image

180 W 80th St, New York, NY 10024

SECTION I - RENTAL APPLICATION INFORMATION

Today’s Date:

07-06-2023

Agent:

Application for Apartment At:

APT No:

Rent:$

/mo

*Lease Start:

*Lease End:

SECTION II – APPLICANT’S INFORMATION

*Last Name:

*First Name:

*Mobile Phone:

Office Phone:

*Email:

*DOB:

*SSN:

Emergency Contact:

Phone:

SECTION III – CURRENT RESIDENTIAL INFORMATION

*Residential Status:

*Monthly Payment:$:

How long

*Current Address:

*City:

*State:

ZIP:

Reason for Moving:

*Landlord’s Name:

*Phone:

SECTION IV – RESIDENTIAL HISTORY

Previous Landlord:

Phone:

*Previous Address:

*Phone:

*Monthly Payment:$

How Long:

Reason for Moving:

SECTION V - ADDITIONAL OCCUPANTS

Name:

Relationship:

 

DOB:

Name:

Relationship:

 

DOB:

Name:

Relationship:

 

DOB:

Do you have Pets?:

If yes, species, breed and weight:

SECTION VI - EMPLOYMENT AND INCOME INFORMATION

*Employment Status:

*Current Employer:

*Start Date:

*Occupation:

*Annual Income:$:

Bonus:$:

Other Income:$

Source of Other:

*Employer’s Full Address:

*Current Manager’s Name:

*Phone:

SECTION VII – EMPLOYMENT HISTORY

Previous Employer:

How Long:

Annual Income:$

Name of Previous Manager:

Phone:

SECTION VIII - FINANCIAL REFERENCES

*Name of Bank:

SECTION VIIII - BACKGROUND INFORMATION

Have you, or any potential occupants, ever been evicted, sued or dispossessed by any landlord?:

PLEASE READ CAREFULLY BEFORE SIGNING - This is an application only. The landlord is in no event bound, nor will possession be given unless a lease is executed by th e landlord and has been presented to the tenant. Guidance Realty shall in no event be liable and will be exonerated in respects to all matters concerning the application, approval process, or in connection with any and all lease or leases contemplated herein. By signing below, you acknowledge Guidance Realt y as your br oker for the apartment you are applying for. At the date and time of the actual lease signing, I agree to pay the standard broker’s fee as outlined in the fee agreement. No representations or agreements by agents, brokers or others are binding unless included in the written lease proposed and executed. I hereby warrant that all my representations and information set forth above are true. I acknowledge the truth of the informatio n contained herein is essential. I appoint Guidance Realty as my broker. I have reviewed Guidance Realty’s fee agreement and agree to pay the broker’s fee agreed upon. I understand that upon my signing a lease, the fee is due and the broker’s fee is not refundable. I further represent that I am not renting a room or an apartment under any other name or alias, nor have I ever been dispossessed from any apartment, nor am I presently in the process of being evicted or dispossessed. I represent that I am ov er 18 years of age. I authorize a credit search by social security number. I authorize the verification of all information contained within and authorize it to be released to the landlord, own er, management company and the landlord’s agents or other parties affiliated with the lease contemplated herein. I am aware that per section 8068 of the Fair Credit Reporting Act, I am permitted within a reasonable period of time to make a written request directed to the appropriate credit reporting agencies to request a complete a nd accurate disclosure of the nature and scope of any credit inquiry. I understand that this application and all documents submitted become the sole property of the owner and/or agent and will not be returned to me under any circumstances

*Printed Name:

Date:

07-06-2023