Furniture is not provided, for illustration purpose only.
Application for Apartment
(New York)
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Applicant
Name (Last, First, Middle)*
:
Social Security No:
Date of Birth:
Email*
:
Emergency Contact:
Phone Number:
Spouse
Name (Last, First, Middle):
Social Security No:
Date of Birth:
Current Residence
Address (Apt, Street, City, State & Zip):
Phone No:
How long there?
OWN/RENT
Present Landlord
Landlord Phone No:
Amt. Present Rent?
$
Lease Exp. Date
Apartment Desired
When Desired:
Apartment Selection:
Blue Spruce
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Total Occupants
Total No. of persons who will live in unit:
List below all occupants not mentioned above.
(1)
Occupant Name:
Relationship:
Date of Birth:
(2)
Occupant Name:
Relationship:
Date of Birth:
(3)
Occupant Name:
Relationship:
Date of Birth:
Work Infomation
Applicant
Spouse
Employer's Name
Employer's Address
How long Employed
Position
Supervisor's Name
Work Telephone
Annual Income
$
$
Bank Information
(1)
Bank Name:
Branch:
Type of Account:
(2)
Bank Name:
Branch:
Type of Account:
Vehicle Information
(1)
Year:
Make:
Model:
Color:
Liscense No:
(2)
Year:
Make:
Model:
Color:
Liscense No:
Ad Source*
How did you learn about this property?
Albany Times Union
ApartmentFinder.com
NY Apt. Guides
Apartments.com
Penny Saver
Apartments24-7.com
Record, The (Troy)
AptGuide.com
Renters Guide
ForRent.com
Saratogian
MyNewPlace.com
Web Site
ReloCentral.com
Rent.com
Other
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