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APARTMENT RENTAL APPLICATION
BROKER’S FIRM / AGENT NAME / PHONE NUMBER:
APPLICANT NAME: SS#: DOB / /
EMAIL ADDRESS: PHONE:
BUILDING: APT: MOVE IN DATE: LEASE TERM:
GUARANTOR: PHONE:
PRESENT ADDRESS: APARTMENT:
CITY, STATE, ZIP:
LENGTH OF TIME AT ADDRESS: MONTHLY RENT:
LANDLORD: LANDLORD PHONE:
REASON FOR MOVING:
PREVIOUS ADDRESS: APARTMENT:
CITY, STATE, ZIP:
LENGTH OF TIME AT ADDRESS: MONTHLY RENT:
LANDLORD: LANDLORD PHONE:
REASON FOR MOVING:
EMPLOYER: POSITION:
YEARLY SALARY: TIME AT COMPANY: SUPERVISOR:
ADDRESS: PHONE:
OTHER SOURCES OF INCOME:
BANK REFERENCES:
CHECKING: BRANCH:
SAVINGS: BRANCH:
ACCOUNTANT: ADDRESS: PHONE:
CREDIT REFERENCES:
INCASE OF EMERGENCY: ADDRESS: PHONE:
HAVE YOU EVER OR ARE YOU CURRENTLY SERVING IN THE MILITARY?
OCCUPANTS (PLEASE INCLUDE DESCRIPTION OF ANY PETS):
NAME: AGE: RELATIONSHIP TO TENANT:
This application is made subject to approval of BCB Property Management, Inc and may without designating cause be disapproved by them, it being agreed that any such disapproval shall not be considered a reflection upon the
applicant. This application is to be made part of the lease entered into by the applicant and the landlord. The truth of the information contained herein is essential and the aforementioned property deems any answer or statement
herein to be false or misleading, it shall be considered that any lease granted by virtue of this application may be cancelled at their option. I/We hereby authorize BCB Property Management, Inc to use any consumer reporting
agency, credit bureau or other investigative agencies employed by such to investigate the reference herein listed or statement or other data obtained from me or from any other person pertaining to my employment history, credit,
prior tenancies, character, general reputation, personal characteristics, and mode of living, to obtain a consumer report and such other credit information which may result thereby, and to disclose and furnish such information to
the owner/agent listed above in support of this application. I have been advised that I have the rush under sections 603/623 of the Consumer Credit Reporting Reform 1996 Act, to make a written request, within reasonable time,
for a complete and accurate disclosure of the nature and scope of any investigation.
APPLICANT SIGNATURE DATE