RPM MANAGEMENT, LLC
“Making our Communities a better place to live”
The Oranges - Leasing Office * 124 South Essex Street * Orange, NJ 07050
PHONE: (973)-744-5410 X130 * FAX: (973)-900-8835 *https://www.rpmdev.com
Dear Prospective Resident,
Please Complete and sign the enclosed application in Black Ink, if something does not apply to you, please write N/A. White Out
and/or cross outs are not allowed. Submit together with copies of all the following items which are required to process your
rental application:











$25 application fee per application (must be in money order, payable to: RPM Management)
Social Security card for all persons who will reside in the apartment
Positive ID – Identification is required to view apartment
Birth Certificate for all persons who will reside in the apartment
Pay Stubs for all household members 18 years of age and older
o Last four if you are paid bi-weekly or monthly
o Six if you are paid weekly
Proof of income from any social service agency or fund (for example: Public Assistance, SS, SSI, Pension,
Military pay, Unemployment)
Proof of child support (last 6-8 stubs or court order with the case number)
Current bank statements, from all accounts for each household member. This inc ludes: Savings, Checking
Credit Union, 401K, Annuity, Pension, Retirement, and Life Insurance
Tax Returns for 2 most recent years or proof of non -filing for each member of household 18 years of age or
older (Call IRS at 800-908-9946 for a copy of your transcript if you missed placed, self-prepared or a letter of
non-filing)
W2’S and/or 1099 form for the 2 most recent years (Call IRS at 800-908-9946 for copies)
Last 3 rent receipts or letter from your current landlord regarding dates of residency, address, amount of
rent paid. Letter must be signed and dated, with landlord contact information.
** Within 48 hours of approval, a holding fee equal to 1½ months’ rent is required **
Final approval will be based on our review of your final application, sup porting documentation,
credit history, criminal history and your financial ability to rent the apartment.
Upon Submission of application you must fully cooperate with the processing of your application and submit an y
additional documents requested by RPM Management LLC within 7 days of any request.
Availability of the unit type and price will be determined on the basis of the priority order, household size and income eligibility.
Availability is contingent upon applications which may be ahead of yours. Even if approved for affordable housing, we cannot
guarantee that the home which is offered will be affordable to you.
All household members who intend to reside in the home must be listed on the Application and Application Questionnaire. There
can be no more than two persons per bedroom. Exceptions to the occupancy limit may be requested in writing and may be granted
under exceptional circumstances, as described in the Resident Selection Policy.
If changes in household composition occur during the application process or there is a change of address, applicants are required to
notify us in writing immediately. Application must be truthful, complete and accurate. Any false, inaccurate or incomplete
statement makes the application null and void. Please note that application and copy of documents are not returnable.
Thank you for considering our community for your new home.
Sincerely,
Carine Arias
**You must submit a new application and updated paperwork even if you have previously submitted an
application with RPM Management, LLC**
Tax Credit Housing Program
APPLICATION QUESTIONNAIRE
HOUSEHOLD INFORMATION
List all household members that are applying to live in this apartment with you
Name
First, Middle Initial, Last
Relationship to
Head of Household
M/F
Full Time
Student
Y/N
Social Security
Number
Birth Date
mo/day/yr
YES NO (Must Check One)
1. Do you expect any additions to your household within the next twelve months?
Name & Relationship:_______________________________________________________
Explanation: ______________________________________________________________
2. Is there anyone living with you now who won’t be living with you at this property?
Name & Relationship:_______________________________________________________
Explanation: ______________________________________________________________
3. Do you have full custody of the child(ren) in your household?
(If no, obtain proof of the amount of time the child(ren) will be living with you.)
Name & Relationship:_______________________________________________________
Explanation: ______________________________________________________________
4. Are there any absent household members who under normal conditions would live with you?
(For example, a spouse away in the military.)
