Leasing Application

RENTAL APPLICATION FOR OCCUPANCY

Complete one application for each adult applicant.
IMPORTANT:
Submission of this application does not create a lease or guarantee approval. Use "N/A" where a field does not apply; do not leave required fields blank.
PROPERTY AND APPLICATION DETAILS
Building Name / Address
Apartment Number
Number of Rooms
Monthly Rent
Security Deposit
Requested Move-In Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Requested Lease Term
Application Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
APPLICANT INFORMATION
Full Legal Name (First, Middle, Last)

First NameMiddle InitialLast Name
Social Security Number
Please do not include dashes.
Date of Birth (MM/DD/YYYY)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Primary Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Current Mailing Address (if different from residence)
U.S. Citizen?
Visa / Immigration Status (if applicable)
EMERGENCY CONTACT
Full Name

First NameLast Name
Relationship to Applicant
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Mailing Address

RESIDENTIAL HISTORY

Provide complete contact information so the residence history can be verified.
CURRENT RESIDENCE
Street Address, Apartment / Unit

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Residence Phone Number
Format: (000) 000-0000.
Length of Residence (Years / Months)
Occupancy Type
Monthly Rent / Mortgage Payment
Current Landlord / Mortgage Company
Landlord / Mortgage Company Phone
Format: (000) 000-0000.
Mortgage Account Number (if applicable)
Landlord / Mortgage Company Address
Reason for Leaving
PREVIOUS RESIDENCE Required if current residence is less than 2 years
Street Address, Apartment / Unit
City, State, ZIP Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Landlord / Mortgage Company
Phone Number
Format: (000) 000-0000.
Term of Residence (Years / Months)
Reason for Leaving
Additional Residential History or Explanation

EMPLOYMENT, INCOME AND FINANCIAL INFORMATION

Provide current information and identify contacts who may verify the application.
CURRENT EMPLOYMENT AND INCOME
Employer / Company Name
Position / Title
Employer Address
Supervisor / HR Contact
Employer Phone Number
Format: (000) 000-0000.
Date of Hire

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gross Annual Salary / Income
Other Income or Compensation (source and annual amount)
SELF-EMPLOYED APPLICANTS:
Provide business name, ownership percentage, CPA contact, and the most recent two years of tax returns. Additional corporate or personal financial documentation may be requested during review.
FINANCIAL INFORMATION
Primary Bank / Financial Institution
Bank Phone Number
Format: (000) 000-0000.
Bank Address
Checking Account Number
Savings Account Number
Secondary Bank / Financial Institution
Bank Phone Number
Format: (000) 000-0000.
Bank Address
Checking Account Number
Savings Account Number

REFERENCES, OCCUPANCY AND APPLICANT AUTHORIZATION

Complete all applicable sections and review the certification before signing.
PROFESSIONAL AND BUSINESS REFERENCES
CPA Firm / Accountant
CPA Contact Name
CPA Phone Number
Format: (000) 000-0000.
CPA Email Address
example@example.com
Law Firm / Attorney
Attorney Contact Name
Attorney Phone Number
Format: (000) 000-0000.
Attorney Email Address
example@example.com
PROPOSED OCCUPANCY AND PETS
Number of Adults
Number of Children
Children's Ages
Number of Pets
Pet Type / Breed / Age
If applicable.
Pet Weight(s)
PET POLICY: Pets over 50 lbs. are not permitted.
Names and Relationships of All Other Occupants
APPLICANT DECLARATIONS
Have you ever been dispossessed, evicted, or subject to a landlord-tenant proceeding?
Are you applying for or renting this apartment under any name other than the legal name above?
If yes to either question, explain
AUTHORIZATION AND CERTIFICATION

I hereby authorize WAM Partners, c/o William Moses Co., and any applicable or related ownership, management, affiliated, or associated entities (collectively, the "Owner and/or Agent") to obtain, verify, and investigate information necessary to evaluate this rental application.

I authorize the Owner and/or Agent, and their respective officers, directors, members, managers, employees, agents, affiliates, attorneys, successors, assigns, and any third-party screening providers retained on their behalf, to obtain, verify, and investigate any information necessary or appropriate to evaluate this application, including, but not limited to, my credit history, criminal background (to the extent permitted by applicable federal, state, and local law), eviction and housing court history, employment, income, assets, banking and financial information, rental and residential history, references, public records, identity, and any other information relevant to my qualifications as a prospective tenant. I further authorize all employers, financial institutions, landlords, property managers, attorneys, accountants, references, consumer reporting agencies, government agencies, and any other persons or entities possessing such information to furnish and release such information to the Owner and/or Agent or their authorized representatives. I understand that one or more consumer reports and/or investigative consumer reports may be obtained in connection with this application in accordance with the federal Fair Credit Reporting Act ("FCRA") and all applicable federal, New York State, and local laws.

I certify and represent that all information provided by me in this application and in any documents or information submitted in connection with this application is true, complete, and accurate to the best of my knowledge. I understand that any false, fraudulent, misleading, or materially incomplete statement, representation, documentation, or omission may result in the rejection of this application or, if discovered after the commencement of a tenancy, may constitute grounds for termination or other action to the fullest extent permitted by applicable law. I acknowledge that the submission or processing of this application does not constitute an approval, lease, offer to lease, or agreement to rent, does not create a tenancy or other contractual relationship, and does not obligate the Owner and/or Agent to approve this application or enter into a lease. Approval or rejection of this application shall remain within the discretion of the Owner, subject to applicable law. I further understand that any application or processing fees collected, if permitted by applicable law, are non-refundable.

I acknowledge that the Owner and/or Agent may receive, transmit, store, process, or otherwise maintain personal, financial, and other confidential information provided by me or obtained in connection with this application and will take commercially reasonable measures to safeguard such information. However, to the fullest extent permitted by applicable law, I understand and agree that the Owner and/or Agent shall not be responsible or liable for unauthorized access, disclosure, acquisition, theft, loss, misuse, cyberattack, security incident, or data breach involving information maintained, transmitted, processed, or controlled by consumer reporting agencies, third-party screening providers, financial institutions, technology providers, vendors, or other third parties where such event is beyond the reasonable control of the Owner and/or Agent. Nothing contained herein shall waive, limit, or disclaim any right, responsibility, or obligation that cannot lawfully be waived, limited, or disclaimed under applicable federal, state, or local law.

I authorize the Owner and/or Agent to rely upon this authorization for purposes of processing and evaluating this application and agree that a photocopy, scanned copy, facsimile, electronic signature, or other electronic reproduction of this authorization and my signature shall be deemed an original and shall have the same force and legal effect as an original signed document.
Applicant Signature (full legal name)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Authorization language has been reformatted for clarity. Consult counsel before adopting for final legal use.

SUPPORTING DOCUMENTS FILE UPLOAD

Please upload all required materials. See next page for additional instructions.
REQUIRED ITEMS
IDENTIFICATION
Government-Issued Photo Identification OR Visa / immigration documentation

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INCOME VERIFICATION

Submit at least one of the following, unless additional documentation is requested:
- Employment verification letter
- Last two years' tax returns (first two pages)
- Three most recent pay stubs
- Other supporting income documentation
Income Verification

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ACCOUNT STATEMENT
Recent bank or brokerage account statement

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APPLICATION DOCUMENT CHECKLIST AND FEE INFORMATION

Use this page to confirm that all required materials are included. For questions, contact the leasing department.

LEASING CONTACT

Matthew S. Goldberg, Managing Director	O: (212) 828-7500 x109	Cell: (917) 213-0073	msg@wamnetworks.com
Shelby Rainey	O: (212) 828-7500 x105	Cell: (917) 309-0142	shelby@wamnetworks.com

REQUIRED ITEMS

Submit each of the following.

Your completed form, signed and dated.

Final signature and confirmation on next page.

Identification
Income Verification
Account Statement
Drop off your application fee.* $20 application fee for each applicant
APPLICATION FEE PAYMENT INFORMATION

*Please drop off all checks at our front desk of the Meurice, 145 West 58th Street.

Checks should be made payable according to the property applied for:

PROPERTY	CHECKS PAYABLE TO
145 West 58th Street	Meurice Equity Partners LLC
150 West 58th Street	Van Dorn Holdings LLC
575 West End Avenue	575 Associates Inc.
853 Seventh Avenue	W&HM Realty Partners Co. LLC

NEXT STEP
Complete the submission and confirmation page that follows, then retain a copy of the full package.
Incomplete applications may delay review and may require additional follow-up documentation.
Keep this checklist with the completed application package.

FINAL APPLICANT CONFIRMATION

Review your application and confirm the package is complete.
REFERRAL SOURCE
How did you hear about us?
Broker Name / Firm or Website
If other, please explain
APPLICANT CONFIRMATION
Please confirm by checking each:
Applicant Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: