|
Rental Application |
MAIN LEASING OFFICE
TOLL FREE
PHONE: 914-834-4488
FAX: 914-834-8065
Contact us
via email
www.harborviewrealestate.com |
| Date: ______ How did you here about
us:_____________ Preferred move-in date: _____ Bldg/Unit #: ____ |
| 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 __________ |
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| 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 ? |
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| 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: |
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| Credit
Information |
| Credit Cards: |
Credit Cards: |
| Bank Name: _______________ Savings
Acct#:_______________ |
Bank Name: _______________ Savings
Acct#:_______________ |
| Bank Name: _______________Checking
Acct#:_______________ |
Bank Name: _______________Checking
Acct#:_______________ |
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| Occupancy
Details |
| Names of all persons who will
occupy apartment: |
Soc. Security #: |
Relationship to
Applicant: |
Age: |
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| Auto
Information |
| Auto Make |
Model |
Year |
Plate |
Auto Make |
Model |
Year |
Plate |
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| Pet
Information |
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| Emergency Contacts (in case of
emergency contact) |
| Name: |
Phone: |
| Name: |
Phone: |
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| Guarantor
Information |
| Name of
Guarantor: |
Phone: |
| Address: |
Social 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__________________ |
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| Character
Reference |
| Character Reference Name: |
Character Reference Name: |
Address:
Phone: |
Address:
Phone: |
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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. |
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Applicant Signature:
________________________________________
Co-Applicant:
_____________________________________________ |