APPLICATION FOR OCCUPANCY 1 Package 2— Credit Repo, Score SS Frat © Criminal History sear ~All 62 NY Coues Parkway Realty ls sae wide LandlorTenct Report Bad check sean 1 Landlord Veriton 1 Home Visit Interview end pitts 1 Employment Version FOR: OCCUPANCY AT Art. #_ MAINTENANCE l = — LIGANT. INFORMATION | Bis agp ——_BRTHDATE Driver's Licensee stare:____ soc. se¢:__1 cet: ccunnexts_ = 2 PHONE: PENTRU Laxoioso ea PHONE: RENTS_____MovespaTe LEASE EXP, DATE:__/. roman How toxe PHONE INNO cunaent PHONE: posmiox NAME OF SUPERVISOR PHONE: START DATE:_ TNFE OF BUSINESS ANNUALINCOMES L + : —_ a nec Tyre DATE OPENED AVG. BALANCE: 5 [——GTHER RESOENTS TOOSGUPYABT. | SOGAL SECURITY RUMBER RETO Se) bos i | ie | 5 ian | ‘CARS: MODEL. YEAR, LICENSE. MODEL, bo You HAVE ANY PETS? YES ONO pocO cat@ orneRt, IN CASE OF EMERGENCY, CONTACT APPLICANT’S SIGNATURE