Applications for Apartments for Rent Ithaca NY | Rental Units Ithaca NY | Ithaca Apartments For Rent

Non-Student Application to Rent

Each Individual Occupant Who is Responsible for Rent Payment MUST Complete a Separate Application Form

Personal Information

Name

First

Middle

Last

Social Security Number

Date of Birth

Driver's License Number *

Phone *

Present Address

City

State/Province

Zip/Postal

Country

Length of time at residence

State Reason for Moving

Landlord's Name

Landlord's Phone

Previous Home Address

City

State/Province

Zip/Postal

Country

Length of time

State reason for moving

Landlord Name

Landlord Phone

Proposed Occupants

Describe each and every person who will occupy the premises

Will you have any pets?

Yes

Will you have any liquid filled furniture?

Yes

Employment Financial Information:

Present Occupation

Employer Name

How long with employer?

Employer Phone

Employer Address

Name of Supervisor

Prior Occupation

Employer Name

How long with prior employer?

Phone

Employer Address

Name of Supervisor

Current Gross Income

Gross Income Per

Week

Month

Year

Name of your bank

Brand address

Checkboxes

Checking

Savings

Account Number

Please list ALL of your Financial Obligations

Name of Creditor

Address

Phone

Monthly Payment Amount

Name of Creditor

Address

Phone

Monthly Payment Amount

Name of Creditor

Address

Phone

Monthly Payment Amount

Emergency Reference Information

In case of emergency, notify:

Address

Phone

Year's known

In case of emergency, notify:

Address

Phone

Year's known

Mother's maiden name

Personal References

Address

Phone

Years known

Personal References

Address

Phone

Year's known

Vehicle Information (Please state exact number of motor vehicles that will be at premises)

Vehicle Make

Model

Year

License Number

Vehicle Make

Model

Year

License Number

Motorcycle (Other vehicles)

Model

Year

License Number

Have you ever filled for bankruptcy, if yes please describe:

Have you ever been evicted or asked to move, if yes please describe:

Applicant Authorization

Applicant represents that all the above statements are true and correct hereby authorize landlord/agent the above items including, but not limited to, the obtaining of a credit report and agrees to furnish additional credit references upon request. Landlord/Agent received payment which will be used to verify Applicant's credit history and other background information. The amount charged is itemized as follows:

1. Actual cost of credit report, including any eviction search, and/or other verifying reports: No charge.
2. Landlord/Agent cost to process and screen applicant's supplied information: No charge.
3. Total Fee charged (not to exceed $30.00 per applicant (California residents only)): No charge unless credit report is needed.

Date

Signature

Please check the box:

Applications

Application Forms:

Non-Student Application to Rent

Personal Information

Proposed Occupants

Employment Financial Information:

Emergency Reference Information

Vehicle Information (Please state exact number of motor vehicles that will be at premises)

Applicant Authorization

Rental Application For Full-Time Students