Rental
Application
This
application will not be considered unless filled out completely.
All Security deposits are non-refundable unless Rockwood Gardens,
at it's sole description, rejects this application.
- Fill
it out completely
- Sign
it
- Provide
a copy of a Drivers License
- Provide
a copy of a Social Security Card
- Send
it to us
Each applicant
18 years or older must fill out their own application.
What
floor level? ________________
When
needed? ______________________ |
#
of Bedrooms ____ 1 ____ 2
Pet?
____ Type of Pet _______________ |
|
| Applicant
#1 (full name) ____________________________________________________ |
| Social
Security # ______________________ |
Date
of Birth __________________ |
| Martial
Status _____________________________ |
|
| Current
Address ___________________________ |
City
________________________ |
| State
________________ Zip _________________ |
Telephone
# __________________ |
| Current
Landlord _____________________________ |
Telephone
# __________________ |
| How
Long at Current Address? __________________ |
Rent
Amount $ _____________/mo |
| Reason
for Moving? ________________________________________________________ |
| Previous
Address _____________________________ |
City
________________________ |
| State
________________ Zip _________________ |
How
Long? __________________ |
| Previous
Landlord ____________________________ |
Telephone
# __________________ |
| Employer
___________________________________ |
Personnel
Telephone # __________ |
| Employer's
Address _____________________________________________ Zip ________ |
| Position
Held ________________________________ |
How
Long? __________________ |
| Annual
Income from Employment $ _______________ |
Additional
Income $ ____________ |
| Describe
Source of Additional Income ___________________________________________ |
| Phone
# if Applicable __________________________ |
|
Credit
References
| Name/Address
of Bank ____________________________________________ Zip __________ |
| Credit
Cards Held ___________________________________________________________ |
| Make
and Year of Car _________________________ |
License
Plate # _________________ |
| Driver's
License # ____________________________ |
Registration
# __________________ |
| Copy
of License _______________________________
Copy
of Social Security Card _____________ |
| In
Case of Emergency, Contact: |
|
| Name
________________________________________ |
Relationship
________ Tel# ________ |
| Address
_____________________________________________________________________ |
| City
_________________________________________ |
State
_______________ Zip _______ |
| Emergency
Contact #2: |
|
| Name
___________________________________________________ Tel # _______________ |
| Please
List All Other Persons Who Will Reside in this Apartment: |
| Name
________________________________ Relationship ______________
D/O/B _________ |
| Name
________________________________ Relationship ______________
D/O/B _________ |
| Name
________________________________ Relationship ______________
D/O/B _________ |
Note:
Having persons living in the apartment other than those listed would
be a breach of lease and may result in eviction.
This
does not represent an offer to lease an apartment, but is an application
only. Nothing will be binding on either party unless, and until
a Lease is fully executed by both the Landlord and Tenants (s).
I hereby
authorize the persons listed above to release to the Landlord any
information contained in this application, in order to process this
application.
I hereby
warrant that all my representations set forth above are true. I
further represent that I am not renting another residence under
any other name, nor have I ever been dispossessed from any apartment,
nor am I now being dispossessed.
*
No Pets Allowed *
Other
than cats within certain restrictions. See Landlord's agent for
details.
Signature
_____________________________________________________________ Date
_________________________
Received
by __________________________________________________________ Date
_________________________
Rockwood Gardens Associates
51 Rockwood Circle Apt. 20A Rental Office
Middletown, NY 10941
845-692-2939
Rental Application Terms
PLEASE READ ALL OF THE TERMS ON THIS FORM CAREFULLY AND SIGN BELOW:
This application is subject to the owners and/or agents review, and may be denied by them without designating the cause except as hereinafter provided. If and when a lease is made this application will be made a part of the lease. The truth of information contained herein is essential and if the owner / or its agents deems any answer or statement herein to be false or misleading, it shall be considered that any lease granted by virtue of this application may be cancelled immediately at our option. I hereby authorize Rockwood Gardens Associates and/or Snow Asset Management, Inc. as Management Agent to use any consumer reporting agency, credit bureau, or any other investigative agencies employed by such, to investigate the references herein and other data obtained from me or from any other person pertaining to my employment history, credit, prior tenancies, and character to obtain a consumer report and such other credit information, and to disclose such information to the subscriber in support of this application and in the event that a lease is made any time during the lease. I have been advised that I have the right under Section 606B of the Fair Credit Reporting Act, to make a written request, within a reasonable time, for a copy of my credit report should my application for a Lease be denied on the basis of information contained in the credit report. I further give permission to all references listed to respond confidentially to requests for information regarding my employment history, prior tenancies, and / or character. It is understood and agreed that in the event of a lease it will be used strictly as a residence and to be occupied by no more than_________ persons.
______________________________ ________________
Signature of Applicant Date |