BROOKLYN RENTALS NYC RENTAL APPLICATION

BLDG. ADDRESS: APT. #: SHOWED BY: SHOWED DATE:

LENGTH OF LEASE: To COMMENCE: TO EXPIRE: MONTHLY RENT:

APPLICANT INFORMATION

NAME: S.S.#.: DOB.#:

DRIVER'S LICENSE #: STATE: PETS (SPECIFY):

HOME PHONE: WORK PHONE: CELL: EMAIL:

CURRENT ADDRESS: APT#: CITY: STATE: ZIP:

REASON FOR MOVING: MONTHLY RENT: TERM:

PREVIOUS ADDRESS: MONTHLY RENT: TERM:

ADDITIONAL APPLICANT: (PLEASE SUBMIT ADDITIONAL APPLICATION FOR 2ND APPLICANT)

BUSINESS OR SOURCE OF INCOME

PRESENT OCCUPATION: EMPLOYER:

ADDRESS: DATES OF EMPLOYMENT:

SUPERVISOR: PHONE#:

ANNUAL INCOME: ADDITIONAL SOURCES OF INCOME:

ALIMONY/CHILD SUPPORT OR LOAN PAYMENTS:

REFERENCES

PRESENT LANDLORD: ADDRESS: PHONE:

PREVIOUS LANDLORD: ADDRESS: PHONE:

BANK: CHECKING: Y/ N SAVINGS: Y/ N OTHERS: Y/ N

PERSONAL REFERENCE: ADDRESS: PHONE:

HAVE YOU EVER FILED FOR BANKRUPTCY? Y / N BEEN EVICTED? Y / N BEEN CONVICTED OF A FELONY? Y / N

HISTORY OF BED BUGS IN PRESENT APARTMENT? Y / N IN PREVIOUS APARTMENTS? Y / N

ADDITIONAL OCCUPANTS

ADULTS: NO. OF CHILDREN: AGES:

A NON-REFUNDABLE APPLICATION FEE OF $60.00 IS REQUIRED FOR EACH APPLICANT (GUARANTORS $120.) YOU CAN MAKE A PAYMENT BY CASH, MONEY ORDER OR CERTIFIED
CHECK ONLY.

EMERGENCY CONTACT: ADDRESS: ZIP PHONE:

I DECLARE THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT. I HEREBY AUTHORIZE BROOKLYN RENTALS NYC INC. TO REQUEST A COPY OF MY CREDIT
REPORT, VERIFY MY REFERENCES AND CREDIT AS THEY RELATE TO MY TENANCY AND TO FUTURE RENT COLLECTIONS. I UNDERSTAND THIS INFORMATION IS BEING
HELD CONFIDENTIALLY. I ALSO UNDERSTAND THAT IF I PLACE A DEPOSIT FOR AN APARTMENT AND DECIDE NOT TO RENT IT - THE DEPOSIT IS NON-REFUNDABLE.

SIGNATURE: DATE:
Documents required from all parties:

Photo lds
Copy ofS.S. card
Letter of employment stating income, position, and length ofemployment OR offer letter.
Last 2 paystubs
Last 2 yeais tax returns
Last 2 bank statements
Any other prcof of source of income

Applicatlon cost:

$60 for each applicant

$120 for each guarantor
$500 Good fajth deposit - will be applied towards first month's rent. (Refundable should applicant be
denied for the apartment). lf approved and the applicant backs out, the deposit is forfeited.

At lease signing:

First month's rent, last month's rent and 1 month's security deposit.

Utilities are not included in the rent. Heat, gas and eleckic are billed to the tenants directly from supplier.