New York Rental Application
This rental application is designed in compliance with New York state rental laws. Please complete all sections accurately.
Applicant Information:
- Full Name: _____________________________
- Date of Birth: _____________________________
- Social Security Number: _______________________
- Phone Number: _____________________________
- Email Address: _____________________________
- Current Address: _____________________________
- City: _____________________________
- State: _____________________________
- Zip Code: _____________________________
Rental History:
- Previous Address: _____________________________
- City: _____________________________
- Landlord's Name: _____________________________
- Landlord's Phone Number: ______________________
- Duration of Stay (From - To): _________________
Employment Information:
- Employer Name: _____________________________
- Job Title: _____________________________
- Supervisor's Name: _____________________________
- Employer Phone Number: ______________________
- Length of Employment: _____________________________
- Monthly Income: _____________________________
References:
- Reference Name: _____________________________
- Relationship: _____________________________
- Phone Number: _____________________________
Additional Information:
- Do you have any pets? Yes / No
- If yes, please specify: _____________________________
- Have you ever been evicted? Yes / No
- If yes, please explain: _____________________________
By submitting this rental application, I certify that all information provided is accurate to the best of my knowledge. I understand that any false information may disqualify me from obtaining the rental unit.
Signature: _____________________________
Date: _____________________________