Page 17 - CE Application - A.Bianco, W. Cooper Ramsey, and J.Zeff

Pixel

Pixel

APPLICATION FOR RENTAL
Notice: All adult applicants (18 years or older) must complete a separate application for rental.
The undersigned hereby makes application to rent an Apartment at Pixel.
APPLICANT INFORMATION
LAST NAME FIRST NAME M.I. SSN DRIVER'S LICENSE #
Ramsey William C. 308-17-****
BIRTH DATE PHONE #1 ALTERNATE PHONE EMAIL
12/17/1995 (317) 627-3829 cooper.ramsey@greyco.com
CURRENT ADDRESS
STREET ADDRESS CITY
342 East 8th Street New York
STATE ZIP DATE IN DATE OUT MONTHLY RENT
NY 10009 current $4,840.00 / Mo.
LANDLORD NAME LANDLORD PHONE
East 8 St LM Madison JV LLC (914) 833-3000
EMPLOYMENT & INCOME INFORMATION
OCCUPATION EMPLOYER/COMPANY SALARY
Production Analyst Greystone & Co. $120,000.00/Yr.
SUPERVISOR SUPERVISOR PHONE START DATE END DATE
Firman Nor current
EMPLOYER ADDRESS CITY STATE ZIP
152 west 57th New York NY 10019
BACKGROUND INFORMATION
Have you ever filed for bankruptcy?
NO
Have you ever willfully or intentionally refused to pay rent when due?
NO
Have you ever been evicted from a tenancy or left owing money? If yes, please provide Property Name, City, State, and Landlord Name.
NO
Have you ever been convicted of a crime? If yes, please provide Type of Offense, County, and State.
NO
ADDITIONAL INFORMATION
AQUARIUM? WATERBED? BOAT? MOTORHOME? MOTORCYCLE? OTHER?
NO NO NO NO NO NO
OTHER INFORMATION
HOW DID YOU HEAR ABOUT THIS PROPERTY?
Unknown
UNIT APPLYING FOR: PLEASE INCLUDE ANY OTHER INFORMATION YOU BELIEVE WOULD HELP TO EVALUATE THIS APPLICATION
CE

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