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_____________________

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..
Privacy Notice:  All information provided on this form is kept confidential and is soley for the purpose of conducting real estate transactions with Your Neighborhood Realty.
There's No Place Like Home!