Apartment Rental Application

*Please provide as much information as possible

All dates should be entered in xx/xx/xxxx format

A $200 RENTAL DEPOSIT IS NON-REFUNDABLE 3 DAYS AFTER RECEIPT. NO DOGS ARE PERMITTED.

DATE Please enter in format: xx/xx/xxxx

PLEASE START HERE BY TELLING US ABOUT YOURSELF

Apartment to be occupied by:

PLEASE GIVE YOUR RESIDENCE HISTORY FOR THE PAST THREE (3) YEARS

Previous Address (if within 3 years)

PLEASE LIST YOUR REFERENCES

Applicant # 1

Applicant # 2

MOTOR VEHICLE INFORMATION

Applicant # 1

Applicant # 2

IN CASE OF PERSONAL EMERGENCY NOTIFY:

Name

TO FINALIZE THIS APPLICATION PLEASE SIGN AND DATE BELOW

How did you year about us?

Our WebsiteNewspaperReferred

If Website, list Search Engine Name & Search Words Used

If Newspaper, List Newspaper Name

If Referred, List Name of Reference

Date
Please enter in format: xx/xx/xxxx

APARTMENT APPLICATION and CREDIT CHECK CONSENT FORM

I hereby authorize Spivack Realty Co., Inc., Soundview Gardens Inc., and their agents to obtain information about me from my credit sources, current and previous landlords, employers and personal references.

I authorize credit bureaus to release my credit scores and current and previous landlords and employers as well as my personal references to disclose to Spivack Realty Co., Inc., Soundview Gardens Inc. and their agents any and all information about me that they may request from you.

Thank you.

Name(s)

Address

Phone #

Signature App #1

Signature App #2