VEM REALTY RESIDENTIAL RENTAL APPLICATION
For inquiries about the rental property, please contact VEMRealty at:
Email Address: vemrealty@gmail.com
Phone: (917) 477- 3737
RENTAL PROPERTY
Rental Property Address: __________, __________, NY __________
Date of Availability: Immediate
2020 Application Fee: $25.00
APPLICANT'S PERSONAL INFORMATION Name: _______________________________ Email: _____________________ Address:_______________________________________________ Home Phone: (_________) ______________ Alternative Phone: (_________) ______________ Date of Birth: _________________________
DESIRED MOVE-IN DATE: _________________
CO-APPLICANT’S PERSONAL INFORMATION (if applicable) Name:_____________________ Email: _____________________ Address:____________________________________________________
Current Address: _________________________________________________________________________ How long have you been residing at this address? _________________________________
Monthly Rent: _______________
Landlord's Name: ___________________________________________
Landlord's Contact Number: __________________________________
Reason(s) for leaving this property: ___________________________________________________________________________________ _____________________ __________________________________________________
Previous Residence (If applicable) Previous Address: _________________________________________________________________________
How long did you stay at this address? __________________________________________
Monthly Rent: _____________________
Landlord's Name: __________________________________________
Landlord's Contact Number: __________________________________
Reason(s) for leaving this property: ___________________________________________________________________________________ _____________________ __________________________________________________
Have you ever been evicted from a rental residence? Yes No
Have you missed two or more rental payments in the past 12 months? Yes No
Have you ever refused to pay rent when due? Yes No
If you have answered YES to any of the above, please state your reasons and/or circumstances: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________
EMPLOYMENT DETAILS
I. Current Employment Employment Status: [ ] Full-Time [ ] Part-time [ ] Student [ ] Unemployed [ ] Retired
Current Employer: _________________________________________________________
Supervisor's Name: _______________________________ Phone: ________________
Job Title: _______________________________________ Date Hired: ____________________
Monthly Income:$ _________
Other Sources of Income: ___________________________________________________________________________________ ___________________________________________________________________________________ PROOF OF INCOME
The applicant is required to attach proof of their income to this rental application form. Acceptable documentation includes pay stubs, employer’s letter/certificate, bank statements or copies of the previous year’s tax return.
CREDIT HISTORY AND BACKGROUND CHECK AUTHORIZATION
Have you declared bankruptcy in the past seven (7) years? Yes No
Do you consent to a credit check? Yes No
Is there anything that we may find in our credit check that you want to comment on? ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________
ADDITIONAL INFORMATION
I. PETS
The Landlord does not allow pets in the rental property.
II. SMOKING
The Landlord does not allow smoking of cigarettes in the rental property.
III. WATERBEDS
The Landlord does not allow the use of waterbeds on the premises.
I declare that the information I have provided is true and correct, and contain no misrepresentations. If misrepresentations are found after a residential lease agreement is entered into between the Landlord and Applicant, the Landlord shall have the option to terminate the residential lease agreement and seek all available remedies. The Applicant authorizes the Landlord to verify all references and facts, including but not limited to current and previous landlords, employers and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing or may result in the denial of application.
Applicant's Signature ______________________ Date ___________
Co-Applicant's Signature ______________________ Date ___________