RENTAL APPLICATION FORM

SEPARATE APPLICATION REQUIRED FROM EACH APPLICANT AGE 18 OR OLDER INCLUDING SPOUSE AND CHILDREN.

THIS APPLICATION AND IT'S CONTENTS ARE CONSIDERED PART OF THE LEASE. PLEASE FILL OUT ALL THE QUESTIONS BELOW.

Applicant Information

Name *

First

Middle

Last

Sex *

Male
Female

Home Phone Number *

Work Phone Number *

Cell Phone Number *

Social Security Number *

Driver's License Number *

State *

Date of Birth *

Marital Status *

Single
Married
Divorced
Fiancé

Present Rental Information

Present Home Address *

City *

State *

Zip Code *

Length of Residence *

Landlord Name *

Landlord Phone Number *

Landlord Fax Number *

Monthly Rent *

Previous Rental Information

Previous Home Address *

City *

State *

Zip Code *

Length of Residence *

Reason for Moving *

Employment Information

Present Occupation *

Employer Name *

Name of Supervisor *

Employer - Human Resources Dept. Phone # *

Employer - Human Resources Dept. Fax # *

Supervisor Phone Number *

Current Income After Deductions (Check One) *

Weekly
Bi-weekly
Monthly
Yearly

Length of Employment *

Work Hours (AM) *

Work Hours (PM) *

2nd Job Employment Information

Present Occupation *

Employer Name *

Name of Supervisor *

Employer - Human Resources Dept. Phone # *

Employer - Human Resources Dept. Fax # *

Supervisor Phone Number *

Current Income After Deductions (Check One) *

Weekly
Bi-weekly
Monthly
Yearly

Length of Employment *

Work Hours (AM) *

Work Hours (PM) *

Other Sources of Income

SSI Per Month *

Food Stamps Per Month *

Child Support Per Month *

Other Please Describe

In Case of Emergency, Contact

Name *

Phone *

City *

State *

Relationship *

Name *

Phone *

City *

State *

Relationship *

Rental Assistance

Rental Assistance / Subsidy Type *

Voucher Amount *

Expiration Date *

Case Number *

Case Worker Name *

Case Worker Phone Number *

Residency Information

HOW MANY OCCUPANTS WILL BE LIVING IN THE APARTMENT BESIDES APPLICANT SIGNED ON THIS LEASE. PLEASE LIST THEM ALL:

EACH ADDITIONAL ADULT LIVING IN THE APARTMENT. OVER THE AGE OF 18 YEARS IS REQUIRED TO FILL OUT A SEPARATE APPLICATION:

IF THIS IS NOT FILLED OUT IT INDICATES THAT NO OTHER PERSON WILL BE LIVING IN THE APARTMENT:

Total Adults *

Total Children Under 18 Years *

Pets: NO PETS ALLOWED

FULL NAME

SEX

DATE OF BIRTH

RELATIONSHIP TO APPLICANT

Full Name

Sex

Date of Birth

Relationship to Applicant

Full Name

Sex

Date of Birth

Relationship to Applicant

Full Name

Sex

Date of Birth

Relationship to Applicant

Full Name

Sex

Date of Birth

Relationship to Applicant

Have You Ever:

Filed for Bankruptcy? If yes, list date filed:

Filled for Bankruptcy? If yes, list date filled:

Been served an eviction notice or been asked to vacate a property you were renting? If yes, when?

Willfully or intentionally refused to pay rent when due? If yes, when?

Been sued for unlawful detainer? If yes, when?

Been convicted or committed a felony? If yes, what?

Been charged or arrested for drug possession or sale?

Referred to us by?

Newspaper (name)

Realtor (name)

Other (please specify)

I hereby deposit with the management company a rent deposit in the sum of

I hereby deposit with the management company a rent deposit in the sum of $ *

on the above premises pending approval of this application. I understand that my rent deposit may be applied to any rent loss, re-rental fee etc.

If I don't bring the rest of the deposit by:

I understand that my rent deposit may be applied to any rent loss, re-rental fee etc. If I don't bring the rest of the deposit by: *

If the application is approved and I'm unable to

fulfill the conditions of occupancy, my deposit will not be returned. The deposit will only be returned if this application is not approved providing that all above questions were answered truthfully. All returned money would be returned with a check only. I hereby consent to allow, through its designated agent and its employees, to obtain and verify my consumer information (including credit, criminal and public records information) for the purpose of determining whether or not to lease to me an apartment. I understand that should I lease an apartment, and its agent shall have a continuing right to review my consumer information, rental application, payment history and occupancy history for account review purposes and for improving application methods. I declare under penalty of perjury that the information listed in this application is true and correct.

Signature of Applicant *

Date *

Remarks or personal statement please write here:

Any applicant with a voucher please submit the CURRENT voucher or current transfer voucher along with
signing all disclosures linked here after completing the application.

Non-Voucher and Voucher Holders - Here is a list of paperwork needed to complete your file and send to the owner of the property you are interested in:

• ID

• Social

• W2

• First 2 Pages of Tax Return

• Full Credit

• Rent Receipts (3)

• 2 Pay Stubs

• Bank Statement

• Any Other Pertinent Info You Would Like Us to Pass on to the Landlord

Upload a File

Click or drag files to this area to upload. You can upload up to 100 files.

FAILURE TO FILL OUT THE APPLICATION COMPLETELY WILL RESULT IN A DELAY OF PROCESSING YOUR APPLICATION.

PLEASE NOTE: WE DO NOT HOLD ONTO FILES OR PERSONAL INFORMATION FOR MORE THAN 3O DAYS.

917-363-8127

Free No-Obligation Case Evaluation

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RENTAL APPLICATION FORM

Applicant Information

Present Rental Information

Previous Rental Information

Employment Information

2nd Job Employment Information

Other Sources of Income

In Case of Emergency, Contact

Rental Assistance

Residency Information

FULL NAME

SEX

DATE OF BIRTH

RELATIONSHIP TO APPLICANT

Have You Ever:

Filed for Bankruptcy? If yes, list date filed:

Been served an eviction notice or been asked to vacate a property you were renting? If yes, when?

Willfully or intentionally refused to pay rent when due? If yes, when?

Been sued for unlawful detainer? If yes, when?

Been convicted or committed a felony? If yes, what?

Been charged or arrested for drug possession or sale?

Referred to us by?

To speak to one of our agentS immediately call