New York Rental Application Form

The New York Rental Application form is a form which must be filled by the person who wishes to rent an apartment. The property that the person wishes to rent must be in the State of New York. This application is not a lease agreement, it is simply an application form, to be filled by the person who wishes to rent.

The application form is meant for the landlord and is supposed to get basic details of the person. This form is what helps the landlord make decisions. The form is fairly straight forward. It requires the address of the property the person is interested in, along with the apartment number. The contents of the application form are considered part of the lease.The basic information of the applicant such as their name, gender, phone number, social security number, driver’s license number, date of birth, marital status and their state is asked for in the form.The present rental information of the applicant forms the next part of the form. It includes the applicant’s current address, length of residence, name of the landlord, landlord’s number, current rate of rent and the reason for moving.

New York Rental Application Form

The next part of the form is about your renting history, with your previous home address and details of that landlord.
The next section is about the applicant’s employment information. This includes the name of the employer, along with contact information of the employer, or the human resource dept. in case of a company. It also includes questions about the current income and working hours of the applicant. The same information is asked about the applicant’s second job as well. Other sources of income, per month, such as child support are also asked about.Emergency contact numbers and your relationship with the people must be mentioned in the form. Rental assistance section asks for the name and number of your case worker, if it is applicable.

The residency information section covers questions regarding who will be staying the apartment and if pets are allowed in the apartment or not. The last section is a list of questions such as, whether the applicant has ever filed for bankruptcy or if they have a record. It includes a space for any personal comments and the signature of the applicant along with the date.

Text Version of this Form

Building Address:
Apt #

RENTAL APPLICATION FORM

SEPARATE APPLICATION REQUIRED FROM EACH APPLICANT AGE 18 OR OLDER INCLUDING SPOUSE AND CHILDREN THIS APPLICATION AND ITS CONTENTS ARE CONSIDERED PART OF THE LEASE. PLEASE FILL OUT ALL THE QUESTIONS BELOW

Applicant Information

Last Name:First Name:MI:
Sex:Home Phone Number:Work Phone Number:Cell. Phone Number:
Social Security Number:Driver’s License Number:State:Date of Birth:
Marital Status:Single:Married:Divorced:Fiancé:
Present Rental Information
Present Home Address:City:State:Zip Code:Length of Residence:
Landlord Name:Landlord Phone Number:Landlord Fax Number:Monthly Rent:
Reason for Moving:
Previous Rental Information
Previous Home Address:City:State:Zip Code:Length of Residence:
Landlord Name:Landlord Phone Number:Landlord Fax Number:Monthly Rent:
Reason for Moving:
Employment Information
Present Occupation:Employer Name:Name of Supervisor:
Employer – Human Resources Dept. Phone #:Employer – Human Resources Dept. Fax #:Supervisor Phone Number:
Current IncomeCircle one:Length of Employment:Work Hours:
After Deductions:Weekly/Bi-Weekly / Monthly/ YearlyAMPM
2nd Job Employment Information
Present Occupation:Employer Name:Name of Supervisor:
Employer – Human Resources Dept. Phone #:Employer – Human Resources Dept. Fax #:Supervisor Phone Number:
Current IncomeCircle one:Length of Employment:Work Hours:
After Deductions:Weekly/Bi-Weekly / Monthly/ YearlyAMPM

 

Other Sources of Income:

SSIFood StampsChild SupportOther Please Describe:
Per Month:Per Month:Per Month:

In Case of Emergency, Contact:

Name:Phone #:City:State:Relationship:
Name:Phone #:City:State:Relationship:

Rental Assistance

Rental Assistance / Subsidy Type:Voucher Amount:Expiration Date:
Case Number:Case Worker Name:Case Worker Phone Number:

Residency Information

HOW MANY OCCUPANTS WILL BE LIVING.EACH ADDITIONAL ADULT LIVING IN THEIF THIS IS NOT FILLED OUT
IN THIS APT BESIDES APPLICANTAPT. OVER THE AGE OF 18YEARS IS REQUIREDIT INDICATES THAT NO OTHER PERSON
SIGNED ON THIS LEASE PLEASE LIST ALL:TO FILL OUT A SEPARATE APPLICATION:WILL BE LIVING IN THE APT. :
Total Adults:Total Children Under 18 Years :Pets:NO PETS ALLOWED
FULL NAMESEXDATE OF BIRTHRELATIONSHIP TO APPLICANT

Have you ever:

Filed for bankruptcy? If yes, list date filed:

Been served an eviction notice or been asked to vacate a property you were renting? If yes, when?

Willfully or intentionally refused to pay rent when due? If yes, when?

Been sued for unlawful detainer? If yes, when?

Been convicted of or committed a felony? If yes, what?

Been charged or arrested for drug possession or sale?

Referred to us by:       o Newspaper (name) ________________ o Realtor (name) _________________________ o Other______________________

All fees and deposits are non-refundable. Must be paid by money order only. No exceptions.

Signature of Applicant:  _____________________________________________    Date:  _________________

Remarks or personal statement please write here:_________________________________________________________________________

________________________________________________________________________________________________________________________

FAILURE TO FILL OUT THE APPLICATION COMPLETELY WILL RESULT IN A DELAY OF PROCESSING YOUR APPLICATION