Page Management

188 Ave. of the Americas

New York, New York 10013

Tel: (212) 219-3990 Fax: (212) 219-8079

Email: Sohorentals@aol.com

APPLICATION FOR APARTMENT RENTAL

Building Address__________________________________

Apartment No.__________________________

Term of Lease___________________

Monthly Rent $_________________Security $______________Prepaid Rent $________________

Applicant's Name___________________________________________

Sex (M) _______(F)________

Spouse Name____________________________________

Age(s) of Children________________

Current Address________________________________________________________

Current Phone # Home (____)____________________________

Office #(____)__________________

Cellular #(____)______________________________

E-Mail Address_________________________

Social Security #__________-__________-_________

 Date of Birth________/________/________

Driver License #____________________________

State of Issue_____________________________

Current Landlord's Name_____________________________________________________________

Landlord's Address___________________________________

Phone (_____)___________________

Current Monthly Rent Paid$_______________

Length of Residency___________________________

Name of Current Employer

(Firm Name)________________________________________________

Address________________________________________Phone(____)_______________Type of Business___________________________________

Position Held______________________

Length of Employment________________________

Annual Base Income $___________________

Other Sources of Income

(Type & Amount)_____________________________________________

Own or Rent Other

Property?_____________Address______________________________________

Are you a U.S. Citizen?_________________ IF NOT, Please Provide the Following Information.....

Country of Citizenship___________________________

Passport #____________________________ Do

You Have a VISA?________ #___________________________ Expiration Date____/___ /____

Do You Have a GREEN CARD?_________#______________________

Exp. Date____/_____/____

Name of Bank______________________Branch_______________Ckg/Svg__________________

Address_________________________________________________________________

In Case of an Emergency, Please Notify (Name)_______________________________________

Address_______________________City/State__________

Phone #(____)______________________

Personal Reference (Name)___________________________________________________________

Address___________________City/State__________________

Phone #(____)______________

Personal Reference

(Name)________________________________________________

Address__________________________________City/State________________

Phone # (____)________________

Business Reference

(Name) ______________________________________________

Address___________________________________City/State_______________

Phone #_________________________________

Business Reference

(Name)_________________________________________________

Address____________________________________City/State_______________

How Did You Learn Of This

Apartment?____________________________________________

IT IS OUR POLICY NOT TO ALLOW PETS IN OUR BUILDINGS! ONCE YOU SIGN THIS APPLICATION, YOU AGREE THAT YOU WILL NOT HAVE ANY PETS IN THE BUILDING.

Applicant certifies and represents that all information and his application is correct, and that, except as explained below, the following are true: that they are not breaking their lease, that they have paid all rent/mortgage payments in the timely manner for the past twelve months, that they have received no notice of eviction or Lease Termination, that they have not filed for bankruptcy within the last five years.  That they are presently financially solvent.  Application is not complete until photo identification is provided to Lessor.

DEPOSIT POLICY

A deposit equivalent to one month’s rent must accompany all rental applications. Two hundred dollars of this amount must be in cash, certified check or money order.  In the event you are not offered the apartment all money will be returned to you promptly.  If the apartment is offered to you and you do not accept this apartment or you withdraw this application, Lessor will retain all deposit moneys as liquidated damages for withdrawing the unit from the rental market.   If you (and your guarantor, where applicable ) do not sign the lease within 24 hours after being notified that your application has been approved, all deposit moneys with be retained as liquidated damages.

I herby authorize the Lessor and Page Management Co., Inc and it’s agents to verify all information I provide, including obtaining a credit report from a credit reporting agency.

Signature___________________________________________________

Date_________________________