Rental Application – Places NYC

WHICH UNIT ARE YOU APPLYING FOR?

Address *

Unit Number *

PERSONAL INFORMATION APPLICANT #1

*Every occupant over the age of 18 MUST fill out a separate application (even if married). Please fill out this form completely and sign where indicated.

Name *

Middle *

Last *

S.S# *

D.O.B *

State *

Phone (cell) *

Phone (home)

Phone (work)

Email *

Present Home Address *

City/State/Zip Code *

Length of Time *

Previous Landlord

Landlord Phone

Reason for Leaving *

Amount of Rent *

Was your Rent Up to Date? *

Annual Income *

Source *

PERSONAL INFORMATION APPLICANT #2 (IF APPLICABLE CLICK HERE TO OPEN)

PROPOSED OCCUPANTS

Name

Relationship

Occupation

Age

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PROPOSED PETS

Name

Type/Breed

Age

Add More Remove

EMPLOYMENT

Current Employer *

Occupation *

Hours per Week *

Supervisor *

Phone *

Years Employed *

Address *

City/State/Zip Code *

Previous Employer *

Occupation *

Hours per Week *

Supervisor *

Phone *

Years Employed *

Address *

City/State/Zip Code *

CREDIT CARD/FINANCIAL INFORMATION

Car loan Lien Holder

Balance Owed

Monthly Payment

Creditor's Phone

Credit Card Company

Balance Owed

Monthly Payment

Creditor's Phone

Credit Card Company

Balance Owed

Monthly Payment

Creditor's Phone

Child Support/Other Credit

Balance Owed

Monthly Payment

Creditor's Phone

Bank Account Name of Bank

Balance Owed

Monthly Payment

Account #

EMERGENCY/PERSONAL REFERENCE INFORMATION

Emergency Contact *

Phone *

Phone

Relation *

Address *

City/State/Zip Code *

Emergency Contact

Phone

Relation

Address

City/State/Zip Code

APPLICANT QUESTIONNAIRE/ AUTHORIZATION

Has Applicant Ever Been Sued for Bills? *

Yes

No

Has Applicant Ever Been Locked Out of Their Apartment by Sheriff? *

Yes

No

Has Applicant Ever Been Bankrupt? *

Yes

No

Has Applicant Ever Been Brought to Court by Another Landlord? *

Yes

No

Has Applicant Ever Been Guilty of a Felony? *

Yes

No

Has Applicant Ever Moved Owing Rent or Damaged an Apartment? *

Yes

No

Has Applicant Ever Broken a Lease? *

Yes

No

Is the Total Move-In Amount Available Now? *

Yes

No

Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. All information is true, accurate and complete to the best of the applicant's knowledge. Landlord reserves the right to disqualify tenant if information is not represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.

Signature *

Clear

Date *

In order to complete your application, please submit the following documents:
- First two pages of most recent tax return
- Current bank statements
- Letter of employment
- Landlord reference letter
- Pay stubs

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