Fillable Printable New York Rental Application Form
Fillable Printable New York Rental Application Form
New York Rental Application Form
Present'Home'Address: City: State: Zip'Code: Le ngth'of'Residence:
Landlord'Name: Landlord'Phone'Number: Landlord'Fax'Number: Monthly'Rent:
Reason'for'Moving:
Previous'Home'Address: City: State: Zip'Code: Le ngth'of'Residence:
Landlord'Name: Landlord'Phone'Number: Landlord'Fax'Number: Monthly'Rent:
Reason'for'Moving:
Present'Occupation: Employer'Name: Name'of'Supervisor:
Employer'–'Human'Resources' Dept.'Phone'#: Employer'–'Human'Resources' Dept.'Fax'' #: Supervisor'Phone'Number:
Current'Income' Check'one: '
After'Deductions:' Weekly''''' BiNWeekly''''' Mo nthly''''' Yearly
Le ngth'of'Employment: W ork'Hours:'
AM' PM
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RENTAL'APPLIC ATION'FORM'
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SEPARATE'APPLICATION'REQUIRED'FROM'EACH'APPLICANT'AGE'18'OR'OLDE R'INCLUDIN G'SPOUSE'AND'CHILDRE N'
THIS'APPLICATION'AND'ITS'CONTENTS'ARE'CONSIDERE D'PART'OF'THE'LEASE.' PLEASE'FILL'OUT'ALL'THE'QUESTIONS'BELOW'
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Applican t)Information'
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Last'Name:
First'Name:
MI:
Sex: Home'Phone'Number: W ork'Pho ne'Number: Cell.'Phone'Number:
Social'Security'Number: Driver’s'Li cense'Number: State: Date'of'Birth:
Marital'Status: Single: Married: Divorced: Fiancé:
Presen t)Rental)Information)
Previous)Rental)Information)
Emplo ym en t)I nf ormation'
2
nd)
Job)Employm ent)Information'
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Present'Occupation: Employer'Name: Name'of'Supervisor:
Employer'–'Human'Resources' Dept.'Phone'#: Employer'–'Human'Resources' Dept.'Fax'' #: Supervisor'Phone'Number:
Current'Income' Check one:
After'Deductions:' Weekly'''' BiNWeekly''''' Monthly''''' Yearly
Le ngth'of'Employment: Work'Hours:'
AM' PM
Other)Source s)of)Income:'
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SSI'
Per'Month:
Food'Stamps'
Per'Month:
Child'Support'
Per'Month:
Other'Please'Describe:
In)Case)of)Em ergen cy,)Contact:'
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Name:
Phone'#:
City:
State:
Relationship:
Name:
Phone'#:
City:
State:
Relationship:
Rental)Assis tance'
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Rental'Assistance'/ 'Subsidy'Type:
Vou cher'Amount:
Expiration'Date:
Case'Number :
Case'Worker'Name:
Case'Worker'Pho ne'Number:
R esid ency)Information'
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HOW'MANY'OCCUPANTS 'WILL'BE'LIVING.' EACH' ADDITIONAL'ADULT'LIVING'' IN'THE' IF'THIS'IS'NOT'FILLED'OUT'
IN'THIS'APT'BESIDES'APPLICA NT' APT.'OVER'THE'AGE'OF'18'' YEARS'IS'REQUIRED' IT'INDICATES'THAT'NO'OTHER'PERSON'
SIGNED'ON'THIS'LEASE'PLEASE'LIST'ALL:' ' TO'FILL'OUT'A'SEPARATE'APP LICATION:' ' WILL'BE'LIVING'IN 'THE'APT.':
Total'Adults:
Total'Children'Under'18'Years':
Pets:' NO'PETS'ALLOWED
FULL'NAME' SEX' DATE'OF'BIRTH' RELATIONSHIP'TO'APPLICANT
Have)you)ever :'
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Filed'for'bankruptcy?'If'yes,'list'date'filed:'
Been'served'an'eviction'notice'or'been'asked'to'vacate'a'property'you'w ere'rentin g?'If'yes,'when?'
Willfully'or'in tentionally'refused'to'pa y'rent'when'due?' If'yes,'when?'
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Been'sued'f or'unlawful'deta in er?'If'yes,'when?'
Been'convicted 'of'or'committed'a'felony?'If'yes,'wha t? '
Been'charged'or'arrested'for'drug'possession'or'sale?'
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Referre d'to 'us'by :''''''''''''! Newspaper'( name)'''''''''''''''''''''''''''''! Realtor'(name)''''''''''''''''''''''''''''''''''''''''''''! Othe r''''''''''''''''''''''''''''''''''''' '
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I'hereby'deposit'with'the'management'company'a'rent'de posit'in'the'sum'of'$'''''''''' 'on'the'a bove'premises'pending'approval'of'this'application.'I'
understand'that'my'rent'deposit'may'be'applied'to'any'rent'loss,'reNre nta l'fee'etc.'If'I'don’t'bring'the'rest'of'the'deposit'by:'''''''' '/_'''''' /_'''''''''''''' 'if'
the'a pplication'is'approved'and'I’m'unable'to'fulfill'the'conditions'of'occupancy,'my'de posit'wi ll'not'be'returned.'The'deposit'will'only'be're turned'
if'this 'application'is'not'approved'providing'that'all'above'question'was'answered'truthfully.'All'returned'moneys'would'be'returned'with'a'check'
only.' I' hereby'consent'to' allow,'through'its' designated'agent' and'its'employees,' to'obt ain'and'verify'my'consumer'information'(inc lu ding'credit,'
crimi nal'and'public'records'information)'for'the'purpose'of'determini
ng'whether'or'not'to'lea se' to'me' an'apartment.'' I'understand'that'sho uld'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' dec lare' under' penalty' of' perjury' that' the' information'
listed'in'this'application'is't
rue'and'correct.'
Signature
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of
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Applicant:
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Date:
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Remarks'or'personal'statement'please'write'here:'' '
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FAILURE'TO'FILL'OUT'THE'APPLICATION'COMPLETELY'WILL'RESULT'IN'A'DELAY'OF'PROCESSING'YOUR'APPLICATION'
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RENTAL' ADDRESS''''N''' OFFICE'USE'ONLY
Rental'Property'Address:
Apt.'#:
Bedroom:
City:
State:
Interviewed'By:
Today’s'Date:
Move'in'Date:
Rent/Month:
