Apartment Rental Application
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
SSN:
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you lived here?
*
Reason for moving:
*
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Rental History
Previous Address #1
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord Name
*
First Name
Last Name
Landlord Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How long did you live here?
*
Reason for leaving
*
Previous Address #2
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord Name
*
First Name
Last Name
Landlord Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How long did you live here?
*
Reason for leaving
*
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Employment Information
Current Employer
*
Company Name
Street Address
City
State / Province
Postal / Zip Code
Postion
*
How long have you worked here?
*
Supervisor
*
First Name
Last Name
Supervisor's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Monthly Income
*
Company
*
Company Name
Street Address
City
State / Province
Postal / Zip Code
Postion
*
How long have you worked here?
*
Supervisors Name
*
First Name
Last Name
Supervisor's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Monthly Income
*
Additional Income (if any)
*
Source & Income Amount
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References
Personal Reference #1
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Reference #2
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Co-Applicant Information
*If Applicable
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
SSN:
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you lived here?
Reason for moving:
Back
Next
Co-Applicant Rental History
Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord Name
First Name
Last Name
Landlord Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How long did you live here?
Back
Next
Co-Applicant Employment Information
Current Employer
Company Name
Street Address
City
State / Province
Postal / Zip Code
Postion
How long have you worked here?
Monthly Income
Postion
How long have you worked here?
Additional Income (if any)
Source & Amount of Income
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Co-Applicant's References
Personal Reference #1
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Reference #2
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Vehicle Information
Vehicle #1
*
Vehicle #2
Emergency Contacts
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Pet Information
**Note:** Pets are considered on a case-by-case basis and not guaranteed. Additional fees or restrictions shall apply.
Do you have pets? If so, please provide us with how many, type, breed, weight, and age(s).
*
Unit Information
What type of unit are you looking for? (Select all that apply)
*
1 Bedroom
2 Bedroom
Furnished Apartment
Unfurnished Apartment
Desired Property Location
*
Please Select
23 Dix Ave, Glens Falls
4 Cottage Place, Glens Falls
3 Montcalm Street, Glens Falls
Please upload drivers license, credit report, proof of income, and bank statements.
*
I (applicant) certify that all the information provided is true and complete. I authorize the landlord to conduct background and credit checks as needed to evaluate this rental application.
*
Applicant Signature
I (co-applicant) certify that all the information provided is true and complete. I authorize the landlord to conduct background and credit checks as needed to evaluate this rental application.
Co-Applicant Signature
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