Lease Application : Phone: 914-834-8200 \ Fax: 914-834-8065
Applicant Name(s):
| Name: | Name: | |
| Address: | Address: | |
| City:State:Zip: | City:State:Zip: | |
| Phone:Other Phone: | Phone:Other Phone: | |
| Soc. Sec#:--DOB: | Soc. Sec#:--DOB: |
Tenant History:
| Reason for move: | Reason for move: | |
| Present Landlord: | Present Landlord: | |
| Phone: | Phone: | |
| Years at present address:Current Rent: | Years at present address:Current Rent: | |
| Prior Add: (if less than 2 yrs). : | Prior Add: (if less than 2 yrs). : | |
| Years at Prior Address: | Years at Prior Address: | |
| Previous Landlord:Phone: | Previous Landlord:Phone: | |
| Has either LL ever sued for non-payment of rent ? : | Has either LL ever sued for non-payment of rent ? : |
Employment Information:
| Employer: | Employer: | |
| Address: | Address: | |
| Position: | Position: | |
| Salary:per: | Salary:per: | |
| How long employed: | How long employed: | |
| Supervisor: | Supervisor: | |
| Phone: | Phone: | |
| Other source of income: | Other source of income: |
Credit Information:
| Credit Cards: | Credit Cards: | |
| Bank Name:Saving A/c#: | Bank Name:Saving A/c#: | |
| Bank Name:Saving A/c#: | Bank Name:Saving A/c#: |
Occupancy Details:
| Names of all persons who will occupy apartment | Soc. Secutiry # | Relationship to Applicant | Age | |||
Auto Information:
| Auto Make | Model | Year | Plate | Auto Make | Model | Year | Plate | |||||||
Pet:
| Pet | Type | |
Emergency : (in case of emergency contact)
| Name: | Phone: | |
| Name: | Phone: |
Guarantor Information
| Name of Guarantor: | Phone: | |
| Address: | Soc. Sec#:-- | |
I hereby authorize Landlord authorizes the Landlord and its associates, credit bureau’s, Banks, Financial Institutions, Attorney’s, Accountants and other persons or institutions with whom I am acquainted to furnish any information regarding me. I am willing that a photocopy or facsimile of this authorization be accepted with the same authority as the original. |
Signature of Guarantor X ________________________________ |
Character Reference:
| Character Reference Name: | Character Reference Name: | |
| Address: | Address: | |
| Phone: | Phone: |
It is hereby agreed that upon execution of this application, said applicant shall deposit with the Landlord, and/or its agent, a non-refundable fee of $ 40.00 per applicant to pay for the cost of checking the applicant’s credit history. Applicant hereby authorizes the Landlord and its associates, credit bureau’s, Banks, Financial Institutions, Attorney’s, Accountants and other persons or institutions with whom I am acquainted to furnish any information regarding me. I am willing that a photocopy or facsimile of this authorization be accepted with the same authority as the original. It is agreed that this application is subject to acceptance or rejection at any time by the Landlord at its sole discretion. This fee shall be non-refundable if the Applicant withdraws this application for any reason whatsoever.
| Applicant Signature X ________________________________ | Co-Applicant Signature X ________________________________ |