LEASE APPLICATION
PROPERTY FOR WHICH THIS I S AN APPLICATION
DATE OF APPLICATION
ADDRESS
CITY
STATE/ZIP
LANDLORD
LANDLORD BUSINESS PHONE
Applicant Legal Name: First_______________________MI_________Last ______________________________Date of Birth____________________
Applicant Home Phone Number________________________________
Applicant Social Security Number__________________________________
Present Address________________________________________Apt. No.________City_____________________________State/Zip________________
Monthly Mortgage Payment__________________ OR
Monthly Rental Payment_______________________ Lease Expiration Date___________
Resided: From___________ To___________
Name of Present Mortgage Co. or Landlord______________________________________________
Reason for Moving _____________________________________________
Present Landlord Phone Number________________________________
Previous Address_______________________________________Apt. No.________City_____________________________State/Zip________________
(if at present address less than (2) years)
Monthly Mortgage Payment__________________ OR
Monthly Rental Payment_______________________ Lease Expiration Date___________
Resided: From___________ To___________
Name of Present Mortgage Co. or Landlord______________________________________________
Reason for Moving _____________________________________________
Present Landlord Phone Number________________________________
Co-Applicant Legal Name: First______________________MI_________Last _____________________________Date of Birth__________________
Co-Applicant Home Phone Number_____________________________ Co-Applicant Social Security Number______________________________
Present Address________________________________________Apt. No.________City_____________________________State/Zip________________
Monthly Mortgage Payment__________________ OR
Monthly Rental Payment_______________________ Lease Expiration Date___________
Resided: From___________ To___________
Name of Present Mortgage Co. or Landlord______________________________________________
Reason for Moving _____________________________________________
Present Landlord Phone Number________________________________
Applicant’s Employer______________________________________Position_____________________________Bus. Phone_______________________
Business Address_______________________________________________________Length of time employed__________________________________
Immediate Supervisor___________________________________Weekly/Annual Salary_____________________Other Income___________________
If Military: Rank/Rate__________________________Branch_____________________________Length of Service_____________________________
Previous Employer_____________________________________________Position__________________________Bus. Phone______________________
(if current employment is less than 2 years complete the following)
Business Address_______________________________________________________Length of time employed__________________________________
Immediate Supervisor___________________________________Weekly/Annual Salary_____________________Other Income___________________
Rev. 1/05
FOR USE IN NEW JERSEY ONLY
Page 1 of 3
T373