Rental Application – Required Information/Documentation 606 West 137th Street 214-218 Prospect Place 47 Clifton Place 251 East 84th Street 92 Gates Avenue 150 St. James Place Please provide the following information for all persons who will be occupying the apartment and for those who will be responsible for paying the rent as well. 1. A $25.00 money order (per applicant) made payable to Nelson Management Group for a full credit report/ background check. 2. A copy of most recent tax returns 3. Four (4) most recent pay stubs 4. Last twelve (12) months cancelled rent checks Other items such as bank statements and letters verifying employment and salary are also helpful. For any questions regarding the above you can contact Nancy Marzano (718) 997-9500 ext. 705. EQUAL HOUSING OPPORTUNITY NELSON MANAGEMENT GROUP LTD. _______________________________________________________ Move in Information Property Description __________________ Rental Building ____________________________ Deposit_____________________ One months rent _____________________Rent _____________________ Contract Length__________________ Move in Date _________________ to be determined______________ Applicant Information First name__________________________________ Last name____________________________________ Social security number________________________ Date of Birth___________________________________ Phone_____________________________________ Cell Phone ____________________________________ License____________________________________ Smoke? ______________________________________ Co-Applicant Information First name__________________________________ Last name____________________________________ Social security number________________________ Date of Birth___________________________________ Phone_____________________________________ Cell Phone ____________________________________ License____________________________________ Smoke? ______________________________________ Additional Occupants Name__________________________________ Relationship _____________________ Age _____________ Name__________________________________ Relationship _____________________ Age _____________ Name__________________________________ Relationship _____________________ Age _____________ Name__________________________________ Relationship _____________________ Age _____________ Name__________________________________ Relationship _____________________ Age _____________ We Do Business in Accordance With the Federal Fair Housing Law (The Fair Housing Amendments Act of 1988) Page 2 of 5 NELSON MANAGEMENT GROUP LTD. _______________________________________________________ Current Address Address_________________________________________________________________________________ City________________________________________State __________________ Zip __________________ Manager__________________________________ Manager Phone _________________________________ Start Date ___________________________________ End Date ____________________________________ Reason for leaving ________________________________________________________________________ Past Rental History Address_________________________________________________________________________________ City________________________________________State __________________ Zip __________________ Manager__________________________________ Manager Phone _________________________________ Start Date ___________________________________ End Date ____________________________________ Reason for leaving ________________________________________________________________________ Employment History Company _______________________________________________________________________________ Manager__________________________________ Manager Phone ________________________________ Employment Length _________________________ Monthly Pay ___________________________________ Co-Applicant Employment History Company _______________________________________________________________________________ Manager__________________________________ Manager Phone ________________________________ Employment Length _________________________ Monthly Pay ___________________________________ We Do Business in Accordance With the Federal Fair Housing Law (The Fair Housing Amendments Act of 1988) Page 3 of 5 NELSON MANAGEMENT GROUP LTD. _______________________________________________________ Additional Income Income source_________________________________ Amount ___________________________________ Verify with? ___________________________________ Phone ___________________________________ Bank Information Bank name ____________________________Account # _______________________ Amount ___________ Bank name ____________________________Account # _______________________ Amount ___________ Bank name ____________________________Account # _______________________ Amount ___________ Bank name ____________________________Account # _______________________ Amount ___________ Personal References Name ____________________________ Relationship ______________________ Phone _______________ Name ____________________________ Relationship ______________________ Phone _______________ Name ____________________________ Relationship ______________________ Phone _______________ Automobile Information Make____________________________ Model_______________________ Plate # _________________ Make____________________________ Model_______________________ Plate # _________________ We Do Business in Accordance With the Federal Fair Housing Law (The Fair Housing Amendments Act of 1988) Page 4 of 5 NELSON MANAGEMENT GROUP LTD. _______________________________________________________ Additional Information Have you ever been convicted of a crime? Describe and Date each one: Have you ever been evicted or declared bankruptcy? Describe and Date each one: ________________________________________________________________________________________ ________________________________________________________________________________________ _______ (initials) I agree to the following statement – I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction. _______ (initials) I agree to the following statement – I understand that the information provided might be used by Landlord to determine whether to accept this application. I authorize Landlord to verify all the information given in this application, including past rental information, personal references and employment information provided. I authorize the Landlord to obtain a current credit and criminal background check. _______ (initials) I agree to the following statement – I understand that this application is not a rental agreement and that this application does not create any obligation on the Landlord. The undersigned represent that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction. Signature__________________________________ Date_______________________ Signature__________________________________ Date_______________________ PETS ARE NOT PERMITTED We Do Business in Accordance With the Federal Fair Housing Law (The Fair Housing Amendments Act of 1988) Storage AND/OR USE OF BBQ’S ARE NOT PERMITTED ON TERRACE Page 5 of 5
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