850 Riverside Dr., Johnson City, New York 13790

OFFICE USE

Occupancy Date ______Unit Address ______Rent Amount $______

602 PARTNERS, LLC- RENTAL APPLICATION

PERSONAL INFORMATION:

Name Social Security # Date of Birth Phone/ Cell #

1. ______

______

2. Other Residents/ Children? Yes ___ No___ Name & Ages: ______

3. Have you ever been convicted of/or plead guilty to a crime in NY State or any other state?

Yes or No. (circle one) If yes, list all crimes on the back of application.

Year Make Color Plate# Drivers License #

4. Vehicle #1: ______

Vehicle #2: ______

  1. Desired Date of Occupancy: ______Desired Location: ______
  2. Any Smokers in the household? Yes_____ No_____ Indoors or Outdoors? ______
  3. Any Pets of any kind? Yes___ No___ Type of breed, age & size ______
  4. Where did you hear about our property or who referred you? ______

RESIDENCE HISTORY:

8. Current Address Length of Occupancy? Rent Reason for Leaving?Landlord & Phone#

______Years ___ Months $______

______

  1. Previous Address Length of Occupancy? Rent Reason for Leaving? Landlord & Phone#

______Years ___ Months $______

______

EMPLOYMENT/INCOME INFORMATION:

TENANT CO-TENANT OR CO-SIGNER

  1. Employed by: ______

Employer Address: ______

Supervisor & Phone#: ______

Employment length: Years_____ Months _____Years_____ Months _____

Employees Income: $______Per Week Income: $______Per Week

11. Student: School:______Date of Graduations: ______

12. Other Source of Income: ______

CREDIT REFERENCE:

13. Bank Reference:______Checking Account _____ Savings Account _____

ADDITIONAL INFORMATION:

14. In case of emergency, notify: ______Relationship: ______

Address: ______Phone #: ______

(Application continued on back of this page)

Page #2

602 PARTNERS, LLC- RENTAL APPLICATION

It is agreed by the Applicant, if approved, shall within three days following notification to him/her of such approval, pay the full security deposit equivalent to one month’s rent for the agreed upon apartment. A lease of the apartment applied for must be signed prior to the agreed move in date, and if the Applicant fails to sign such documents as herein provided, his/her application may be regarded by the Lessor as being void and any deposit will be forfeited.

The Applicant agrees at/or before the signing of the lease that he/she (the Lessee) shall pay the first month’s rent. Once applicant is approved for an apartment and deposit is paid, applicant if changing decision to rent unit as agreed will forfeit entire deposit.

It is definitely understood that no smoking, pets or water furniture of any type will be allowed on premises without prior written approval from the Lessor.

By signing, the Applicant recognizes that the owner may investigate the information supplied by the Applicant and a full disclosure of pertinent facts made to the Lessor. Furthermore, the Applicant authorizes the Landlord or his agent to obtain a credit report and criminal background check with regards to the Applicant to assist in the verification of the information provided.

Any admission or conviction of a crime will give the Landlord the option of immediately terminating the lease. Also, any falsification of application, Landlord form, any other document or information, will also give the Landlord the option of terminating the lease.

Applicant Signature: ______Date: ______

Co-Applicant Signature: ______Date: ______

Co-Signer Signature: ______Date: ______

OFFICE INFORMATION:

Date of Application: ______Reviewed by: ______Approved by: ______

Credit Score: ______Rental History ______Work History______

Reasons for Applicant Rental Denial

CREDIT: Poor credit, credit issues, no credit established or judgments on credit report.

RENTAL HISTORY: Poor landlord referral, no referral, no rental history, owes landlord money.

WORK HISTORY: Employment less than one year, unemployed, temp job, part-time job.

GENERAL: Income doesn’t qualify, large pets, general appearance, needs good co-signer

CRIMINAL BACKGROUND CHECK: ______

ADDITIONAL INFO: ______

Voice #: (607) 729-2490 Rental#: (607) 729-2491 Fax #: (607) 729-2492