Jonah Affordable Housing Organization Rental Application Form

Jonah Affordable Housing Organization Rental Application Form
Enter today's date: (MM/DD/YYY)
Enter today's time*

Hour Minutes

AM/PM Option
House is located in ______________________.*
City
This is a preliminary application for a _______.*

1-bedroom2-bedrooms3-bedrooms4-bedrooms

RENTAL HISTORY
Please explain why you are leaving your present housing and seeking housing with JAHO?*
Length of time at your current address (in item A, number 3): Months/Years .
Name of present Landlord*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Landlord's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

REFERENCES
List three (3) people not related to you by blood or marriage that we may contact as references.*

AGREEMENTS/CONSENT
Read and check ALL below in agreement: I, the applicant, agree with the following statements*

I/We certify that all the information above is completed, correct and true to the best of my/our knowledge.I/We understand that false or misleading information may result in the rejection of my/our application.I/We also understand that completion of this application in no way guarantees that I/we will receive rental housing. I/We authorize you to conduct an employment, background and/or credit check concerning my/our application and to verify all references.
Date*

MonthDayYear
Date
Applicant's Name*
Signature of Applicant*

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Co-Applicant's Name
Signature of Co-Applicant's Signature

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Should be Empty: