New York Rental Application
This rental application is designed to comply with New York State laws regarding tenant screening and rental practices. Please fill in the required information accurately.
Applicant Information
- Full Name: ________________________
- Date of Birth: ________________________
- Social Security Number: ________________________
- Phone Number: ________________________
- Email Address: ________________________
- Current Address: ________________________
- City: ________________________
- State: ________________________
- Zip Code: ________________________
Rental History
- Current Landlord's Name: ________________________
- Landlord's Phone Number: ________________________
- Address of Rental Property: ________________________
- Monthly Rent: ________________________
- Duration of Stay: ________________________
- Previous Landlord's Name (if applicable): ________________________
Employment Information
- Current Employer: ________________________
- Employer's Address: ________________________
- Supervisor's Name: ________________________
- Position: ________________________
- Monthly Income: ________________________
References
- Reference Name: ________________________
- Relationship: ________________________
- Phone Number: ________________________
By signing this application, you authorize the landlord to conduct a background check as permitted by New York State law. Please sign below:
Signature: ________________________
Date: ________________________