Rental Application: P&P Associates

*Please fill out the application in its entirety*

*Photo ID is required for all adults on application*

Rental Property: ________________________________________

Date: ______________

APPLICATION INFORMATION
APPLICANT:
______________________________________________________________________________
(Last Name)
(First Name)
(Middle Initial)
Birthdate: ______________ SSN: ______-____-_____ Drivers License #: ________________
Phone: _________________________

Email: _______________________________

Are you applying under Cumberland County Section 8 Housing?

Yes

No

CO-APPLICANT:
______________________________________________________________________________
(Last Name)
(First Name)
(Middle Initial)
Birthdate: ______________ SSN: ______-____-_____ Drivers License #:________________
Phone: _________________________

Email: ____________________________

REFERENCES (non-related)
(1) Name: ________________________________

Relationship: _____________________

Phone #: (________) ___________________________

(2) Name: ________________________________

Relationship: _____________________

Phone #: (________) ___________________________

(3) Name: ________________________________

Years Acquainted: ____________

Years Acquainted: ____________

Relationship: _____________________

Phone #: (________) ___________________________

Years Acquainted: ____________

Rental Application: P&P Associates

HOUSING HISTORY
Current Address: ______________________________________________________________
City: ___________________________ State: _________ Zip: ____________________
Phone: _________________________ Length of Residency: ____________ (YR/MO)
Landlords Name: __________________________ Phone: ________________________
Previous Address: ______________________________________________________________
City: ___________________________State:_________Zip:____________________
Phone: _________________________ Length of Residency: _____________ (YR/MO)
Landlords Name: __________________________ Phone: ________________________

EMPLOYMENT INFORMATION
APPLICANT: Employers Name: _________________________________________________
Address: _________________________________________________________
Office Phone: _____________________________________________________
Position or Rank: ____________________________ Supervisor: _________________________
Length of Employment: _______________________Salary: ___________________ (MO/WK)
CO-APPLICANT: Employers Name: _____________________________________________
Address: _____________________________________________________
Office Phone: __________________________________________________
Position or Rank: ____________________________Supervisor:__________________________
Length of Employment: ______________________Salary :_____________________(MO/WK)

MONTHLY OBLIGATIONS
Car Payment: $____________________

Last Rent or Mortgage Payment: $______________

Other Loans (TOTAL): $____________

Alimony Payment: $_________________________

Credit Cards: $____________________

Child Support Payment: $_____________________

Rental Application: P&P Associates

OTHER INFORMATION
Names, relationships and ages of all people to reside in house:
1.____________________________________________________________________________
2.____________________________________________________________________________
3.____________________________________________________________________________
4.____________________________________________________________________________
5.____________________________________________________________________________

Number of Vehicles (including company cars): _______________

1. Make/Model: ______________________________ Year: _________
Color: __________Tag No.: ____________State:_____
2. Make/Model: ______________________________ Year: _________
Color: __________Tag No.: ____________State:_____
3. Make/Model: ______________________________ Year: _________
Color: __________Tag No.: ____________State:_____
4. Make/Model: ______________________________ Year: _________
Color: __________Tag No.: ____________State:_____

Have you ever been convicted of a crime?

Yes

No

If yes, explain? _________________________________________________________

Have you ever filed for bankruptcy?

Yes

No

If yes, when? _________________________________________________________

Have you ever been served an eviction notice or been asked to vacate a rented property?
Yes

No

If yes, when? _________________________________________

Have you willfully or intentionally refused to pay rent when due?

Yes

No

If yes, when? _________________________________________

Are there any judgments against you?

Yes

No

If yes, when? ________________________ How much? _____________________

Rental Application: P&P Associates

How were you referred to us? _________________________________________________

I/We, the undersigned, declare the foregoing information is true and correct, and agree to allow
the Lessor to conduct a credit check, and verification of employment and any/all references.
I/We understand that misrepresentation or omission of facts herein or on this rental application
could result in disapproval of my/our application.

_____________________

____________

Applicants Signature

Date

___________________
Co-Applicants Signature

____________
Date

FOR OFFICE USE ONLY:

Verification Completed by: _______________________
Date: _____________________
Monies Received
Date: _______________
Description: __________________________
Amount: _____________________________
Deposit: _____________________________
App Fee: _____________________________

Application Approved?

Yes

No

Remarks:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________