APARTMENT RENTAL APPLICATION Liberty Bell Village, l.l.c. 1 LIBERTY STREET, APARTMENT B-01 LITTLE FERRY, NEW JERSEY 07643 TEL: 201-641-6256 FAX: 201-641-5030 WilliamsTowne Manor, l.l.c. 185 LIBERTY STREET, P.O. BOX 114 LITTLE FERRY, NEW JERSEY 07643 TEL: 201-641-5598 FAX: 201-641-5030 Professionally Landscaped Grounds n n On-Site Management & Maintenance Staff n n Separate Entrances n n Large Closets n n Heat, Water, Cooking Gas Included n n Individual Thermostats n n Living Room A/C Unit Supplied n n On-Site Parking & Laundry Rooms n n NY Bus At Entrance n n www.libertybellvillage.com
APARTMENT RENTAL APPLICATION INSTRUCTIONS LIBERTY BELL VILLAGE, L.L.C. WILLIAMSTOWNE MANOR, L.L.C. Kindly complete, sign and date, where indicated, the Apartment Rental Application Booklet and return intact to our Management Office at your earliest convenience. Please do not submit a Deposit at this time. Applicants who return the completed Applications and meet our Rental Criteria will be contacted upon Apartment availability for the requested Occupancy. Once the Management Office has contacted Applicant One, regarding an available Apartment, a two hundred fifty ($250.00) dollar partial Security Deposit plus a fifty ($50.00) dollar mandatory Credit Report Fee per Applicant are required to begin processing your Application. Credit Report Fees are nonrefundable. If a Co- Signer/Guarantor is needed, a separate Credit Report is required at an additional fifty ($50.00) dollar nonrefundable Fee. If we do not receive the required Deposit within twenty-four (24) hours of notification, the Apartment will be offered to the next qualified Applicant and will no longer be reserved for you. The Deposit checks are payable as follows: $ Credit Report Fees: $250.00 Partial Security Deposit: Liberty Bell Village, L.L.C. Or WilliamsTowne Manor, L.L.C. Liberty Bell Village, L.L.C. Trust Account Or WilliamsTowne Manor, L.L.C. Trust Account You will be contacted by telephone regarding the approval or rejection of your Application. If your Application is approved, the two hundred fifty ($250.00) dollars will be applied toward the required one and one half (1-1/2) months Security Deposit. If your Application is rejected, the two hundred fifty ($250.00) dollars will be refunded to you. If any one or all of the below signed Parties renege on the Apartment Rental after Applicant One has been verbally informed by telephone that the Application and Residency have been approved, the two hundred fifty ($250.00) dollars will not be refunded to you. Within five (5) days of the Application Approval, the Applicant(s) and if applicable Co-Signer/Guarantor are required to sign the Lease Agreement and all Leasehold Documents; in addition, the Applicant(s) must pay the balance of the Security Deposit and the first month s Rent. These Monies are payable in cash, certified checks or bank checks. Personal checks will not be accepted at Lease signing. However, thereafter, Applicant(s) may pay Monthly Rent with their personal check. Leases are signed Monday through Friday between 10:00am and 3:30pm ONLY. Signing and dating below signifies I/we have read, understand, and agree to the above. Thank you for your interest in our Complexes. Should you have any questions, please do not hesitate to contact us. AGREED AND ACCEPTED BY: AGREED AND ACCEPTED BY: Applicant One Applicant Two AGREED AND ACCEPTED BY: Co-Signer/Guarantor (Signature Required Only If Applicable) -1-
APARTMENT RENTAL APPLICATION We Do Business In Accordance With The Federal Fair Housing Law Quoted Monthly Rentals Are Srrrrrrrrrr Quoted Monthly Rentals Are Subject To Change. Maximum Occupancy: Two Adults & One Child In A One-Bedroom Apartment. Two Adults & Two Children In A Two-Bedroom Apartment. Guests May Visit For Up To Two Weeks Within Any Six-Month Period Pursuant To Lease Rules & Regulations & Occupancy Restrictions. Pet Restrictions Are Enforced Pursuant To Leasehold Documents. Non-Refundable Pet Fee Assessed. Dogs Are Strictly Prohibited. All 2 nd Floor Tenants Must Cover 90% Of The Hardwood Floors With A Minimum Of 29 Ounces Per Square Yard Of Residential Indoor Carpeting & 32 Ounces Per Square Yard Of Industry Standard Padding. The Carpeting & Padding Must Total A Minimum Of 61 Ounces Per Square Yard. Pursuant To Lease Restrictions, Households May Make Use Of A 3 x3 x5 Area In Their Common Storage Room To Store Permitted Items. Apartment Complex: Liberty Bell