Dear Applicant:

Thank you for applying for tenancy at Toms River Crescent in Toms River, New Jersey. Please complete this
application in accordance with the following application instructions:
1. PLEASE READ CAREFULLY
Applications will be processed in order of date and time received. An applicant may be interviewed only after
the receipt of this tenant application and a $50 application fee per applicant over 18 years of age. The
application fee is non-refundable and due upon return of application. The application fee must be made via
money order or cashier’s check. No personal checks will be accepted. Incomplete applications or an
application missing its application fee will not be processed.
2. COMPLETE ALL AREAS.
If an item does not apply to you, answer “N/A” to that question or mark with a “0” if it is a dollar amount line
or section.
a) All sources of earned income must be reported for all household members.
b) All unearned income and assets must be reported for all household members.
3. SIGNATURES
Signatures are required for all adult applicants.
4. PLEASE PROVIDE COPIES OF THE FOLLOWING INFORMATION
a. Certificates for all household members;
b. Birth Social Security cards for all household members;
c. Name, address and phone number of current employer; and
d. Income verification:
1. Social Security award letter;
2. 4 current consecutive pay stubs;
3. Bank name, address, and phone number;
4. 6 Most recent bank statement for checking and savings account(s);
5. Tax return for the 2007 working year;
6. Real Estate documents;
7. Child Support Award Letter;
8. All asset information;
9. Welfare/public assistance documents, AFDC Documentation;
10. Pension benefits award letter;
11. W-2’s 1099;
12. Workers compensation award letter; and
13. Unemployment award letter.
A $50 MONEY ORDER OR CASHIER’S CHECK IS REQUIRED FOR EVERY ADULT HOUSEHOLD
APPLICANT. NO PERSONAL CHECKS WILL BE ACCEPTED.
PLEASE RETURN APPLICATION AND MAKE PAYMENT PAYABLE TO:
“Toms River Crescent Apartments”
100 Crescent Ct.
Toms River, NJ 08755

Should you have any questions, please feel free to contact Toms River Crescent at 732-901-2110.

Thank you,

Toms River Crescent Staff

Application
Toms River Crescent
Application Instructions
 APPLICATION FOR HOUSING
Low-Income Housing Tax Credit Property
Please Print Clearly
Project: Toms River Crescent Apartments
Toms River Crescent Apartments1
Please complete this application and return to: 100 Crescent Ct.
Toms River, NJ 08755

Applications are placed in order of date and time received. An applicant may be interviewed only after the receipt of this tenant application.

A. GENERAL INFORMATION

Applicant Name(s):

Address:
Street Apt. # City State ZIP

Daytime Phone: Evening Phone:

No. of BR’s in
current unit: Do you ♦ RENT or ♦ OWN (check one)

Amount of current monthly rental or mortgage payment: $

If owned, do you receive monthly rental income from property? ♦ Yes Amount: __________ ♦ No (check one)

Check utilities paid by you: ♦ Heat ♦ Electricity ♦ Gas ♦ Other (specify)

Approximate monthly cost of utilities paid by you (excluding phone and cable TV): $

Bedroom size requested: ♦ One BR ♦ Two BR ♦ Three BR ♦ Four BR ♦Handicap BR

Do you receive rental assistance? (Example: Section 8 or any other type of voucher): Yes_____ No_____
How did you hear about us? (Please state the specific media): _____________________________________________________________________________

The following information is requested by the apartment owner in order to assure the Federal government that Federal laws prohibiting discrimination against
tenant applicants on the basis of race, national origin, familial status, handicap/ disability and gender are complied with. 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 origin and sex of individual applicants on the basis of visual observation or
surname.

Please check one: Caucasian_____ African American_____ Asian_____ Hispanic_____ Other_____

B. HOUSEHOLD COMPOSITION

List ALL persons who will live in the apartment. List the head of household first.
Relationship Marital Status Student
Name to head M-married D-divorced Birth Age SS# Y/N
S-single E-estranged Date
L-legal separation
Head
Co-T
3.
4.
5.
6.
7.
8.

Do you anticipate any additions to the household in the next twelve months? ♦Yes ♦No
If yes, explain

Will all of the persons in the household be or have been full-time students during five calendar months of this
year or plan to be in the next calendar year at an educational institution (other than a correspondence school)
with regular faculty and students? ♦ Yes ♦ No

IF YES, ANSWER THE FOLLOWING QUESTIONS:

Are any full-time student(s) married and filing a joint tax return? ♦ Yes ♦ No
Are any student(s) enrolled in a job-training program receiving assistance under the Job Training Partnership Act? ♦ Yes ♦ No
Are any full-time student(s) a TANF or a title IV recipient? ♦ Yes ♦ No

Are any full-time student(s) a single parent living with his/her minor child who is not a Dependant on another’s tax return? ♦ Yes ♦ No

1
For the purposes of this Application for Housing, the term Toms River Crescent refers to Toms River Crescent, its
successors, assigns, divisions, affiliated or related entities, owners, partners, officers, directors, management and
parent companies, including CIS and CIS Management Inc.
Application
Toms River Crescent
Page 1 of 4
 C. INCOME
List ALL sources of income as requested below. If a section doesn’t apply, write N/A or “0”.
Gross Monthly
Household Member Name Source of Income
Amount
Social Security $
SSI Benefits $
Pension (list source) $
Veteran’s Benefits (list claim #) $
Unemployment Compensation $
Unemployment Compensation $
Title IV/TANF $
Title IV/TANF $
Title IV/TANF $
Full-Time Student Income (18 & Over Only) $
Full-Time Student Income (18 & Over Only) $
Interest Income (source) $
Interest Income (source) $

Household Member Name Source of Income Monthly Amount

Employment amount $
Employer:
Position Held
How long employed:

Employment amount $
Employer:
Position Held
How long employed:

Alimony
Are you entitled to receive alimony? ο Yes ο No
If yes, list the amount you are entitled to receive. $
Do you receive alimony? ο Yes ο No
If yes list amount you receive. $

Child Support
Are you entitled to receive child support? ο Yes ο No
If yes list the amount you are entitled to receive. $
Do you receive child support? ο Yes ο No
If yes, list the amount you receive. $
Other Income $
Other Income $
TOTAL GROSS ANNUAL INCOME (Based on the monthly amounts listed above x 12) $
TOTAL GROSS ANNUAL INCOME FROM PREVIOUS YEAR $
Do you anticipate any changes in this income in the next 12 months? ο Yes ο No
If yes, explain:

D. ASSETS
If your assets are too numerous to list here, please request an additional form.
If a section doesn’t apply write N/A or “0”.
Checking Accounts # Bank Balance $
# Bank Balance $
Savings Accounts # Bank Balance $
# Bank Balance $
Trust Account # Bank Balance $
Certificates of Deposit # Bank Balance $
# Bank Balance $
Credit Union # Bank Balance $
Savings Bonds # Maturity Date Value $
Life Insurance Policy # Cash Value $

Mutual Funds Name: #Shares: Interest or Dividend $ Value $

Stocks Name: #Shares: Dividend Paid $ Value $
Bonds Name: #Shares: Interest or Dividend $ Value $
Investment Appraised
Property Value $

Real Estate Property: Do you own any property? ο Yes ο No

If yes, Type of property
Location of property
Appraised Market Value $
Mortgage or outstanding loans balance due $
Amount of annual insurance premium $
Amount of most recent tax bill $

Have you sold/disposed of any property in the last 2 years? ο Yes ο No

If yes, Type of property
Market value when sold/disposed $
Amount sold/disposed for $

Application
Toms River Crescent
Page 2 of 4
Date of transaction

Have you disposed of any other assets in the last 2 years (Example: Given away money to relatives, set up
Irrevocable Trust Accounts)?
ο Yes ο No
If yes, describe the asset
Date of disposition

Amount disposed $

Do you have any other assets not listed above (excluding personal property)? ο Yes ο No

If yes, please list:

