
HAVE YOU EVER HAD AN UNLAWFUL DETAINER FILED AGAINST YOU?:
HAVE YOU EVER EVICTED OR ASKED TO MOVE?
ADDITIONAL COMMENTS
ADDITIONAL COMMENTS
NAME OF APPLICANT IN LIEU OF SIGNATURE:
DATE OF APPLICATION:

Individual application is required from each proposed occupant 18 years of age or older. All applicable questions must be answered. This is not a secure website; therefore, if you wish, you may omit filling out the Social Security Number section and submit your social security number to us by telephone or fax.

Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords and employers. Applicant hereby authorizes owner/broker to obtain Unlawful Detainer, Credit Reports, Bounced Check, and/or Criminal Background Reports. Applicant agrees to furnish additional credit and/or other references upon request. Applicant understands that incomplete or incorrect information provided in this application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.

Rental Application Process

A rental application must be processed on all prospective residents over the age of 17.

The cost of the application fee is $40.00 for each applicant, including married couples. Please make your money order or cashier’s check out to “J & N Realty, Inc.”

We do not accept cash or personal checks for credit checks, security deposits, or first month’s rent-- money orders or cashier’s checks only.

We will need to verify, and photo copy both sides of your driver’s license or ID card along with your social security card or work permit.

HERE ARE THE BASIC GUIDELINES FOR OUR APPLICATION APPROVAL POLICY:

CREDIT HISTORY: Our credit-reporting agency will provide us with a complete credit background on all applicants, including, credit information, late payments, bad checks, evictions, bankruptcy and collections. The quality of credit required is determined by the owner of the property you are applying for.

EMPLOYMENT: Must be directly verifiable.

If you are employed, please provide us with your last six (6) pay stubs and with W-2’s for the past five (5) years.

If you are self-employed, please provide us with copies of your last three (3) years of both federal and state tax returns and with the last six (6) months bank statements of your business account. Also, include all copies of all 1099’s you received in the past three (3) years.

IF YOU ARE ON FINANCIAL ASSISTANCE OF ANY KIND: Provide us with copies of your financial assistance receipt for the last two (2) years.

INCOME REQUIREMENTS: Total gross monthly income must be two (2) to three (3) times the amount of rent for the unit as set by the owner of the property.

HOUSING HISTORY: must be directly verifiable. You must provide proof of residence for the last five (5) years.