New York Rental Application
This rental application complies with New York State laws regarding tenant screening and fair housing practices.
Applicant Information
Please fill out the following information:
- Full Name: ______________________
- Date of Birth: ______________________
- Sociial Security Number: ______________________
- Current Address: ______________________
- City, State, Zip: ______________________
- Phone Number: ______________________
- Email Address: ______________________
Rental History
Provide your previous rental information for the last three years:
- Previous Landlord Name: ______________________
- Address: ______________________
- Phone Number: ______________________
- Dates of Tenancy: ______________________
- Previous Landlord Name: ______________________
- Address: ______________________
- Phone Number: ______________________
- Dates of Tenancy: ______________________
- Previous Landlord Name: ______________________
- Address: ______________________
- Phone Number: ______________________
- Dates of Tenancy: ______________________
Employment Information
Please provide your current employment details:
- Employer Name: ______________________
- Position: ______________________
- Salary: ______________________
- Employer Address: ______________________
Additional Information
Are there any additional occupants or pets?
- Additional Occupants: ______________________
- Pets: ______________________
Signature
By signing below, you authorize the landlord to conduct background checks and verify the information provided in this application.
Applicant Signature: ______________________
Date: ______________________