E. ADDITIONAL INFORMATION
Are you or any member of your family currently using an illegal substance? ο Yes ο No
Have you or any member of your family ever been convicted of a felony? ο Yes ο No
If yes, describe
Have you or any member of your family ever been evicted from any housing? ο Yes ο No
If yes, describe
Have you ever filed for bankruptcy? ο Yes ο No
If yes, describe
Will you take an apartment when one is available? ο Yes ο No
Briefly describe your reasons for applying:
F. REFERENCE INFORMATION

Name:
Address:
Current Landlord
Home Phone:
Bus. Phone:
How Long?
Name:
Address:
Prior Landlord Home Phone:
Bus. Phone:
How Long?
Credit Reference #1:
Address:
Account #: Phone #:
Credit Reference #2:
Address:
Account #: Phone #:

Personal Reference #2:

Address:
Relationship: Phone #:
Personal Reference #3:
Address:
Relationship: Phone #:

In case of emergency notify:

Address:
Relationship: Phone #:

G. VEHICLE AND PET INFORMATION (if applicable)

List any cars, trucks, or other vehicles owned. Parking will be provided for only one vehicle.
Type of Vehicle: License Plate #:
Year/Make: Color:
Type of Vehicle: License Plate #:
Year/Make: Color:
Do you own any pets? (Family Properties are Pet Free Communities) Yes No
If yes, describe:

TO COMPLETE THIS APPLICATION FOR TENANCY,

PLEASE CAREFULLY READ ALL TERMS AND
COMPLETE THE ATTACHED PAGES WHICH
FORM PART OF THE APPLICATION.

Application
Toms River Crescent
Page 3 of 4
 PLEASE READ ALL TERMS CAREFULLY ON THIS FORM AND SIGN BELOW:

Toms River Crescent complies with all state and federal statutes which prohibit discrimination in the rental of dwellings.

This application is subject to Toms River Crescent2, and may without designating cause, be disapproved by them. I
understand that this application creates no obligation for Landlord or applicant. This application may be made part
of my lease. I understand that the truth of the information contained herein is essential. If the owner or its agent
deems any answer or statement herein to be false, or misleading, any lease granted by virtue of this application may
be canceled at their option

AGREEMENT, AUTHORIZATION AND CONSENT FOR RELEASE OF

BACKGROUND INFORMATION

I understand that in conjunction with my application for tenancy, Toms River Crescent may use the
services of an outside agency to research and verify the information I have provided on my
application for employment including my personal background, character, professional standing,
work history and qualifications. I therefore authorize Toms River Crescent, CIS and/or CIS
Management, Inc. to verify any information provided by me in this tenancy application and any
supplemental attachments, including but not limited to: criminal conviction record, current and
former employers, department of motor vehicle records, military records, credit reporting agencies,
education records, professional and personal references and workers compensation records
including and I agree, authorize and consent to the release and disclosure of any and all information
including by not limited to the above to Toms River Crescent, CIS and/or CIS Management, Inc. and
Atlantis Credit Information Systems.

I further agree, authorize and consent to Toms River Crescent, CIS and/or CIS Management, Inc.
obtaining a consumer report from Atlantis Credit Information Systems (or any other entity hired for
this purpose) and/or investigative consumer report, which may contain information about my credit
worthiness, credit standing, credit capacity, character, general reputation, personal characteristics,
and mode of living.

In accordance with the Fair Credit Reporting Act, I will be notified by Toms River Crescent, CIS
and/or CIS Management, Inc. if my tenancy is denied because of information obtained from a
consumer reporting agency. I further understand that I may request a copy of the report from the
consumer reporting agency having conducted the background investigations.

By signing this application, I hereby expressly release Toms River Crescent and any agent, procurer or
furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such
information, and understand that my application information may be provided to various local, state and/or
federal government agencies, including without limitation, various law enforcement agencies.

SIGNATURE (S):

(Signature of Tenant) Date

(Signature of Co-Tenant) Date

(Signature of Co-Tenant) Date

(Signature of Co-Tenant) Date

2
For the purposes of this Application for Housing, the term Toms River Crescent refers to Toms River Crescent, its
successors, assigns, divisions, affiliated or related entities, owners, partners, officers, directors, management and
parent companies, including CIS and CIS Management Inc.
Application
Toms River Crescent
Page 4 of 4