7 Deppe Place | Staten Island | NY | 10314 | 718 698-7638

APPLY ON LINE

Click Here To Print An Application

APPLICANT INFORMATION

  • First Name
    Middle Initial
    Last Name
  • Date of Birth
       
    SSN
    Driver's License Number & State
     
  • E-Mail
    Home Phone
    Cell Phone
  • Apartment Size Needed?
    Move-in Within
    Do you have a co-applicant?

Current Address

  • Street
    Apt Number
    City                                                           State       Zip
       
  • How long have you been residing at your current address?
    Rent / Own
    Monthly Payment
  • Landlord / Mortgage Company
    Landlord's Telephone Number

Co-APPLICANT INFORMATION

  • First Name
    Middle Initial
    Last Name
  • Date of Birth
       
    SSN
    Driver's License Number & State
     
  • E-Mail
    Home Phone
    Cell Phone

Co-Applicant's Current Address

  • Street
    Apt Number
    City                                                           State       Zip
       
  • Time At
    Rent / Own
    Monthly Payment
  • Landlord / Mortgage Company
    Landlord's Telephone Number
 

Employer

  • Employer Name
    Position
    Number of Years
  • Supervisor
    Gross Salary           Net Salary
    Pay Period

Employer's Address

  • Street
    City                                                           State       Zip
       
  • Phone
    Extension

Other Sources of Income

  • Additional Income Source
    Amount                       Rate
     
    How to Verify
  • Additional Income Source
    Amount                       Rate
     
    How to Verify

Occupants

  • Name
    Relationship
    Date of Birth
       
  •    
  •    
  •    
  •    

VEHICLES TO BE PARKED ON COMMUNITY

  • Vehicle Type
    License Number
    Color                             Year
     
  •  

EMERGENCY CONTACT

  • Name
    Relationship
    Phone
  • Street
    State       Zip
     

REFERENCES

  • Name of Bank
    Account Type
  • Street
    State       Zip
     
    Phone
  • Personal Reference
  • Street
    State       Zip
     
    Phone
  • Nearest Family Member
  • Street
    State       Zip
     
    Phone
  • Emergency Contact
  • Street
    State       Zip
     
    Phone

HOW DID YOU HEAR ABOUT US?

APPLICANT INFORMATION

  • First Name
    Middle Initial
    ...
    Last Name
  • Date of Birth
    ,
    Social Security Number
    Driver's License Number & State
  • E-Mail
    Home Phone
    Cell Phone

Address

  • Street
    Apt Number
  • City
    State
    Zip
  • Time At
    Rent / Own
    Monthly Payment

INSTRUCTIONS



TO HELP PROCESS YOUR APPLICATION, PLEASE BRING THE FOLLOWING DOCUMENTS:

1. Two recent rent receipts
2. A copy of your recent lease
3. Three (3) or more recent pay stubs
4. Drivers license, SS#, or any two other comparable forms of government identification
5. All adult persons to live in the apartment must supply name and social security number. Each adult person must fill out an individual application.


Applicant may not take possession of the apartment until this Application is accepted by the Landlord. Two separate payments are required. The first payment for the first month’s rent and a second separate payment for the one month security deposit. These payments must be made by Money Order or Certified Bank Check. No cash payments are accepted.

CREDIT INQUIRY
As part of this application process, the Landlord may seek information concerning the applicant’s credit, criminal, and/or employment history through a credit reporting agency. Each application hereby absolves and holds harmless the owners and managers of this property, their agents, employees, successors and assigns, and any other parties connected with said credit inquiry, from any liability for any injury or damage suffered or sustained by the undersigned as a result of the above names credit inquiry and any associated activities thereof. I am over 18 years of age.

I HAVE AGREED TO BOTH PAGES OF THIS APPLICATION. I AGREE TO ALL OF ITS PROVISIONS. ALL INFORMATION PROVIDED IS COMPLETE AND ACCURATE.
  • Signature
    Date