Village, L.L.C. WilliamsTowne Manor, L.L.C. Application : Requested Occupancy : Apartment Size: One Bedroom $ Two Bedroom $ Floor: Names And Birth s Of Persons To Occupy Apartment: How Were You Referred? APPLICANT ONE (Please write clearly!) Lawful Name (Exactly As On Driver s License Or Govt. Photo I.D. Card): Driver s License: No.: State: Or Govt. Photo I.D. Card No.: Social Security No.: Of Birth: Email Address: Cell Phone: ( ) Home Phone: ( ) Work Phone: ( ) Extension: Current Address: Own: Rent: How Long At Current Address: Years: Months: Reason For Moving: Monthly Rent/Mtg.: Contact Name (Landlord/Manager/Mortgagor): Contact Phone: ( ) Landlord/Manager/Mortgagor s Address: Current Employer: Must include two years verifiable residence and employment. If less than two years, please complete Page 3. If you have other sources of income you want considered, please provide an explanation on Page 3. LEGAL STATUS, CRIMINAL HISTORY, RENTAL HISTORY: Are you a United States citizen? Yes: No: Are you a non-united States citizen? Yes: No: Do you have the legal right to be in the United States? Yes: No: Can you provide documentation of your citizenship or immigration status? Yes: No: What Documents will you provide: Expiration : Have you ever received deferred adjudication for or ever been convicted of or pleaded guilty or no contest to a felony (whether or not resulting in a conviction)? Yes: No: Have you ever received deferred adjudication for or ever been convicted of or pleaded guilty or no contest to a misdemeanor involving sexual misconduct (whether or not resulting in a conviction)? Yes: No: Have you ever been evicted, asked to move, or broken a rental agreement or apartment lease? Yes: No: Have you ever been sued for nonpayment of rent or for damage to rental property or possess tenancy court records? Yes: No: Have you ever declared bankruptcy or are presently experiencing or have had past credit problems including but not limited to foreclosures, collections, judgments, public records, negative medical ratings, or garnishment of salary? Yes: No: If you have answered Yes to any of the above, please explain and include year(s): I hereby warrant that all representations set forth on this Apartment Rental Application are true. By signing this Apartment Rental Application, I declare that all of my responses are true and complete. I understand if any questions are not answered, Management reserves the right to reject this Apartment Rental Application. I further understand that any false, misleading, or inaccurate statements on this Apartment Rental Application shall be cause for rejection of this Application or immediate termination of the Lease Agreement. Signature Of Applicant One -2-
APARTMENT RENTAL APPLICATION APPLICANT ONE APPLICANT ONE Previous Address (Complete Below If Less Than Two Years At Present Address) (Please write clearly!) Lawful Name (Exactly As On Driver s License Or Govt. Photo I.D. Card): Previous Address: Own: Rent: How Long At Previous Address: Years: Months: Reason For Moving: Monthly Rent/Mtg.: Contact Name (Landlord/Manager/Mortgagor): Contact Phone: ( ) Landlord/Manager/Mortgagor s Address: Previous Employer (Complete Below If Less Than Two Years At Present Employer) Previous Employer: Other Sources Of Income (Please Provide An Explanation Of Other Sources Of Income You Want Considered) -3-
APPLICANT TWO (Please write clearly!) APARTMENT RENTAL APPLICATION Lawful Name (Exactly As On Driver s License Or Govt. Photo I.D. Card): Driver s License: No.: State: Or Govt. Photo I.D. Card No.: Social Security No.: Of Birth: Email Address: Cell Phone: ( ) Home Phone: ( ) Work Phone: ( ) Extension: Current Address: Own: Rent: How Long At Current Address: Years: Months: Reason For Moving: Monthly Rent/Mtg.: Contact Name (Landlord/Manager/Mortgagor): Contact Phone: ( ) Landlord/Manager/Mortgagor s Address: Current Employer: Must include two years verifiable residence and employment. If less than two years, please complete below. If you have other sources of income you want considered, please provide an explanation below. Previous Address Previous Address: Own: Rent: How Long At Previous Address: Years: Months: Reason For Moving: Monthly Rent/Mtg.: Contact Name (Landlord/Manager/Mortgagor): Contact Phone: ( ) Landlord/Manager/Mortgagor s Address: Previous Employer Previous Employer: Other Sources Of Income LEGAL STATUS, CRIMINAL HISTORY, RENTAL HISTORY: Are you a United States citizen? Yes: No: Are you a non-united States citizen? Yes: No: Do you have the legal right to be in the United States? Yes: No: Can you provide documentation of your citizenship or immigration status? Yes: No: What Documents will you provide: Expiration : Have you ever received deferred adjudication for or ever been convicted of or pleaded guilty or no contest to a felony (whether or not resulting in a conviction)? Yes: No: Have you ever received deferred adjudication for or ever been convicted of or pleaded guilty or no contest to a misdemeanor involving sexual misconduct (whether or not resulting in a conviction)? Yes: No: Have you ever been evicted, asked to move, or broken a rental agreement or apartment lease? Yes: No: Have you ever been sued for nonpayment of rent or for damage to rental property or possess tenancy court records? Yes: No: Have you ever declared bankruptcy or are presently experiencing or have had past credit problems including but not limited to foreclosures, collections, judgments, public records, negative medical ratings, or garnishment of salary? Yes: No: If you have answered Yes to any of the above, please explain and include year(s): I hereby warrant that all representations set forth on this Apartment Rental Application are true. By signing this Apartment Rental Application, I declare that all of my responses are true and complete. I understand if any questions are not answered, Management reserves the right to reject this Apartment Rental Application. I further understand that any false, misleading, or inaccurate statements on this Apartment Rental Application shall be cause for rejection of this Application or immediate termination of the Lease Agreement. Signature Of Applicant Two -4-
APARTMENT RENTAL APPLICATION CO-SIGNER/GUARANTOR (MUST RESIDE IN NJ, NY, CT OR PA) (Please write clearly!) Lawful Name (Exactly As On Driver s License Or Govt. Photo I.D. Card): Driver s License: No.: State: Or Govt. Photo I.D. Card No.: Social Security No.: Of Birth: Email Address: Cell Phone: ( ) Home Phone: ( ) Work Phone: ( ) Extension: Current Address: Own: Rent: How Long At Current Address: Years: Months: Monthly Rent/Mtg.: Contact Name (Landlord/Manager/Mortgagor): Contact Phone: ( ) Landlord/Manager/Mortgagor s Address: Current Employer: Must include two years verifiable residence and employment. If less than two years, please complete below. If you have other sources of income you want considered, please provide an explanation below. Previous Address Previous Address: Own: Rent: How Long At Previous Address: Years: Months: Reason For Moving: Monthly Rent/Mtg.: Contact Name (Landlord/Manager/Mortgagor): Contact Phone: ( ) Landlord/Manager/Mortgagor s Address: Previous Employer Previous Employer: Other Sources Of Income LEGAL STATUS, CRIMINAL HISTORY, RENTAL HISTORY: Are you a United States citizen? Yes: No: Are you a non-united States citizen? Yes: No: Do you have the legal right to be in the United States? Yes: No: Can you provide documentation of your citizenship or immigration status? Yes: No: What Documents will you provide: Expiration : Have you ever received deferred adjudication for or ever been convicted of or pleaded guilty or no contest to a felony (whether or not resulting in a conviction)? Yes: No: Have you ever received deferred adjudication for or ever been convicted of or pleaded guilty or no contest to a misdemeanor involving sexual misconduct (whether or not resulting in a conviction)? Yes: No: Have you ever been evicted, asked to move, or broken a rental agreement or apartment lease? Yes: No: Have you ever been sued for nonpayment of rent or for damage to rental property or possess tenancy court records? Yes: No: Have you ever declared bankruptcy or are presently experiencing or have had past credit problems including but not limited to foreclosures, collections, judgments, public records, negative medical ratings, or garnishment of salary? Yes: No: If you have answered Yes to any of the above, please explain and include year(s): I hereby warrant that all representations set forth on this Apartment Rental Application are true. By signing this Apartment Rental Application, I declare that all of my responses are true and complete. I understand if any questions are not answered, Management reserves the right to reject this Apartment Rental Application. I further understand that any false, misleading, or inaccurate statements on this Apartment Rental Application shall be cause for rejection of this Application or immediate termination of the Lease Agreement. Signature Of Co-Signer/Guarantor -5-
CONSUMER REPORT AUTHORIZATION FORM PERTAINING TO APARTMENT RENTAL LIBERTY BELL VILLAGE, L.L.C. WILLIAMSTOWNE MANOR, L.L.C. This Document is used to inform you that a Consumer Report and/or an Investigative Consumer Report is being obtained from a Consumer Reporting Agency (Fidelis Screening Solutions) and Liberty Bell Village, L.L.C. and/or WilliamsTowne Manor, L.L.C. for the purpose of evaluating the undersigned Parties for an Apartment Rental. I/We understand this Report may contain information regarding credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living from public record sources or through personal interviews with neighbors, friends or associates. I/We hereby authorize and request any present or previous employers, present or previous landlords or apartment managers, police departments, financial institutions or other persons having personal knowledge about the undersigned Parties, to furnish bearer with any and all information in their possession regarding the undersigned Parties in connection with an Application for an Apartment Rental. I/We hereby authorize that a photocopy of this Document be accepted with the same authority as the Original, and specifically waive any written notice from any present or previous landlords or apartment managers who may provide information based upon this Authorized Request. I/We understand this Authorization is to be part of the written Apartment Rental Application signed this date. I/We fully understand and realize that Liberty Bell Village, L.L.C. or WilliamsTowne Manor, L.L.C. will not hold an Apartment if any one or all of the below signed Parties choose to dispute their Credit Report. If successful in the dispute, I/we may approach Liberty Bell Village, L.L.C. or WilliamsTowne Manor, L.L.C. to reconsider the Apartment Rental Application. I/We further understand, Liberty Bell Village, L.L.C. or WilliamsTowne Manor, L.L.C. will reconsider the Apartment Rental Application if and only if an Apartment is available for the Occupancy requested. I/We accept this Consumer Authorization Form as proper Consumer Notification that a Report will be requested and used for the purpose of evaluating the undersigned Parties for an Apartment Rental. APPLICANT ONE Print Name: Signature: of Birth: Social Security No.: Signed: =============================================================================== APPLICANT TWO Print Name: Signature: of Birth: Social Security No.: Signed: =============================================================================== CO-SIGNER/GUARANTOR (Complete And Sign Only If Applicable) Print Name: Signature: of Birth: Social Security No.: Signed: -6-
APARTMENT RENTAL APPLICATION TO BE COMPLETED WHEN APPLICANT ONE IS ADVISED OF AN AVAILABLE APARTMENT AND DEPOSIT IS SUBMITTED On this date,, I/we have submitted an Apartment Rental Application along with a $ Deposit to rent a One or Two Bedroom Apartment at Liberty Bell Village, L.L.C. or WilliamsTowne Manor, L.L.C.. It is understood and agreed that $ of this Deposit is for the Credit Report Fee(s) and miscellaneous paperwork and is nonrefundable. It is further understood and agreed that this Apartment Rental Application and the Deposit are taken subject to the approval and acceptance of the Owners. I/We hereby authorize the Owners, at any time during the Application Process or the Lease Term, to verify the information I/we have supplied on this Application. This Apartment Rental Application is not a lease agreement, and no tenancy relationship is established until a Lease Agreement is drawn and signed by all Parties named thereunder. Signature Of Applicant One Signature Of Applicant Two Co-Signer/Guarantor (Signature Required Only If Applicable) =============================================================================== OFFICE USE ONLY: LBV: WTM: Apartment Number: Lease Term: To Monthly Rent: Security Deposit: Security Deposit Number: Approved: Lease Signing /Time: Move-In : Applicant One Vehicle: Make/Model: Year: Color: Plate: Applicant Two Vehicle: Make/Model: Year: Color: Plate: Applicant One Sticker Number: Applicant Two Sticker Number: Carpet Inspection And Time: Cat: Names To Appear On Lease: Applicant One: Title: Name: Applicant Two: Title: Name: Co-Signer/Guarantor s Name If Applicable: Title: Name: -7-