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Application for Lease

ph    212-226-4188
fax   212-226-0840

credit check fee $45

Please print, fill out and fax.

Date:		Social Sec#: _____-___-_____
Name:
Address:
City:	State:		Zip:
Hm Phone:		Fax:
Wk Phone:

 

Second Applicant		Social Sec#: _____-___-_____
Name:
Address:
City:	State:		Zip:
Hm Phone:		Fax:
Wk Phone:

 

Landlord's Name:	Phone:
Landlord's Address:
Previous Address:
Rent Paid:	Length of Tenancy:

 

Occupation:	Current Salary:
Co Name & Add:	# of yrs working:
Dept Head Name:	Phone:

 

Bank Name:	Bank Acct #:
Bank Address:
Bank Name:	Bank Acct #:
Bank Address:
Charge Accounts:

 

Emergency Contact::	Phone:
Emergency Contact Address:
Number of Persons to Occupy Apartment:
Any Pets (specify dog breed and size):

Broker Name:	Phone:
Broker Co:	Fax:

I (print name)_____________________hereby authorize (print address of rental) ________________ Street Company, LLC. To obtain a credit report and Landlord and Tenant search from a recognized credit reporting service.  I hereby warrant that all of the above is true.  It is understood that this application shall be subject to the Landlord's approval, and any deposit accepted with this application shall be returned to the applicant only upon the Landlord's rejection of this application.  This is not a lease.

Print Name_______________________________________                        

Signature of Applicant_______________________________