Main Street, L.I. Properties
Residency Application
Community Name: ______________________________
Apt. # _______________ Move-in Date __________________
Lease Dates: __________________ to ____________________
Monthly Rent: $_____________ Monthly Fees $____________
Specials: _______________________ $____________
Leasing Consultant: _______________ $____________
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APPLICANT #1 ____ Resident / Leaseholder ____ CoSignor / Guarantor
Name __________________________________________________________
Address ________________________________________________________
City __________________________________ State _______ Zip _________
Phone # (Home) ______________________ Work _____________________
Social Security # ___________________ Date of Birth _________________
E-mail _________________________________________________________
May we contact you through e-mail? Yes No
Previous Address: ________________________________________________
City __________________________________ State _______ Zip _________
Employed by: ___________________________________________________
Position / Title __________________________________________________
Salary $________________ / monthly or $_________________ / yearly
Supervisor Name ________________________________________________
Supervisor Phone ________________________________________________
Other Income (Amount / Source) $ ______________/____________________
EMERGENCY CONTACT INFORMATION (Resident / Leaseholders Only)
Name _________________________________Relationship ______________
Phone # (Day) ____________________ (Evening) ______________________
Address ________________________________________________________
City __________________________________ State _______ Zip _________
APPLICANT #2 ____ Resident / Leaseholder ____ CoSignor / Guarantor
Name __________________________________________________________
Address ________________________________________________________
City __________________________________ State _______ Zip _________
Phone # (Home) ______________________ Work _____________________
Social Security # ___________________ Date of Birth _________________
E-mail _________________________________________________________
May we contact you through e-mail? Yes No
Previous Address: ________________________________________________
City __________________________________ State _______ Zip _________
Employed by: ___________________________________________________
Position / Title __________________________________________________
Salary $________________ / monthly or $_________________ / yearly
Supervisor Name ________________________________________________
Supervisor Phone ________________________________________________
Other Income (Amount / Source) $ ______________/____________________
EMERGENCY CONTACT INFORMATION (Resident / Leaseholders Only)
Name _________________________________Relationship ______________
Phone # (Day) ____________________ (Evening) ______________________
Address ________________________________________________________
City __________________________________ State _______ Zip _________
List all other occupants, including children. (All occupants aged 18 years or older must be listed as a Resident/ Leaseholder and must sign the application.)
_________________________________________________________ _________________________________________________________
_________________________________________________________ _________________________________________________________
I hereby remit $___________ as my promise to execute a lease to be distributed as follows. In consideration of this, Main Street LI LLC agrees to reserve Unit #_______ until ________________, 2008.
Non-refundable Fees Due Now Deposits Now Due
$_________ for ______________ $__________ for _______________
$_________ for ______________ $__________ for _______________
$_________ for ______________ $__________ for _______________
Total Fees Due Now $_________ Total Deposits Due Now $________
In the event that I choose not to enter into the lease agreement, I shall waiver all rights and forfeit $_____________
If the application is declined, $____________ will be retained by Main Street LI Properties for administrative costs.
PET INFORMATION: Do you have a pet? Yes No (Pets are accepted only with the consent of this property)
Pet Type ______________ Breed ___________________ Weight _________ Name _______________________ Color ________ Pet Type ______________ Breed ___________________ Weight _________ Name _______________________ Color ________
If this application is accepted. I shall pay the following standard refundable security deposits and non-refundable fees and enter into a lease agreement prior to the established move-in date.
Non-refundable Fees Due by ________/08 Deposits Due by ___________/08
$_________ for ________________ $_________ for _______________
$_________ for ________________ $_________ for _______________
$_________ for ________________ $_________ for _______________
Total Non-refundable Fees Due by Total Deposits Due by
_________/08 $_____________ _________/08 $_____________
In addition, I agree to pay any required additional security deposit and required additional non-refundable fees in order to meet the conditions of approval if this application is approved with conditions.
I consent to allow Main Street L.I. Properties, through it’s agent and employees, to obtain and verify my credit information, criminal history, investigative consumer report, consumer report, employment, income and landlord references, for any purpose, including determining whether or not to lease an apartment to me. I understand that should I lease an apartment, Main Street L.I. Properties shall have a continuing right to review these items, in addition to my residency application, payment history for account review purposes and for improving application methods. Main L.I. Properties may obtain information from any source and may exchange credit information with consumer reporting agencies.
I also affirm that all information in this application is true and complete. I make this representation knowing that if any such information proves false, Main Street L.I. Properties may cancel and annul any lease given in reliance upon such information.
Signature ________________________________________________________________ Date ______________________
Signature ________________________________________________________________ Date ______________________
APPROVED. DECLINED.
DECLINED. $_____________ TOTAL REQUIRED DEPOSIT __________ INITIALS _____________ DATE
__________ INITIALS _____________ DATE $_____________ TOTAL REQUIRED NON-REFUNDABLE FEES (ATTACH ALL VERIFICATIONS AND SAFERENT DECISIONS)
APPROVED WITH CONDITIONS APPROVED WITH CO-SIGNER APPROVED THROUGH
APPROVED WITH CO-SIGNER APPROVED THROUGH $_____________ TOTAL REQUIRED STANDARD DEPOSIT PLUS SAFERENT
$_____________ TOTAL REQUIRED ADDITIONAL SECURITY DEPOSIT
