Gate House Realty Rental Application



		Please print this application for all residential rentals.Once completed and signed, fax to the number below. Gate House Realty 492 Main Street, Beacon, NY 12508 Phone 845-831-9550 Fax 845-831-9552 www.gatehouserealty.com Rental Application Apartment Address__________________________________________________ Date you need Length of lease to Move in_________________________ Requested ______________________ Name__________________________________________________________________ Current Address_____________________________________________________ City _____________________________________State_________ Zip__________ Home Phone_______________________ Work Phone _____________________ Cell Phone___________________________________________________________ Email Address________________________________________________________ Date of Birth______________________ Social Security_________________ Name (spouse/roommate)____________________________________________ Current Address_____________________________________________________ City _____________________________________State_________ Zip__________ Home Phone______________________ Work Phone______________________ Cell Phone___________________________________________________________ Date of Birth_______________________ Social Security________________ Email Address________________________________________________________ Do you have any pets? ______ Dog(s)____________Cat(s)______________ Type____________________________________ Age(s)________________________ Name of present landlord___________________________________________ Contact number______________________________________________________ How long have you lived at this address____________________________ Name of previous landlord_________________________________________ Contact number _____________________________________________________ Why are you moving?_________________________________________________ Please complete both sides of this application! Business Verification Present Employer______________________________________________ Phone___________________________ Address___________________________ Position/Title________________________ Time Employed____________ Net Monthly Income______________________________________________ Present Employer (spouse/roommate)___________________________ Phone__________________________ Address___________________________ Position/Title________________________ Time Employed____________ Net Monthly Income________________________________________________ Personal References Name_________________________________ Phone_____________________ Relationship__________________________________________________ Name_________________________________ Phone_______________________ Relationship____________________________________________________ Professional References (no relations, please) Name_________________________________ Phone____________________ Relationship____________________________________________________ Name_________________________________ Phone___________________ Relationship_____________________________________________________ Person to notify in case of an emergency ___________________________________________________________________ ___________________________________________________________________ I, the undersigned, do hereby certify the facts set forth in the above inquiry are true and accurate. I authorize you to contact my prior landlord and check all additional references provided in this form. I also authorize you verify my financial and credit record for which a $30.00(cash) fee per applicant is paid to Gate House Realty. Prospective Tenant_______________________________________ Date____________ Prospective Tenant_______________________________________ Date____________ Applicant agrees to give a $200 (cash or Certified Check) NON-REFUNDABLE deposit with a completed application. This deposit ensures that the apartment will not be rented to anyone else who may be inquiring while the owner is drawing up leases. Once leases are received by us you will have two days to execute them. Failure to execute these leases within two days will result in a forfeiture of your deposit. If you execute the leases, your $200 deposit will be applied to the first month’s rent. If you do not meet the Landlord’s screening criteria and your application is denied, you will receive a refund of $200. Prospective Tenant_______________________________________ Date____________ Prospective Tenant_______________________________________ Date____________ Real Estate Websites by Advanced Access © 1998-2010