Apartment Pre-qualifying Questionnaire NJLH

**** RENTAL INQUIRY****
By completing this form, you understand that you may be entering into a working relationship with a licensed real estate agent. This is a pre-application screening form that is required to be completed before any appointment may be set to see the interior of any apartment. All information on this form will be held in strict confidence. Upon completion of this form, you will be contacted within 24 hours to let you know if you pre-qualify to see an apartment. If you do pre-qualify and an appointment is set to show you an apartment, a full tenant background check must be completed to be considered for the apartment rental. The tenant application costs $50 per person over the age of 18 years.
Name of Applicant*

First NameMiddle NameLast Name
NJLH Office Use Only
E-mail address of Applicant*
Phone number of Appliicant*

Area CodePhone Number
Date of Birth of Applicant*

MonthDayYear
Current Address of Applicant*

Street Address

Street Address Line 2

CityState

Zip Code
How many bedrooms do you need?*
Where do you want to live? List all towns.*
What is your maximum amount of rent you are able to pay not including utilities?*
Do you have the money for your first month's rent and security deposit in the amount of one and one-half times the rent?*
Are you currently working with a licensed real estate agent or REALTOR®?*

YesNo
If yes, who is your REALTOR®?
How many occupants will live in the apartment?*
How many occupants age 18 and over will live in the apartment?*
Proposed Occupants (list applicant first:*

NameRelationshipOccupationAge
Proposed Occupants:*

NameRelationshipOccupationAge
Proposed Occupants:

NameRelationshipOccupationAge
Proposed Occupants:

NameRelationshipOccupationAge
Proposed Occupants:

NameRelationshipOccupationAge
Proposed Occupants:

NameRelationshipOccupationAge
Do you have any pets?*

YesNo
What type of pet(s) do you have?
Do you smoke?*

YesNo
Have you had any prior evictions?*

YesNo
Note: This inquiry form is not the actual application for apartment rental. Because you had prior eviction(s), your rental application may be declined by certain landlords. Please tell us what happened so we can determine your eligibility.
Do you have any collections accounts against you?*

YesNo
Collections for what?
Anticipated move-in date*

MonthDayYear
Date
How long would you anticipate your lease may be?*
Our office typically requires income to be at least 2.5 times what the rent amount is. We work with landlords that accept various types of rental assistance. If applicable, please clarify your ability to pay rent such as if you receive rental assistance of some sort, you have a co-signer, etc. If you have any questions, please type your questions here and you will receive a response within 24 hours. Thank you.
Because you have a pet, you do not qualify to rent any apartments this company has available at this time.

We will keep your contact information on file should a unit which accepts pets become available.

Thank you for taking the time to complete the questionnaire.
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