HALLIBURTON HOMES by jqr68J8Y

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									HALLIBURTON HOMES                                                                                              Jesse Halliburton
254 1st Street                                                                                       Licensed Real Estate Broker
Hoboken, NJ 07030                                                                                               (201) 792-4300
                                                                                                                (201) 420-0871
         APPLICATION TO RENT $35.00 (COMPLETE AN APPLICATION FOR EACH TENANT)
DATE                                      TERM
ADDRESS           319 Grant Avenue        CITY, STATE, ZIP Jersey City, NJ 07305
APT #                                     MOVE IN DATE
MONTHLY RENT                              SECURITY
FIRST NAME                                LAST NAME
 CURRENT                                  CITY, STATE, ZIP
ADDRESS
S.S. #                                    DATE OF
                                          BIRTH
HOME                                      WORK PHONE
PHONE
CURRENT                                   PHONE #
LANDLORD
YEARS                                     CURRENT RENT
THERE
PREVIOUS                                  CITY, STATE, ZIP
ADDRESS
PREVIOUS                                  PHONE #
LANDLORD
YEARS                                     PREVIOUS
THERE                                     RENT
EMPLOYER                                  PHONE #
ADDRESS                                   CITY, STATE, ZIP
POSITION                                  YEARS AT
                                          PRESENT JOB
CURRENT                                   PETS             YES OR NO
SALARY                                    PERMITTED
REFERENCE                                 PHONE #
NAME
REFERENCE                                 PHONE #
NAME
REFERENCE                                 PHONE #
NAME
Fee due                        Note:
Halliburton Homes
                               Paid
                               in
                               Full

    1.   The fee shown above is a commission. Applicant hereby acknowledges that Halliburton Homes has already rendered services for said fee
         and this is absolutely non-refundable unless the landlord refuses to execute a lease for the subject apartment.
    2.   The tenant cannot take possession of the premises until the application is investigated and accepted by the landlord and the 1st months
         rent is paid. The landlords execution of the lease is considered the landlords acceptance.
    3.   The tenant hereby grants the landlord or realtor as its designee credit-reporting agency the right to process this credit application for the
         purpose of obtaining a rental lease. In compliance with the FAIR CREDIT REPORTING ACT, this notice is to inform you that the processing
         of this application includes, but is not limited to consumer reporting agencies, obtaining credit information, or the other credit institutions
         and criminal background checks from appropriate law enforcement agencies. You have the right to make a written request within a
         reasonable period of time to receive additional information about the nature of this investigation. The undersigned agrees that this
         application shall remain the property of the landlord or realtor, regardless if the rental lease is granted.
    4.   The tenant represents that all the information above is true and accurate.
    5.   The tenant represents that he/she has read all the terms and conditions and completely understands same.
    6.   There is a $25.00 per person credit check fee made payable to Halliburton Homes. This fee is non-refundable under any circumstance.



_________________________________________________________                                          __________________________________________
Halliburton Homes Agent                                                                             Tenant’s Signature

								
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