Click the link above for a PDF version of the Rental Application
174 Boulevard
Hasbrouck Heights, NJ 07604
Phone: 201.288.8020 Fax: 201.288.6847
Lease Application
Premises_________________________________________________Date
Landlord________________________________________________________________
Apt. #.____________________Number of rooms__________
Rental - Monthly $ _________ Annual $________________
Security Deposit_________
Lease Term________________Occupancy Date____________
#1
NAME OF APPLICANT______ __________________________
Present addr#_____________ __________
___________________________________
# of persons to occupy apt._______Adults_____Ages____Children______Ages____
Social Security #__________________
Date of Birth________________Middle Initial__________
Email _____________________________
#2
NAME OF APPLICANT_____________________________________________________
Present address______________________________________Phone #_______________
City____________________________________________________________________
Social Security #____ ____ _____ Date of Birth____________Middle Initial__________
Email: ___________________________________
Employer or Financial Income
#1
Employer___________________________________________
Phone_______________
Address________________________
_____________________________City__paramus__________Phone_______________
How long employed_________
Position________________Monthly Gross Income________
Previous Employer_________________________________________________
Additional Income___________________________________________________
#2
Employer____________________________________________
Phone_______________
Address______________________________City___________
Refer to:_____________________________________________
Phone_______________
How long employed______Position________________Monthly Gross Income________
Previous Employer_________________________________________________
Additional Income___________________________________________________
Do you have any pets? YES_____ NO______ If yes, what kind?_____________________
1) Have you ever been evicted from and apartment or had an eviction filed against you? If so, explain on the reverse side of this form. ______Yes_______No_____________________________
2)Have you ever been convicted of drug related criminal activity for the manufacture or production of methamphetamine on the premises of federally assisted housing? Yes____ No_____
3)Are you subject to a lifetime registration requirement on a state sex offender
registry? Yes____ NO_____
*By signing this form you are giving Generation IV Real estate permission to retrieve a credit report which will be submitted with your application to the Landlord. You will receive an email asking for your agreement to complete a tenant screening. At this time a charge of $35 per report is to be collected. This application must be fully completed and signed to be considered. ANY false or misleading statement made by applicant shall be grounds for immediate termination of tenancy.
THANK YOU FOR YOUR COOPERATION!
APPLICANTS SIGNATURE DATE_______________________________
APPLICANTS SIGNATURE DATE_______________________________