RENTAL APPLICATION

IMPERIAL REALTY PARTNERSHIP
P.O. Box 576
Succasunna, New Jersey 07876
Phone: 973-479-5870 or FAX: 888-698-3886 EMAIL: impempire33@yahoo.com

  Tenant Co Tenant
Full Name    
Social Security No.    
Current Address    
Current City St Zip    
Phone Home    
Phone Work    
Email Address    
Drivers Lic #    
Employer    
Employer Address    
Supervisors Name    
Surpervisor Phone    
Months on job    
Monthly Income    
Other Income    
Name of bank    
Current landlord    
Landlord phone    
Months at current add.    
Previous address    
Previous Landlord name    
Previous Landlord phone    
Months at previous add.    
Personal reference name    
Personal reference addr    
Personal reference phone    
Number of vehicles    
Names of all occupants    
Describe animals    
Date you want 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 _________________________________ Date _____  Co Tenant Sig _______________________________ Date ______