RMI Rental Application

RESIDENTIAL MANAGEMENT (NY) INC.

1651 Coney Island Ave, 4th Floor

Brooklyn, NY 11230

Tel: (718) 627-0600, FAX (718) 627-0600 Web: https://residential-ny.com

RENTAL APPLICATION

INSTRUCTIONS

The prospective tenant of the apartment should complete the annexed application and attach the following items to the application:

Complete applications in its entirety (sign and date where indicated If all the information is not provided, it will delay the processing of the application.
Copy of your last four (4) pay stubs.
Complete tax returns and W-2 forms for the past two (2) years, including all schedules (Federal and State).
Credit check signed by each applicant.
Statement of Financial Condition (form enclosed), copies of records, statements or agreements to support this statement, copies of the last three (3) bank statements
Verification of residence letter from landlord/management as to the length of time of your residence and payment history
Three (3) letters of reference (cannot be from relatives) for each occupant 18 years of age or older
Photo Identification for each individual 18 years of age or older

The undersigned confirms the accuracy of all the information contained in the application for sublet. All statements herein and detail pertaining thereto, both printed and written, have been carefully read and the undersigned hereby solemnly declares and certifies that same is a full and correct exhibit of my/our financial condition.

APPLICANT Print name*

Date*

Date

Signature*

COAPPLICANT Print name

Date

Signature

Full Name*

First NameLast Name

Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Present Landlords Name*

Present Landlords Address*

Present Landlords Phone*

Please enter a valid phone number.

Reason for leaving current apartment*

Start Date of Residence

Date

End Date of Residence

Date

Home Phone Number

Please enter a valid phone number.

Cell Phone Number*

Please enter a valid phone number.

Work Phone Number

Please enter a valid phone number.

Email

example@example.com

Date of Birth

Date

Social Security # or Citizenship/Alien ID #

Driver’s License #

State Issued

Others who reside with you, including name, age, and relationship

Occupation/Nature of Business

Name of Employer

Employers Address

Period of Employment From Date

Period of Employment To Date

Position Held

Prior Employment Dates (if current position is less than three (3) years

Provide an approximate start and end date

Actual Salary – Current Year

Actual Salary – Last Year

Name

Address

Phone Number

Please enter a valid phone number.

Name

Address

Phone Number

Please enter a valid phone number.

Name

Address

Phone Number

Please enter a valid phone number.

Income Last Year

	Applicant	Co-Applicant
Employment
Dividends
Interest
Rent
Alimony/Child Support
Sale of Capital Assets
Other

Enter n/a for any non-applicable fields.

Other, please itemize here

Life Insurance

	Applicant	Co-Applicant
Amount
Premium
Cash Value
Beneficiary

For the following assets and liabilities sections, please provide balances as of the last day of the month which immediately precedes the date of submission of this application.

Assets*

	Enter Amount
Cash
Checking accounts
Savings Accounts
Marketable Securities
Life Insurance Net Cash Value
Non-marketable Securities
Real Estate Owned
Automobiles/Pleasure craft owned
Vested interest in Retirement Fund
Net Worth of Business Owned
Furniture and Personal Property
Notes Receivable
Other Assets
TOTAL ASSETS

Liabilities*

	Enter Amount
Installment Debt Payable
Other Unsecured Debts
Real Estate Loans
Automobile/Pleasure Craft
Other Secured Loans
Other Liablities
Total Liabilities
NET WORKTH

Bank Information*

	Bank Name	Address of Institution	Account #'s	Balance (s)
Bank Name
Bank Name
Bank Name

Is this your current primary residence?*

YesNo

Street Address*

City*

State*

Zip*

Type of Property*

Cost of Property*

Present Value*

Amount of Loan*

Monthly Net Income*

Monthly Mortgage Payments*

Monthly Tax Insurance and Misc Fixed Payments*

Add Another Property*

YesNo

Is this your current primary residence?*

YesNo

Street Address

City

State

Zip

Type of Property

Cost of Property

Present Value

Amount of Loan

Monthly Net Income

Monthly Mortgage Payments

Monthly Tax Insurance and Misc Fixed Payments

Do you own any stocks*

YesNo

Stocks*

	# of shares	Type of Security	Insurer	Market Value	Monthly Divident/Interest
Stock 1
Stock 2
Stock 3
Stock 4

Do you have any installment Debts, including charge accounts?*

YesNo

Installment Debt*

	Creditor Name	Address	Account Number	Months Left	Unpaid Balance
Debt 1
Debt 2
Debt 3
Debt 4

Briefly describe any other liabilities

Please answer each question below.*

	Applicant Yes	Applicant No	Co-Applicant Yes	Co-Applicant No
Have you ever filed for bankruptcy?
Have you ever been evicted?
Are you a party in any lawsuit?
Have you had property foreclosed upon Or given title or deed in lieu thereof?
Do you have any outstanding judgments?
Are you obligated to pay for child support or maintenance?
Are you a co-maker or endorser on a Note?

If you answered Yes to any question above please explain in the space below

I/We, the undersigned, hereby acknowledge my/our understanding of the following:

Management will utilize my/our application to obtain background information regarding the application.
Management may require additional information.
In no event will the Corporation or its agents be responsible for any liabilities or expenses incurred by any applicant whose application is disapproved.
Falsification of any of the following information, or omission of material information herein, may result, without limitation, in revocation of the approval.
The undersigned hereby authorizes management to contact any of the employers, banks, landlords, educational institutions, references, etc., described herein to elicit information bearing upon this application.
The undersigned confirms the accuracy of all the information contained herein.
The undersigned acknowledges that, if this Application is accepted, the undersigned will not, without prior written consent:

Permit non-family members to reside in the Apartment for more than one month.
Use the Apartment for purposes other than residential purposes;
Violate any provision of the Lease.

APPLICANT Print name*

Date*

Date

Signature*

COAPPLICANT Print name*

Date

Signature of Coapplicant*

Our policy is to screen all applicants for the purpose of collecting relevant information, including but not limited to a credit profile search, interview with you, your friends, neighbors, present and past employers, and other references.

I/we have read the above agreement and agree to its terms. I/we do hereby permit the management, its attorneys, managing agents, etc. to conduct a credit search and obtain information from others regarding my/our background. I/we have received a copy of this document and credit profile search, and I authorize same.

APPLICANT Print name*

Social Security*

Date*

Date

Signature*

COAPPLICANT Print name

Social Security

Date

Signature

The application information provided by you may be used to obtain a tenant screening report; the name and address of the consumer reporting agency or agencies which will be used to obtain such report is/are: Trans Union, 2 Baldwin Place, P.O. Box 2000, Chester, PA, 19022; Equifax, P.O. Box 740241, Atlanta, GA, 30374, Experian, 475 Anton Blvd., Bldg. D, Costa Mesa, CA, 92626. Pursuant to federal and state law:

(1) If we take adverse action against you on the basis of information contained in a tenant screening report, we must notify you that such action was taken and supply you with the name and address of the consumer reporting agency that provided the tenant screening report on the basis of which such action was taken;

(2) If any adverse action is taken against you based on information contained in a tenant screening report, you have the right to inspect and receive a free copy of that report by contacting the consumer reporting agency;

(3) Every tenant or prospective tenant is entitled to one free tenant screening report from each national consumer reporting agency annually, in addition to a credit report that should be obtained from www.annualcreditreport.com and

(4) Every tenant or prospective tenant may dispute inaccurate or incorrect information contained in a tenant screening report directly with the consumer reporting agency.

Upon signing this document, I attest that I have read, accept, and understand the aforementioned.

APPLICANT Print name*

Date*

Date

Signature*

COAPPLICANT Print Name

Date

Signature

RENTAL APPLICATION

INSTRUCTIONS

CONFIRMATION OF INFORMATION

General Information

Employment

Personal References

Reference 1

Reference 2

Reference 3

Financial Information

Owner Property

Property 2

Stocks

Installment Debt

History

ACKNOWLEDGEMENTS

AUTHORIZATION TO COLLECT INFORMATION

NOTICE UNDER NYCAC 20-808