Agent:______________________ Date:_______________________ Applicant Name: _______________________________ Social Security#________________________ Co Applicant Name:______________________________ Social Security#_________________________ Home Phone: (_____)___________________________ D.O.B. Appl:____/___/___ Co Appl:___/___/___ Number of bedrooms/or s.f. ______________ Maximum Rental_________________ When Needed __________ Number of occupants: _____ Pets_____ Check all copies you can provided below *Copy of Drivers License or valid photo ID required. Copy of Drivers License___ Verified Income Statement____ Copy of Bank Statement___ Letter of Guaranttee_____ Rent Recipts____ Reference from College or Employer____ Current Address __________________________Landlord______________________Tel:(____)___________ How long there?_____Rent_____________ Reason(s) for Leaving_________________________________ Prior Address__________________________Landlord________________Tel:(_____)___________ How long there?________Rent____________ Reason(s) forLeaving_________________________________ Present Employer/Company Name:______________________________ From____to____ Supervisor Tel:(_____)_____________Address____________________________ Salary____________ Bank____________________________ Account#_______________________________ Other References other than Landlord and Employer Already Provided Above: Name__________________________Tel:(____)_______________ Relationship_____________________ Name__________________________Tel:(____)_______________Reltionship_______________________ I/We confirm that all the information I/we have supplied is true and correct. I/we understand that I/we can be turned down for the apartment if I/we have falsifed any information on this application. I/we hereby authorize the verification of all above information by YOUR NEIGHBORHOOD REALTY(or any authorized credit service), including my credit, rental, check writing, employment history including salary and public record information, including criminal background and housing court filings. Applicant's Signature________________________________________________Date___________ Co-Applicant's Signature_____________________________________________Date___________ |
| Your Neighborhood Realty Licesend Real Esate Broker 25-82 Steinway Street Astoria, N.Y. 11103 Tel:(718)726-8700 Fax:(718)726-4567 |
| Application For Apartment: Please print and fill out the Application completely and call to make an appointment before submitting this form either in person or via fax to one licensed real estate agents.. |
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