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Balance must be paid by certified check or money order if received less than thirty (30) days prior to move-in date
You may be charged a non-refundable credit processing fee per person.
Dates From       Sept 1st- Aug 31st
Lease Term (months) 12 mo.
Move In Date September 1st, 2017 Rent Begins 9/1/17
# minors
# Adults 1
# Occupants 1
Address 33 Vinton Street
Apt #     3
City & State                  Providence, RI
Apt. Size
YES
NO
Can you have a
co-signer?
Graduation Date 2020
Program Sports, Ent., Event Mgmt
Address   8 Abbott Park Place Providence, RI
School Name  Johnson & Wales University 
State    New Jersey 
Plate #    U63FFB
Auto (Make/Year)     (Casey's Car) Honda 2015
Other Income (alimony, investment, etc)       Casey's Child Support
Amount (per month) $1,200
Weekly Gross Salary
Hire Date     
Occupation                       
ADDITIONAL EMPLOYMENT: (OTHER OR CURRENT JOB LESS THAN 1 YR.
Address
Phone Number
Weekly Gross Salary $2760.00
Hire Date September 1988
EMPLOYMENT: (PROOF MAY BE REQUIRED)
Employer  Edison Township Public Schools 
Address 312 Pierson Street Edison, NJ 08837
Phone Number 732-452-4900
Zip
City & State
Address
Landlord or Management Name
your former occupancy
Zip
City & State
FORMER ADDRESS (Within 2 years)
Address
Zip
City & State
Address
Landlord or Management Name
Home Number
your current occupancy
Dates of Current Occupancy
Monthly Rent
SSN 145-04-6416
Date of Birth 04-14-98
Alter. Number   732-501-7924
Home Number   908-874-4942
Address 42 Flemming Drive
City & State        Hillsborough, NJ
Zip       08844
Email caseytowns14@gmail.com
Mid. Int. E
First Name Casey
APPLICANT MUST COMPLETE ENTIRE APPLICATION INCOMPLETE APPLICATIONS CANNOT BE PROCESSED.
THE  RENTING  AGENT  IS  AN  INDEPENDENT  CONTRACTOR  AND  HAS  NO  AUTHORITY  TO  MAKE  ANY  REPRESENTATIONS
CONCERNING THE PREMISES OR THE LANDLORD; THE RENTING AGENT IS ONLY AUTHORIZED TO SHOW THE APARTMENT FOR
RENT.
Agent's Name-
ADDRESS & UNIT APPLIED FOR:
STUDENTS ONLY:
Employer    
Occupation     Teacher 
Home Number
Last Name             Townsend
Monthly Rent                        $1,250
Pre-Paid Rent
Security Deposit     $1,250
Deposit Rec'd
Do you
Own
Rent
Other
If rented, is the unit rented in your name?
Yes
No
If rented, is the unit rented in your name?
Yes
No
Grad
Under Grad
Full-Time
Part-Time
Did you
Own
Rent
Other
Submit by Email
Print Form

Address
Phone Number
Name
REFERENCE: (PREFERABLY LOCAL)
Phone Number 732-614-0449
Address 42 Flemming Drive 
Name Richard & Stacy Schutz
CONTACTS:
Phone Number  908-278-2000
Address 42 Flemming Drive Hillsborough, NJ 08844
Name Stacy Schutz 
Emergency Contact: (if different from above)
How did you hear about us?
Have you declared bankruptcy in the past seven (7) years?  
Have you ever been evicted from a rental residence?      
Have you had two or more late rental payments in the past year?  
Have you ever willfully or intentionally refused to pay rent?  
This is an application form. The applicant understands that all information will be verified and credit bureau reports completed, of which the contents will be
shared with the Landlord. Until the landlord has approved the application, no tenancy has been created and you have no rights to this Landlord. The rental
agent has no power to make any representations as to whether or not this application has been accepted or denied by the Landlord. SS If denied, applicant's
sole remedy shall be the return of any deposit made hereunder. Any person signing on behalf of an applicant warrants and represents that said person has
the  authority  to  sign  on  behalf  of  such  applicant.    Any  deposit  hereunder  shall  be  deemed  made  by  such  applicant  regardless  of  whether  the  applicant
personally signs or through a representative and such by signing in such capacity waives all rights to such deposit. The undersigned warrants and represents
that  all  statements  contained in this application  are  true,  and  recognized  that  the  landlord  will  execute  a lease in reliance  upon  the  truthfulness  thereof.
Applicant agrees to execute a Standard Apartment Lease, as from time to time revised, and on the terms and conditions contained herein. Any deposit made
by applicant, up to one month's rent, may be retained by Landlord as liquidated damages for failure of applicant to execute such Lease, make any payment
hereunder, or if such Lease is terminated prior to occupancy for the untruth of any statement contained herein.
The above information, to the best of my knowledge, is true and correct.

Signature      Casey Townsend & Stacy Schutz  
Signed By   Casey Townsend         Stacy Schutz  
Date June 11th, 2017
AUTHORIZATION 
Release of Information 
an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner/
manager. I authorize the checking of all the above.
Date June 11th, 2017
Signed By Stacy Schutz
Signature     Stacy Schutz
ALL APPLICATIONS MUST BE SIGNED AND COMPLETE OR THEY CANNOT BE PROCESSED
YES
NO
NO
YES
YES
NO
NO
YES
Newspaper
Friend's Referral
Telephone Directory
Internet
Sign at apartment
Other