Online Rental Application Form

Property Information

Address:         1370 S. Main Rd. Unit 5B,                       Vineland, NJ 
Square Feet:    approx. 900
Base Rent:       $1,100.00
Security Dep:   $2,000.00
Advance Rent:  $2,200.00 (1st and last month)

Are you working with a REALTOR®?*

YesNo

Who is your REALTOR®?

If you are not currently working with a REALTOR®, by proceeding with this application, you understand that you may be entering into a working relationship with a REALTOR®.

Full Name*

First NameMiddle NameLast Name

Name of Business*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Are you currently employed?

YesNoOther

Phone Number*

Area CodePhone Number

Secondary Phone Number

Area CodePhone Number

Birth Date*

MonthDayYear

Anticipated Move in Date*

MonthDayYear

Valid id *

Browse Files

Please upload valid photo ID

Pay Stubs *

Browse Files

Please upload last four pay stubs

Social security number *

Banking Information

Bank name, address, phone #

How much available funds do you have on hand now to secure the property:*

Available funds

Does your business require you to make changes to the property?*

YesNoMaybe

What changes are you planning on making to the property to accommodate your business? *

Current Employer*

Length of Employment*

Monthly Salary*

Supervisor*

Address of Employment*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you rent or own your home?*

RentOwnLive with a friend

Landlord Name

Landlord Phone #

Area CodePhone Number

How long have you lived here?

Have you ever been evicted from a residential or commercial rental unit?*

YesNo

Please describe eviction issue

Have you ever been convicted of a felony?*

YesNo

Have you ever declared bankruptcy?*

YesNo

If you answered yes to any of these questions, please explain:

Reference #1:*

Name, phone # and type of reference

Reference #2:*

Name, phone # and type of reference

Please add any additional information you deem necessary for management to approve your preliminary application.

By submitting this preliminary screening application you agree: 1) The information provided herein is complete and accurate. Providing incomplete and/or false information could result in the rejection of the preliminary application. 2) Submission of this application does not guarantee that you will be approved to proceed to a formal application for the rental unit. 3) Submission of this preliminary application does not secure a lease, which is reserved only upon signing of a completed lease agreement by all parties which will be provided after a full, paid screening application is submitted. Additionally, no other agreements, either written or oral, are binding on applicant, owner or owner's agents until the completed lease agreement is signed by all parties. 4) Additional information may be required in order to process your application. Our management team will contact you upon receipt of this online application to obtain any additional information necessary to complete the processing of your application. Should your preliminary application be approved, you will receive a link to the formal, paid screening which will cost $50 for processing.

Confirm*

I Agree

Signature

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