FORT PIKE COMMONS

APARTMENTS

SACKETS HARBOR

“A Beautiful Place To Live”

(315) 646-2400

Style SF Mo. Rate Sec.Dep

1B/1B 821 $895 $750

1B/1BFurnished 821 $1150 $750

2B/1BFurnished 840 $1250 $750

2B/1B 840 $950 $750

2B/1B 1,044 $1095 $750

2B/1.5B TH 1,280 $1105 $750

Specials:

No application/credit check fee

*Most apartments have washer/dryers

*Public Laundromat nearby

*Rental amount includes trash/water/sewer

DIRECTV/basic internet, snow removal & landscaping services

*Most pets ok with $25 monthly pet fee ($25 per pet per month)

*Additional security deposit of $300 per adult pet & $500 per pet under the age of one

*Maximum two pets per household

*Seasonal Pool

* On-Site Fitness Center

*Contact rental agent regarding our furnished apts.

Website: www.fortpikecommons.com

Appointments Available Eves and Weekends for Tours

APPLICATION AND MOVE-IN REQUIRMENTS/INFORMATION

FORT PIKE COMMONS APARTMENTS

Physical address: 133 General Grant Circle

Sackets Harbor, NY 13685

M/A: P.O Box 338

Sackets Harbor, NY 13685

Phone: 315 646-2400

Fax: 315 646-2332

e-mail:

Website: www.fortpikecommons.com

APPLICATION REQUIREMENTS:

1.  Application completed in full on both sides, signed and dated.

2.  Copy of picture ID, copy of social security card, and paystub.

3.  Employer Verification form and Consumer Report Release form completed signed and dated for each applicant. If military, need copy of L.E.S. statement for each applicant.

4.  PLEASE NOTE PET POLICY:

A.  ALL PETS MUST BE PRE-APPROVED BY MANAGEMENT

B.  Most pets are welcome; sorry, no aggressive breeds

APPLICATION AND MOVE-IN REQUIREMENTS/INFORMATION

MOVE-IN REQUIREMENTS/INFORMATION:

1. Lease signed and dated by all applicants prior to move-in.

2. W-9 Form completed with social security number, signed and dated. This allows us to set up a bank account for your security deposit.

3. Rent and Security Deposit payments:

A. Two (2) separate checks, cashiers checks or money orders payable to Fort Pike Commons Apartments. One will be for rent and one will be used for your security deposit(s).

4. Copy of renter’s insurance naming Fort Pike Commons Apartments as an additional insured.

5. Contact NATIONAL GRID to establish electric service prior to your move-in date. NATIONAL GRID phone#: 800 642-4272

6. Pool Waiver & Fitness Center Rules and Military Waiver (if applicable) completed, signed and dated by each applicant.

7. Pet(s) must be pre-approved by Fort Pike management; Pet Addendum must be signed and dated by each applicant. In addition, the following is required prior to moving in:

A. Proof of spay/neuter and all vaccination records

B. Photos of pet(s) provided for identification purposes

C. Pay $300.00 additional security deposit for each adult pet (2 pets maximum) or $500.00 for each pet under (1) one year of age.

D. Pay $25.00 monthly additional rent per pet.

Ed. 3/17


TWO BEDROOM RANCH

TWO BEDROOM TOWNHOUSE

TWO BEDROOM UPSTAIRS

ONE BEDROOM


FORT PIKE COMMONS, LLC APPLICATION TO LEASE

133 General Grant Circle

P.O. Box 338

Sackets Harbor, New York 13685

Phone: 315-646-2400

Fax: 315-646-2332

We are an equal housing opportunity provider. We do not discriminate on the basis of race, color, religion, sex, family status, national origin or handicap

PRIMARY RESIDENT: (All Questions Must Be Answered)

NAME: ______SS#: ______DOB: ______

HOME PHONE #:______CELL #: ______EMAIL ADDRESS: ______

CURRENT ADDRESS: ______CITY: ______STATE: ______ZIP: ______

(excluding deployment or hotel)

OWN  RENT OTHER: ______MONTHLY PMT: ______

DATE MOVED IN: DATE MOVED OUT:

LANDLORD: ______LANDLORD PHONE: ______REASON FOR LEAVING: ______

PREVIOUS ADDRESS: ______CITY: ______STATE: ______ZIP: ______

OWN  RENT  OTHER: ______MONTHLY PMT: ______

DATE MOVED IN: DATE MOVED OUT:

LANDLORD: ______LANDLORD PHONE: ______REASON FOR LEAVING: ______

PREVIOUS ADDRESS: ______CITY: ______STATE: ______ZIP: ______

OWN  RENT OTHER: ______MONTHLY PMT: ______

DATE MOVED IN: DATE MOVED OUT:

LANDLORD: ______LANDLORD PHONE: ______REASON FOR LEAVING: ______

EMPLOYER: ______OCCUPATION:______

CITY: ______STATE: ______ZIP: ______WORK PHONE: ______

DATE STARTED: DATE ENDED:

SALARY $______weekly / bi-weekly / annual OTHER INCOME $______SOURCE ______

PREVIOUS EMPLOYER: ______OCCUPATION: ______

CITY: ______STATE: ______ZIP: ______WORK PHONE: ______

DATE STARTED: DATE ENDED:

SALARY $______weekly / bi-weekly / annual OTHER INCOME $______SOURCE ______

CO-APPLICANT:

NAME: ______SS#: ______DOB: ______

HOME PHONE #:______CELL #: ______EMAIL ADDRESS: ______

CURRENT ADDRESS: ______CITY: ______STATE: ______ZIP: ______

(excluding deployment or hotel)

OWN  RENT OTHER: ______MONTHLY PMT: ______

DATE MOVED IN: DATE MOVED OUT:

LANDLORD: ______LANDLORD PHONE: ______REASON FOR LEAVING: ______

PREVIOUS ADDRESS: ______CITY: ______STATE: ______ZIP: ______

OWN  RENT  OTHER: ______MONTHLY PMT: ______

DATE MOVED IN: DATE MOVED OUT:

LANDLORD: ______LANDLORD PHONE: ______REASON FOR LEAVING: ______

PREVIOUS ADDRESS: ______CITY: ______STATE: ______ZIP: ______

OWN  RENT  OTHER: ______MONTHLY PMT: ______

DATE MOVED IN: DATE MOVED OUT:

LANDLORD: ______LANDLORD PHONE: ______REASON FOR LEAVING: ______

EMPLOYER: ______OCCUPATION:______WORK PHONE: ______

CITY: ______STATE: ______ZIP: ______

DATE STARTED: DATE ENDED:

SALARY $______weekly / bi-weekly / annual OTHER INCOME $______SOURCE ______

PREVIOUS EMPLOYER: ______OCCUPATION: ______WORK PHONE: ______

CITY: ______STATE: ______ZIP: ______

DATE STARTED: DATE ENDED:

SALARY $______weekly / bi-weekly / annual OTHER INCOME $______SOURCE ______

PERSONS WHO WILL OCCUPY APARTMENT

NAME: OVER 18? YES NO 

NAME: OVER 18? YES  NO 

NAME: OVER 18? YES NO 

NAME: OVER 18? YES  NO 

NAME: OVER 18? YES NO 

NAME: OVER 18? YES  NO 

Referred By:

Is any occupant on or applying for housing assistance? YES NO

If yes, agency?______

Does any occupant own waterbed? YES NO 

Do you own a pet? YES NO  Type______Weight ______

Have you ever been convicted of a felony? YES NO

If yes, what? ______

Have you or any occupant ever been evicted or asked to move? YES NO 

If yes, explain

TENANT VEHICLE INFORMATION

MAKE ______MODEL ______YEAR ______COLOR ______PLATE # ______

MAKE ______MODEL ______YEAR ______COLOR ______PLATE # ______

IN CASE OF EMERGENCY PLEASE NOTIFY

NAME RELATIONSHIP ______

ADDRESS: ______CITY: ______STATE: ______ZIP: ______

PHONE# CELL#

CREDIT IFORMATION (List credit cards, loans, and other monthly payments)

Name ______Balance ______MONTHLY PMT______

Name ______Balance ______MONTHLY PMT______

BANK INFORMATION

CHECKING YES NO BANK NAME______BRANCH______

SAVINGS YES NO  BANK NAME______BRANCH______

PERSONAL REFERENCES

NAME ______RELATIONSHIP ______PHONE______

NAME ______RELATIONSHIP ______PHONE______

GUARANTOR

If a guarantor is required, do you have a qualified and willing person residing in the State of New York available to guarantee the

lease? YES NO 

NAME RELATIONSHIP ______

ADDRESS: ______CITY: ______STATE: ______ZIP: ______

PHONE# SOCIAL SECURITY #

My signature below serves as permission for FPC to verify the accuracy of all statements in this application, and to obtain present and previous

landlord references, income and employment verification and credit history for applicant, co-applicant and guarantor. Applicant attests that all information on this application is correct and complete. The undersigned makes the foregoing representation knowing that if any such information proves false, the management may cancel any lease given in reliance upon such information at any time.

The deposit agreement on the bottom of this form is an integral part of this application and must be signed.

APPLICANT ______DATE ______

CO-APPLICANT ______DATE ______

DEPOSIT AGREEMENT

1. The acceptance of this Application and/or a deposit does not constitute an approval of the application, or an agreement to lease, or a lease on the part of the Landlord, if the Landlord does not approve this application, the sum deposited shall be returned to the applicant, less any application fee paid.

2. Applicant has the right to cancel this application within forty-eight (48) hours of the signing of this application. If Applicant cancels this application within the forty-eight hour period, a handling fee of $50 will be charged to the Applicant for the paperwork rental and office expense involved in the processing of the application If Applicant cancels this application after the forty-eight hour grace period, and prior to the signing of a lease agreement, Applicant agrees that the full deposit received along with this application will be retained for liquidated damages and payment of the cancellation. In consideration for payment of this sum, the Landlord agrees to completely release the Applicant from this application agreement.

3. In the event the Applicant has indicated to the Landlord on this application that the Applicant will provide a guarantor residing in New York

State and the Landlord requests the Applicant to provide such guarantor, the Applicant will supply a guarantor within three (3) days of the receipt of such request. The Applicant expressly acknowledges that in the event that the Applicant does not supply a guarantor upon request, the deposit received as part of this application will be retained for liquidated damages and the release from this application.

4. If the Applicant does not return the signed lease within seventy-two (72) hours from written request by the Landlord, this application, at the

Landlord’s option may be considered null and void. In such event, the Landlord will retain the deposit as part of liquidated damages.

5. If the Landlord accepts this application to lease, this application shall be deemed a part of the lease.

SIGNATURE OF THE APPLICANT______

SIGNATURE OF THE CO-APPLICANT______

Dated______AT______am/pm

Fort Pike Commons Apartments

133 General Grant Circle

Sackets Harbor, New York 13685

315-646-2400

Fax: 315-646-2332

"I hereby authorize Fort Pike Commons, LLC to obtain a consumer report, and any other

information it deems necessary, for the purpose of evaluating my application. I

understand that such information may include, but its not limited to, credit history, civil

and criminal information, records of arrest, rental history, employment/salary details,

vehicle records, licensing records, and/or any other necessary information. I hereby

expressly release Fort Pike Commons LLC, and any other procurer or furnisher of such

information, and understand that my application information may be provided to various

local, state and/or federal government agencies, including without limitation, various law

enforcement agencies."

Social Security Number ______

Applicant/Guarantor Name ______

Previous Address ______

______

Signature______


Fort Pike Commons, LLC

133 General Grant Circle

P.O. Box 338

Sackets Harbor, New York 3685

Phone: 315-646-2400 Fax: 315-646-2332

Applicant name______Applicant SS#______

Applicant current address: ______

I authorize my employer listed below to release the following employment information requested on this form as part of my rental application verification for Fort Pike Commons LLC.

Applicant authorization signature______Date: ______

Employer ______Contact person ______
Address ______Phone number ______
City/State/Zip Code ______
Date of hire ______How long employed ______
Rate$______Hourly Weekly Monthly Annually
Average weekly hours worked ______Full-time Part-time
Position ______
Are there any garnishments against the employee’s wages? Yes No
Is the employee in good standing? Yes No Extended employment expected? Yes No
Any comments you would like to add: ______

Name of person supplying information ______Title ______

Phone number ______Date ______


Fort Pike Commons Apartments

133 General Grant Circle

P.O. Box 338

Sackets Harbor, NY 13685

Phone: 315-646-2400

Fax: 315-646-2332

Military ID Information

Name:

DOD ID #/S.S. #:

Birthday:

Expiration Date:

Unit Command Information

Unit/Brigade:

Commanding Officer Name:

Commanding Officer Phone #: