New York Rental Application
This rental application is designed for potential tenants seeking residential leases in the state of New York. It is important to ensure that all information provided is accurate and complete, as this application may be used to evaluate your suitability as a tenant according to relevant state laws.
Please fill out the following information:
- Applicant's Full Name: ________________________________
- Current Address: _____________________________________
- City: ____________________ State: _______________ Zip Code: ____________
- Phone Number: __________________________
- Email Address: ___________________________
- Social Security Number: ____________________
Employment Information:
- Current Employer: __________________________________
- Employer's Address: _______________________________
- City: ____________________ State: _______________ Zip Code: ____________
- Job Title: __________________________
- Monthly Income: _________________________
Rental History:
- Previous Address: ______________________________________
- City: ____________________ State: _______________ Zip Code: ____________
- Landlord's Name: ___________________________________
- Landlord's Phone Number: ______________________
- Dates of Tenancy: From ___________ To ____________
References:
- Reference Name: ____________________________________
- Relationship: _____________________________________
- Phone Number: __________________________
Additional Information:
- Have you ever been evicted? Yes / No
- Do you have any pets? Yes / No
- Vehicle Information (Make, Model, License Plate): __________________________________
By signing below, I acknowledge that the information provided above is true and accurate to the best of my knowledge. I consent to a background check as part of the rental application process.
Applicant's Signature: ______________________________
Date: ________________