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Rental Entry Form.
Form Includes:
1) Covid-19 Disclaimer
2) Agency Disclosure
3) Fair Housing Notice
4) Anti-Discrimination Disclosure
5) Rental Specifics
6) Employment information (Optional)
.
Agent at: ERA TOP Service Realty
Office phone: 718-464-5800
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* Indicates required question
Email
*
Your email
Apartment information
REQUIRED FIELDS HAVE A RED ASTERISK * TO THE RIGHT.
PERSONAL INFORMATION:
First Name
*
Your answer
Last Name
*
Your answer
Telephone # - A text might be sent to this number to confirm identity.
*
Your answer
IMPORTANT - AN EMAIL COPY OF THIS FORM WILL BE SENT TO THIS ADDRESS. PLEASE ENTER CORRECT EMAIL ADDRESS.
*
Your answer
Address:
Your answer
CO APPLICANT'S FIRST NAME:
Your answer
CO APPLICANT'S LAST NAME:
Your answer
Telephone #
Your answer
# Of Occupants:
Your answer
Recommended by:
AD:
Sign:
Walked-IN:
Internet:
Other:
Clear selection
I understand documentation proof will be required for all applicants.
*
Confirmed
I understand a background check may be required for applicants to be considered for apartments. It is not required to view the apartment.
*
Confirmed
Your Status
*
Full Time: Complete employment section.
Part Time: Complete employment section.
Section 8: Not working: DO NOT COMPLETE EMPLOYMENT SECTION
Section 8: Working: Complete employment section.
CitiFeps: Not working: DO NOT COMPLETE EMPLOYMENT SECTION
CitiFeps: Working: Complete employment section.
Student:
Other:
Add additional information here. Ex Prefered location. Special requirements such as elevators, Hadicap access.
Your answer
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