RENTAL APPLICATION
IMPERIAL REALTY PARTNERSHIP L.L.P., PO BOX 576, SUCCASUNNA, NJ 07876
PHONE: 973-479-5870 FAX: 888-698-3886 EMAIL: impempire33@yahoo.com

  Tenant Co Tenant
Full Name
Date of Birth		    
Social Security
Number		    
Current
Street Address		    
Current City
State Zip		    
Home/Mobile
Phone Number		    
Work
Phone Number		    
Email
Address		    
Drivers Licence
Number 		   
Present
Employer		    
Employer
Address		    
Supervisors
Name 		   
Supervisors
Phone		    
Years/Months
On The Job		    
Monthly
Income		    
Other
Income		    
Name
Of Bank		    
Current
Landlord 		   
Landlord
Phone Number		    
Years/Months At
Current Address.		    
Reason
For Moving		    
Number of Vehicles
Make/Model/Plate No.		    
Names Of
All Occupants		    
Describe
Any Animals		    
Date You Would
Like To Move In		    
I understand that I acquire no rights in an apartment or home until I sign a lease or rental agreement accepted by the agent or owner and make a deposit on the property.  This deposit will be held in accordance with the rental agreement.  In return for the landlord's holding the property for me, I hereby waive all rights to the return of the deposit.  The deposit will be held as liquidated damages in the event that I choose not to take occupancy.  Imperial Realty has the right to charge $40 credit check fee.  A credit investigation is being initiated involving the statements made on this application.  I/we certify to the best of knowledge all statements are true and complete and I authorize William Imperial and Jolene Imperial T/A IMPERIAL REALTY to obtain credit reports, character reports and rental history as needed to verify above information.

Signed ______________________________________Tenant, Date _________ Signed ____________________________________Co Tenant, Date __________