Rental Application

Please make sure to fill out as accurately and clearly as possible.

Name
xx/xx/xxxx
Please list the names and ages of all those that will reside with you at this property (Those over the age of 18 must also provide Social Security Number)
Please list the names and ages of all those that will reside with you at this property (Those over the age of 18 must also provide Social Security Number)
Please list the names and ages of all those that will reside with you at this property (Those over the age of 18 must also provide Social Security Number)
Utilities Included?
How often do you receive income?
You the applicant certify that all the above information is true and complete, and hereby authorizes verification of said information. Applicant acknowledges that false information herein May constitute grounds for rejection of this application eviction of and even forfeiture of deposits and may constitute a violation of New York State Laws. AGREEMENT TO LEASE: Upon approval of this application, applicant agrees to execute a written rental agreement for Property Unit, accepting financial responsibility for applied unit.