Name & Relationship:_______________________________________________________
Explanation: ______________________________________________________________
______________________________________________
Signature
Page 2 of 6
_____________ ____
Date
APPLICATION FOR LEASE
WHAT SIZE APARTMENT ARE YOU LOOKING FOR? (MUST CHECK ONE)
PROPERTY(IES) APPLYING FOR: _____________________________
_____ 0 BED
DATE__________
_____1 BED
____2 BED _____3 BED ____4 BED
_____________________________ _______________________________
APPLICANT # 1 – INFORMATION
Name (Last, First, Middle Initial):
Date of birth:
SSN:
Alt. Phone #:
Home Phone:
Email Address:
Current address:
City:
(Please circle one)
Own Rent Other
State:
Zip Code:
Monthly payment or rent:
How long?
Landlord Phone:
Landlord Name:
Reason for moving:
If you’ve lived at your current address for less than 1 year, please provide
Previous address
City:
(Please circle one)
Own Rent Other
State:
Zip Code:
Monthly payment or rent:
How long?
Have you ever declared bankruptcy:
Yes
No
Have you ever been evicted?
Yes
No
Are you a full time student?
Yes
No
Have you ever been convicted of a felony?
Yes
No
If yes, discharge date:
If yes, please explain:
Please Explain:
APPLICANT # 1 - EMPLOYMENT INFORMATION
Current employer:
Employer address:
Hire Date:
City:
State:
Zip Code:
Position:
Supervisor’s Name / Phone:
Fax:
Gross Monthly Income :
Annual income:
(Please circle)
Hourly
Salary
If you have been on your job for less than 1 year, please provide
Previous employer:
Employer address:
How long?
City:
State:
Zip Code:
Position:
Supervisor’s Name and Phone:
Fax:
Gross Monthly Income:
Annual income:
(Please circle)
Hourly
Salary
CO-APPLICANT - INFORMATION
Name (Last, First, Middle Initial):
Date of birth:
SSN:
Alt. Phone #:
Home Phone:
Email Address:
Current address:
Page 3 of 6
City:
(Please circle one)
Own Rent Other
State:
Zip Code:
Monthly payment or rent:
How long?
Landlord Name:
Landlord Phone:
Reason for moving:
If you’ve lived at your current address for less than 1 year, please provide
Previous address
City:
(Please circle one)
Own Rent Other
State:
Zip Code:
Monthly payment or rent:
How long?
Have you ever declared bankruptcy:
Yes
Have you ever been evicted?
Yes
No
If yes, discharge date:
No
If yes, please explain:
Are you a full time student?
Yes
No
Have you ever been convicted of a felony?
Yes
No Please Explain:
CO-APPLICANT - EMPLOYMENT INFORMATION
Current employer:
Employer address:
Hire Date:
City:
State:
Zip Code:
Position:
Supervisor’s Name / Phone:
Fax:
Gross Monthly Income:
Annual income:
(Please circle)
Hourly
Salary
If you have been on your job for less than 1 year, please provide
Previous employer:
Employer address:
How long?
