New York Rental Application
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2New York Rental Application
Date:
Application Number:
Property Address:
Name
Are you 18 years of age or over? __Yes __No SS Number:
Home Phone
Work Phone
Have you ever been convicted of any crime? __Yes __No If yes, explain on back of
application.
Present Address
How long at this address
Rent $
Reason for moving
Landlord
Phone
Previous Address
How long at this address?
Rent $
Reason for moving
Landlord
Phone
Have you been evicted? __Yes __No If yes, indicate date
Other household occupants:
Name
Any pets?
Describe:
Waterbed? __Yes __No
Do you or any of the prospective occupant smoke? __Yes __No
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Parent category: Business