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LEASE APPLICATION FORM

NEW JERSEY ASSOCIATION OF REALTORS® STANDARD FORM OF LEASE APPLICATION

©2001, New Jersey Association of Realtors® , Inc.
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PERSONAL INFORMATION

PRESENT ADDRESS
PRESENT ADDRESS
City
State/Province
Zip/Postal

IN CASE OF EMERGENCY

CO-APPLICANT INFORMATION

PRESENT ADDRESS
PRESENT ADDRESS
City
State/Province
Zip/Postal

APPLICANTS INTEND TO USE THE LEASED PREMISES AS FOLLOWS:

ANY PETS?

APPLICANT’S REFERENCES (OTHER THAN RELATIVES)

Address
Address
City
State/Province
Zip/Postal

CO-APPLICANT’S REFERENCES (OTHER THAN RELATIVES)

Address
Address
City
State/Province
Zip/Postal

BANK REFERENCES – APPLICANT

BANK REFERENCES – CO-APPLICANT

WILL APPLICANT’S EMPLOYER BE RESPONSIBLE FOR PAYMENT OF RENT?

PROPERTY FOR WHICH THIS IS AN APPLICATION

Address
Address
City
State/Province
Zip/Postal
The Landlord reserves the right to accept or reject the application.
Brokerage fee to be paid by
Applicants for tenancy for a Condominium/Co-operative unit generally must be provided with the following statement as provided by New Jersey law:

THIS BUILDING IS BEING CONVERTED TO OR IS A CONDOMINIUM OR CO-OPERATIVE. YOUR TENANCY CAN BE TERMINATED UPON 60 DAYS NOTICE IF YOUR APARTMENT IS SOLD TO A BUYER WHO SEEKS TO PERSONALLY OCCUPY IT. IF YOU MOVE OUT AS A RESULT OF RECEIVING SUCH A NOTICE, AND THE LANDLORD ARBITRARILY FAILS TO COMPLETE THE SALE, THE LANDLORD SHALL BE LIABLE FOR TREBLE DAMAGES AND COURT COSTS.

I/We hereby warrant that all representations set forth above are true. To verify the above statements, I/We direct persons named in this application to give any requested information concerning me/us. I/We hereby waive all rights of action for consequences as a result of such information. I/We hereby authorize and grant permission to the below named real estate firm to do a credit check and will pay above mentioned $ for cost of process. The attached Information Release Form should be for such credit inquiries. I/We hereby authorize the below named real estate firm to provide the information obtained from such credit bureau to the landlord. I/We acknowledge receipt of the Consumer Information Statement on New Jersey Real Estate Relationships.

It is understood that Tenant Applicant(s) cannot take possession of rental until application is investigated and accepted by the Landlord, the first month’s rent and full security deposit is paid, and a Lease Agreement has been entered into between the Landlord and Tenant(s).

Address
Address
City
State/Province
Zip/Postal

Contact

Address

149 Main St Hackensack, NJ 07601

Phone

201-658-3173

Email Address

jessicabergel@gmail.com