City:
State:
Zip Code:
Position:
Supervisor’s Name and Phone:
Fax:
Gross Monthly Income:
Annual income:
(Please circle)
Hourly
Salary
SECTION 8 OR RENTAL ASSISTANCE
What agency do you receive rental assistance from:
Name & Phone Number of your caseworker:
Have you been released to move to a new apartment: (Circle one)
Number of bedrooms your voucher is for: (Circle one)
Yes
0 Bed
1 Bed
No
2 Bed
3 Bed
4 bed
ASSETS
Checking Account
Yes
No
Bank___________________
Account #__________________________
Savings Account
Yes
No
Bank___________________
Account #__________________________
Share Account
Yes
No
Bank___________________
Account #__________________________
Draft Account
Yes
No
Bank___________________
Account #__________________________
Pension
Yes
No
401K
Yes
No
Life Insurance
Yes
No
Other
Yes
No
If Yes, Check One:
Term
or
Whole
Explain____________________
HAVE YOU DISPOSED OF ANY ASSETS IN THE PAST 2 YEARS? (CHECK ONE)
Page 4 of 6
YES / NO
ALL SOURCES OF INCOME
Description
Amount received per month by Household Members
Applicant
Co-applicant
Other Occupants
Employment (applicant):
$
$
$
Employment (co-applicant)
$
$
$
Social Security/SSI/Disability:
$
$
$
Unemployment Benefits:
$
$
$
Pension/Annuity:
$
$
$
Child Support:
$
$
$
Public Assistance:
$
$
$
Recurring Gift:
$
$
$
Other (Please specify):
$
$
$
Total Monthly Income:
$
$
$
VEHICLE:
Year: __________________ Make: ____________________________
Model: _ __________________________ Color: ___________________
Registered to: ______________________________________________
Lic . Plate #: ____________________________ State: ______________
Description/tag numbers of any boat, motorcycle, camper/van you may own: ____________________________________________________
EMERGENCY CONTACT :
Name: ________________________________________ Phone: __________________________________ Rel ationship: ____________________
Address (street, city, state, zip): ____________________________________________________________________________________________
I, _______________________________ and _______________________________ authorize RPM Management, LLC to verify my credit history
and to verify any and all information set forth o n this application, including release of information by any employer (present and former), any
bank or savings and loan, and any lender, and hereby waive all right of action for any consequence resulting from such inform ation. All such
information hereon, and released as authorized by the applicant(s) signature below will be kept confidential. All applicants represent tha t the
information set forth on this application is true and complete. Material misrepresentations on this application will constitu te a default under the
lease agreement between the parties.
Signature of applicant
Date
Signature of co-applicant/household members 18 or older
Date
Signature of other household members 18 or older
Date
_____________________________________________________
Management Representative’s Signature
Date
THE LEASE AGREEMENT WILL NOT BECOME EFFECTIVE UNTIL THIS APPLICATION IS APPROVED BY MANAGEMENT .
Title VIII of the CIVIL RIGHTS ACT of 1966 makes discrimination based on race, color, religion, s ex, financial status, or national
origin illegal in connection with the rental of housing. The Federal agency which administers compliance with this law conce rning
this Company: Dept. of Housing & Urban Development
Page 5 of 6
Date: _____________________
Property: __________________________
INFORMATION FOR GOVERNMENT MONITORING PURPOSES:
The information solicited below is requested by the building owner in order to assure the Federal Government, acting
through the State Finance Agency that we comply with Federal Laws prohibiting discrimination against applicants on
the basis of race, color, national origin, religion, sex, familial status, age and handicap.
You are not required to furnish this information but are encouraged to do so. This information will not be used in
evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, the
owner is required to note the race/national original and sex of the individual applicants on the basis of visual
observance or surname.
Applicant
I do not wish to furnish this information (Initials) _____
Co-Applicant
I do not wish to furnish this information (Initials) _______
Race/National Origin
Race/National Origin
(
(
(
(
(
(
(
(
)
)
)
)
American Indian
(
) Alaskan Native
Asian, Pacific Island
(
) Black
White
(
) Hispanic
Other _____________________________
Sex
(
)
)
)
)
American Indian
(
) Alaskan Native
Asian, Pacific Island
(
) Black
White
(
) Hispanic
Other _____________________________
Sex
) Female
(
) Male
(
) Female
(
) Male
How did you hear about us?
(
(
(
(
(
(
(
(
(
(
(
(
) Current Resident referral - who? Name _____________________ Address__________________________
) Previous Resident referral
) Your were a previous resident of an RPM property
) Banner/Signage - where? _________________________
) Star Ledger
) Other newspaper – which one:____________________
) Craigslist
) www.rpmdev.com
) Apartmentguide.com
) Other website – which one:____________________
) Super – Name of Super _______________________
) Other Source - which one:____________________
Page 6 of 6