Residential Tenant Intake — Pannasch Realtor

Full Legal Name *

Date of Birth

Email Address *

Phone Number *

Preferred Contact Method

Call Text Email

Current Address

How long at your current address?

Reason for Leaving Current Residence

List every person who will live in the property. Landlords screen all adults. All occupants over 18 will be required to apply and sign the lease.

Total Number of Occupants (all ages, including you) *

Number of Occupants Over Age 18 *

Adult Occupant #2 (if applicable)

Full Name

Relationship to You

Age

Adult Occupant #3 (if applicable)

Full Name

Relationship to You

Age

Adult Occupant #4+ (if applicable — list all additional)

Names, relationships, and ages

Number of Minor Children (under 18) who will reside in the property

Landlords typically require monthly income of 2.5–3× the monthly rent. This section is used to confirm general qualification prior to showing.

Your estimated FICO / credit score range *

Excellent — 750+ Good — 700–749 Fair — 650–699 Below average — 600–649 Poor — below 600 Not sure

Are there any open collections, judgments, or liens on your credit report?

No Yes Not sure

These are standard pre-screening questions asked by landlords in New Jersey. Answering honestly upfront saves everyone time. Providing false information will disqualify an application.

⚠ Eviction History

Have any of the prospective occupants (including yourself) ever been evicted, or had an eviction filing, eviction proceeding, or unlawful detainer action brought against them — regardless of outcome?

No — never Yes

⚠ Bankruptcy

Have any of the prospective occupants filed for bankruptcy within the last 7 years?

No Yes

⚠ Criminal History

Have any of the prospective occupants been convicted of a felony? (Note: NJ law limits how landlords may use this information. Disclosure here is for pre-screening only and does not automatically disqualify you.)

No Yes Prefer not to answer at this time

How many vehicles will be kept at the property?

Any commercial, oversized, or specialty vehicles?

No Yes

Do any occupants smoke? (cigarettes, cigars, vaping, etc.)

No — nobody smokes Yes — indoors Yes — outdoors only

Personal Reference — Name

Personal Reference — Phone / Email

Any additional details or context you'd like to share

How did you hear about us?

What Happens Next

I personally review every submission. After reviewing your information, I’ll reach out directly to discuss your goals, answer questions, and outline the best next steps moving forward. No pressure, no obligation — just a professional conversation about how I can best help you.

This is a pre-screening intake only. A formal application with full credit check will follow for qualified applicants.