Rental Application Page 2

Rental Application

* Indicates required field

Name *

First

Last

Present Address (where you currently live) *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Permanent address: *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number at permanent address *

What is your date of birth? *

Where are you interested in renting? *

Do you have roommates for this apartment? *

Yes No Maybe

Including yourself, how many people will be living in this unit? *

Name of roommate #1 *

First

Last

Name of roommate #2 *

First

Last

Name of roommate #3 *

First

Last

Name of roommate #4 *

First

Last

Name of roommate #5 *

First

Last

Name of roommate #6 *

First

Last

Name of roommate #7 *

First

Last

Name of roommate #8 *

First

Last

Name of roommate # 9 *

First

Last

When are you interested in renting? *

Have you ever broken a lease or been evicted from any type of housing? *

Yes No

If yes to the previous question, please explain: *

If you were referred to this apartment by someone, please tell us who. *

How long do you plan on going to SUNY Cobleskill *

What is your major? *

I will be purchasing renter's insurance and will provide proof prior to moving in. (This is for your protection!) *

Yes No

I agree that I have read, understand and agree to the terms of the rental as outlined on the terms page. I also agree that submitting this application grants the landlord permission to obtain a credit check if neccessary. I understand that this application is preliminary and involves no obligation of the owner/landlord to approve this application or to deliver occupancy of the housing unit. I am also under no obligation to rent from the owner/landlord. I also acknowledge that the owner is a Licensed Realtor in New York and Florida. *

Yes No

Submit