Apartment Application
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1APARTMENT APPLICATION
CLAVERACK REALTY INC. - COLONIAL ARMS APARTMENTS
c/o W. Bruce Newman, POB 640, Claverack, NY 12513-0640 E-mail
Voice: 518-851-2856 Toll Free 888-406-9455
1. Drivers License number ______________ State of issue_________ Birthdate ____M ____D ____Y
2. Applicant name and address
Social Security number ____________________
______________________________
Current Telephone Numbers
______________________________
Home ___________________________
Work ____________________________
______________________________
Mobile ___________________________
3. Name of each person to live in apartment
_______________________________________________________________________________
4. Present/previous landlord name, address and phone number
(If own check here __)
_______________________________________________________________________________
_________________________________________________________
5. Length of time at present/previous residence (if less than two years, also give prior landlord name
and telephone number)
__________________________________________________________________________________
6. Occupation ______________________________________________________________________
7. Present salary or income (annual)
_____________________________________________________
8. Business name, address, telephone number ___________________________________________
__________________________________________________________________________________
9. Supervisor's name
_____________________________________________________________________________
10. Automobile(s): make, year, color _____________________ Tag number & state _____________
11. References:
Name & Address
Phone
Two credit references 1. _________________________________
_______________
___________________________________
2. _________________________________
_______________
__________________________________
One personal ref.
1. _________________________________
______________
____________________________________
Signature: ______________________________
Date ____________________
My signature indicates awareness of and grants approval for a credit check and opening a bank security account
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Parent category: Business