Ebner Properties LLC

PO Box 464

Linwood, NJ 08221

Phone (609)926-1287

Fax(609)926-0509

Please complete all requested information on this form. Thank you for your interest in our properties.

RENTAL APPLICATION

Today’ date:______Date of anticipated move-in______

Property of interest______

Monthly rent $______Security deposit $______

Applicant

Full name of applicant______

Present address______

Telephone #______Work #______Cell#______

Date of birth______Social Security #______

Driver’s License #______Expires______

Applicant’s Employment

Name of present employer______

Address______

Position______How long______Monthly income $______

Supervisor’s Name______Phone #______

Previous employer______

Address______

Position______How long______Monthly income $______

Supervisor’s name______Phone #______

Other sources of income______

Contact______

Co-Applicant

Full name______

Present address______

Telephone #______Work #______Cell#______

Date of birth______Social Security #______

Driver’s License #______Expires______

Co-Applicant’s Employment

Name of present employer______

Address______

Position______How long______Monthly income $______

Supervisor’s Name______Phone #______

Previous employer______

Address______

Position______How long______Monthly income $______

Supervisor’ Name______Phone #______

Other sources of income______

Contact______

Full names of all other applicants Relationship To You Date of Birth

______

______

______

Present Landlord

Present landlord name______

Phone #______

Monthly rent $______Date of move-in______Date of move out______

Previous landlord name______

Phone #______

Monthly rent $______Date of move-in______Date of move-out______

Personal References

Name______Phone #______

Address______

Name______Phone #______

Address______

Emergency

In case of emergency, contact______

Relationship______Phone #______

Address______

Vehicle Information/List vehicles to be parked at premises

Type______Make______Year______License #______

Type______Make______Year______License #______

Type______Make______Year______License #______

Credit/Criminal History

Bank name______Phone #______

Address______

Checking Account #______Savings Account #______

List all other credit obligations with minimum monthly payment(car payment, school loan, cell phone, etc.)______

______

______

Have any of the occupants listed above ever been: convicted of a felony?______received deferred adjudication for a felony?______been evicted?______

broken a lease?______declared bankruptcy?______

Explain if yes______

______

The above listed applicant declares that all the statements made in this application are true and complete. Applicant hereby authorizes Ebner Properties LLC to verify all of the information and if any information given is false, Ebner Properties LLC is entitled to reject the application.

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Signature of Applicant Date

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Signature of Applicant Date