APPLICANT’S COVER SHEET Property: Vanderbilt Mews Unit:___________ Agent Name and Phone Number:______________________________________________________ Deposit Amount:_________________________ Credit Check:
Applicant ($50)
Guarantor ($50)
MOVE IN DATE Please fill out all attached information completely and fax forms to our office at 718-599-2985. Client Information _____Photo ID _____Completed Application
Guarantor Information (if applicable) _____Guarantor Credit Authorization _____Guarantor’s form filled out and notarized _____Guarantor’s tax from the previous year
Proof of Income: Please collect the following documents and fax them to our office at 718-599-2985 as soon as possible. _____Letter of employment (on company letterhead, stating position, salary, and length of employment) _____Tax returns and/or W2/1099 form(s) for the previous year _____Three current pay stubs _____Three current bank/money market/investment acct. statements _____Letter from current landlord, copies of rent receipts, or cancelled rent checks _____Any additional proof of income, trusts, assets, etc. _____Three personal references (co-ops ONLY)
ALL PAYMENTS MUST BE CERTIFIED CHECKS, BANK CHECKS, MONEY ORDERS, OR CASH $_________First Month Rent Payable to: $_________Last Month Rent Payable to: $_________Security Deposit Payable to: $_________Broker fee – payable to: Structura Inc.
Structura Inc. Licensed Brokers 99 Berry St. Brooklyn, NY 11211 v 718.599.2981 f 718.599.2985
RENTAL APPLICATION Vanderbilt Mews Lease start date: _________ Length of Lease: _____ yr(s) Monthly Rent: $__________ Agent: _________________ Building Address: _________________________________________________________Apartment No.: ___________ Applicant’s Name:
_____
Home Phone:
________Cell Phone:
Work Phone:_____
_______ Social Security Number:________________________ ______________________
____________
________ _____________________E-mail Address______________________________________
Present Address:___________________________________________________________________________________ Landlord/Owner:
Phone Number:
______________________________
Rent Paid $__________________ Previous Address:__________________________________________________________________________________ Landlord/Owner:
_______
______ Phone Number: ________________________________
Rent Paid $__________________ Employer:_________________________________________________________________________________________ Employer Address:_________________________________________________________________________________ Phone Number:
__________________
Occupation:
Contact person: Salary:
_________________________
___________________ ____________
Previous Employer:_________________________________________________________________________________ Employer Address:_________________________________________________________________________________ Phone Number:
_________________________
Occupation:
Contact person:
___________________
Salary:___________________________________
Bank Name_______________________________________________________________________________________ Charge Accounts (list)_________________________________________________________________ Number of people in the Apartment_____________________________________________________________________ Name of roommate: Name of roommate:
________ ________
Contact number:
___________________
Contact number:
___________________
I hereby warrant, agree and understand that all the above is true and accurate. I hereby agree and understand that Structura Inc., Lic. Real Estate Brokers is entitled to a commission if I or any of my friends, family, roommates, or prospective roommates signs a lease on one of the above referenced apartments. This commission is to be paid to Structura Inc. on or before lease signing. I, the prospective tenant, agree to rent the above referenced apartments only through Structura Inc. Failure to do so will render a penalty equal to 15% of the annual rent of said apartment; in addition I will be responsible for any related legal fees and interest. A fax or photocopy of this application will be acceptable in a court of law.
Structura Inc. Licensed Brokers 99 Berry St. Brooklyn, NY 11211 v 718.599.2981 f 718.599.2985
CREDIT REPORT AUTHORIZATION PLEASE PRINT
Today’s Date: Applicant’s Name: Address: City:
State:
Zip:
Day:
Year:
Previous Address: Social Security Number: Date of Birth: Month: Current Employer: Employer’s Address :
I (print), report whereby third parties may be contacted
, give full authorization for an investigative to report on my character, general reputation,
personal characteristics, mode of living, salary-income, court reports, consumer credit and bankingfinancial practices. I authorize Banks, Financial Institutions, Landlords, Business Associates, Credit Bureaus, Attorneys, Accountants and other persons or institutions with whom I am acquainted to furnish any and all information regarding me. I agree to pay a one-time, non-refundable processing fee of $50.00.
Signature
Date
Structura Inc. Licensed Brokers 99 Berry St. Brooklyn, NY 11211 v 718.599.2981 f 718.599.2985
BROKER FEE AGREEMENT Name: ___________________________________________________________________________ Social Security Number: _____________________________________________________________ Address: _________________________________________________________________________ City: _________________________________ State: ________ Zip: __________________________ E-mail: __________________________________________________________________________ On ____/____/_____, I, ________________________________________________________, Month
Day
Year
First
Middle
Last
was shown unit _______at_____________________________________________________ by ____________________________________________________, a licensed real estate salesperson with Structura Inc. I acknowledge that I have used Structura Inc., licensed real estate brokers, to lease the above referenced apartment. I agree to pay the real estate broker’s fee of $_________________, payable to Structura Inc.. (certified check, money order, cash, or credit card) on or before lease signing. All payments are non-refundable once the lease has been executed or if I do not show up for the lease signing. I understand that my deposit for the abovementioned property is refundable if the landlord/management company rejects my application. If, however, I choose to back out of the deal, fail to submit my application, all financial paperwork, and/or fail to produce a suitable guarantor, I understand that the deposit is non-refundable. Additionally, I realize that the deposit is NOT an escrow deposit, but a deposit towards services rendered. In the event of forfeiture, I agree to indemnify and hold harmless Structura Inc.., and/or any of its agents, representatives, officers, and employees, and not seek any further remuneration in this matter. I hereby agree and understand that Structura Inc.. is entitled to a commission if I or any of my friends, family, roommates, or prospective roommates signs a lease on one of the above referenced apartments. This commission is to be paid to Structura Inc.. on or before lease signing. I, the prospective tenant, agree to rent the above referenced apartment only through Structura Inc.. Failure to do so will render a penalty equal to 15% of the annual rent of said apartment as well as any related legal fees and interest. A fax or photocopy of this agreement will be acceptable in a court of law.
I acknowledge that I understand and agree to the above terms and conditions, and warrant that all of the above is true and accurate.
____________________________________________________
____/____/_____
Signature
Date
Structura Inc. Licensed Brokers 99 Berry St. Brooklyn, NY 11211 v 718.599.2981 f 718.599.2985