Fillable Printable New York Rental Application

New York Rental Application

NEW YORK RENTAL APPLICATION

PLEA

SEPRINT

Mr., Mrs., Ms.: __________________ ____________________________________Date: __________

FirstMiddle Last

SECTION 1: ApartmentFor Which You Are Applying

Buildingaddress:___________________________________ Apartment number: ____________

Rent per month: __________________ Security: ______________

Dates of Occupancy:From:___________________To: ____________________

SECTION 2: ApplicantInformation

Date ofBirth: ____/____/_______ Social SecurityNumber: ____________________________

Driver’slicense number: __________________________ State: ________________________

Passport number (if not a U.S. Citizen):________________ Issuing Country: __________Type:________

Present home address:___________________________________________________________________

City________________________State______ Zip__________ Email_____________________________

Home phone:_________________Workphone:__________________ Cellphone: __________________

Howlong at present address?______Leaseholder: _______________(Ifdifferent from applicant)

Landlord or PropertyManager:_____________________________Phone: ________________________

Landlord address: ______________________________________________________________________

Applicant Previous Homeaddress: __________________________________________________

City_____________________ State_______ Zip__________

Howlong at previous address?_______Leaseholder: ______________________(If different from applicant)

SECTION 3: ApplicantFinancial Information

Employer:_______________________________Address: ______________________________________

City____________________ State__________ Zip_____________

Position/title: __________________________ Supervisor: _________________________________

Phone:______________Annual income: ___________ Howlong with presentemployer? ___________

BankInformation:

Name ofBank: ____________________________ Address: _____________________________________

City_________________________State_________Zip____________

CheckingAccount Number: ___________________SavingsAccount Number: ______________________

Other Accounts:

Name ofInstitution: ___________________ Account Number_____________ TypeofAccount_________

Name ofInstitution: ___________________ Account Number_____________ Type of Account_________

SECTION 4: Guarantor Information

Guarantor Name:______________________________________________________________

First Middle Last

SocialSecurityNumber:_________________Date ofBirth:_______/________/_________

Relationship to applicant: _________________________ Years known: __________________

Address: _____________________________________ City____________________________

State________Zip__________

Phone:________________ Cell phone: ______________ Fax: ______________ Email: ______________

Employer:______________________________ Address: _______________________________________

City___________________________ State______________ Zip_______________

Position/title: ________________________________Supervisor: _______________________________

Phone:__________________ Annual income: _____________ Howlong with presentemployer? ______

I herebycertifytothebest of my knowledgethat the above information is true andcorrect and I hereby

authorize _________________ toobtain anycredit, job,and school, past rental history orreferences at its

discretion. I/we acknowledgethat therewillbe a $____ application processing charge per applicantdue at

leasesigning.

Applicant’s Signature_______________________________________ Date_____________________