BUILDING ADDRESS: APT #:
BEGINNING DATE:
Married or Single?
APPLICANT: SOCIAL SECURITY #:
DATE OF BIRTH: EMAIL:
CELL PHONE: HOME PHONE: WORK:
CURRENT ADDRESS: APT #:
CITY: STATE: ZIP:
MONTHLY RENT: HOW LONG?
HAVE YOU EVER BEEN EVICTED? ARE YOU CURRENTLY UNDER EVICTION?
CURRENT LANDLORD: LANDLORD PHONE:
REASON FOR LEAVING:
PREVIOUS ADDRESS IF LESS THAN 5 YEARS:
CITY: STATE: ZIP: HOW LONG:
PREVIOUS LANDLORD: PHONE:
EMPLOYER NAME OR BUSINESS NAME:
LENGTH OF EMPLOYMENT:
ADDRESS: PHONE:
SUPERVISOR NAME: PHONE:
ANNUAL BASE SALARY:
ADDITIONAL INCOME:
NUMBER OF OCCUPANTS: (Check all that apply)
PETS:
If yes, what type:
MONTHLY RENT OF SUBJECT PROPERTY:
SECURITY DEPOSIT: Subject to Credit Approval
PERSONAL REFERENCES:
1.
2.
3.
BANK (1): ADDRESS:
ACCT#:
BANK (2): ADDRESS:
ACCT#:
CPA: ADDRESS:
PHONE:
EMERGENCY CONTACT: RELATIONSHIP:
NOTICE ABOUT TENANT SCREENING REPORTS
Tenant screening reports from consumer reporting agencies are sometimes used to assist landlords in making rental decisions. In regard to such reports:
We may obtain consumer credit reports from the following:
TransUnion Experian Equifax
Consumer Solutions P .O. Box 45 Equifax Information Services LLC
P.O. Box 2000 Allen, TX 75013 P.O. Box 740256
Chester, PA 19016-2000 Atlanta, GA. 30374
Powerhouse Realty Group is committed to providing equal housing opportunity. We do not discriminate on the basis of race, color, national origin, religion, sex, familial status, disability, age, marital status, sexual orientation, gender identity, source of income, alienage/citizenship status, domestic partnership status, Lawful occupation, and any other characteristics protected by law.
A $100 ADMINISTRATIVE FEE WILL BE CHARGED PER APPLICANT. I AUTHORIZE POWERHOUSE REALTY GROUP TO RUN CREDIT AND BACKGROUND CHECK(S).
99 Wall Street | Suite 1715 | NEW YORK, NY 10005 | 718.662.9771
UPLOAD ID:
