Fillable Printable New York Rental Application

New York Rental Application

NEW YORK RENTAL APPLICATION

PLEA

SE PRINT

Mr., Mrs., Ms.: __________________ _________________ ___________________ Date: __________

First Middle Last

SECTION 1: Apartment For Which You Are Applying

Building address: ___________________________________ Apartment number: ____________

Rent per month: __________________ Security: ______________

Dates of Occupancy: From: ___________________ To: ____________________

SECTION 2: Applicant Information

Date of Birth: ____/____/_______ Social Security Number: ____________________________

Driver’s license number: __________________________ State: ________________________

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

Present home address: ___________________________________________________________________

City________________________ State______ Zip__________ Email_____________________________

Home phone: _________________Work phone: __________________ Cell phone: __________________

How long at present address? ______ Leaseholder: _______________(If different from applicant)

Landlord or Property Manager: _____________________________ Phone: ________________________

Landlord address: ______________________________________________________________________

Applicant Previous Home address: __________________________________________________

City_____________________ State_______ Zip__________

How long at previous address? _______ Leaseholder: ______________________ (If different from applicant)

SECTION 3: Applicant Financial Information

Employer: _______________________________ Address: ______________________________________

City____________________ State__________ Zip_____________

Position/title: __________________________ Supervisor: _________________________________

Phone: ______________ Annual income: ___________ How long with present employer? ___________

Bank Information:

Name of Bank: ____________________________ Address: _____________________________________

City_________________________ State_________ Zip____________

Checking Account Number: ___________________ Savings Account Number: ______________________

Other Accounts:

Name of Institution: ___________________ Account Number_____________ Type of Account_________

SECTION 4: Guarantor Information

Guarantor Name: __________________ ______________________ ______________________

First Middle Last

Social Security Number: _________________ Date of Birth: _______/________/_________

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: _____________ How long with present employer? ______

I hereby certify to the best of my knowledge that the above information is true and correct and I hereby

authorize _________________ to obtain any credit, job, and school, past rental history or references at its

discretion. I/we acknowledge that there will be a $____ application processing charge per applicant due at

lease signing.

Applicant’s Signature_______________________________________ Date_____________________