RESIDENTIAL RENTAL APPLICATION Back to main page
Address, Floor and/or Unit Troy NY 12180
Name
Phone______________ Email
Present Address
How Long There?
S.S. Number________-____-_______
Which state and country are you a citizen /
resident of
Present Landlord
Phone
Address
Annual Rent
Reason for Leaving
Full names of all individuals who will be
occupying premises
Have you ever been evicted, sued for nonpayment
of rent, or breached a lease ? (if so, explain)
Present Employer
Phone
Address
Occupation / Program
Gross Mo.Sal.
Length of Emp./ School Expected Departure Date
Parent / Guardian contact info; Names
Phone
Address (s)
I certify that the information on the residential rental
application is true and complete. I
authorize the verification
of this information by contacting any or all individuals and
financial institutions listed above. I
understand that this
is not a lease or an offer to rent. No binding obligation of any kind exists
between the owner and myself unless
and until a lease is signed. This application is subject to
prior applications. This Application
shall remain the
property of the owner.
Signature of
Applicant________________________________Date__________
NO
PERSON SHALL BE DENIED THE RIGHT TO RENT OUR PROPERTY
BECAUSE OF THEIR RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN
OR ANCESTRY. Back to main page