Rental Application - BJD PropertiesBy completing and submitting this application, you're formally applying to be considered as a renter of one of the BJD Rental Properties.Please enable JavaScript in your browser to complete this form.Which property are you applying for? *Towanda, PA RentalDunmore, PA RentalName *FirstLastBirth Date *Email Address *EmailConfirm EmailPhone Number *List All Other Occupants Here *Include their NAME, BIRTH DATE, and their RELATIONSHIP to you If no other occupants, type "N/A"Current Residence Address *Address, City State, ZipCurrent Residence Monthly RentCurrent Residence: Dates of Residency (From/To)Reason for Moving from Current ResidenceCurrent Residence: Owner/Manager's NameCurrent Residence: Owner/Manager's Phone NumberEmployment: Current Employer *Employment: Current OccupationEmployment: Current Monthly PayEmployment: Date HiredReference #1 *Include NAME, PHONE NUMBER, and RELATIONSHIP to youReference #2Include NAME, PHONE NUMBER, and RELATIONSHIP to youHave you every been late or delinquent on rent? *YesNoHave you ever been party to a lawsuit? *YesNoDo you smoke? *YesNoDo you have any pets? *YesNoIf yes, list type, breed, weight, and age of pet(s)Is there anything negative in your credit or background check you want to comment on?Any questions about the property?MessageSubmit