Page 37 - 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 #
Zeff John 524-99-****
BIRTH DATE PHONE #1 ALTERNATE PHONE EMAIL
5/30/1996 (415) 302-9046 johnnyzeff@gmail.com
CURRENT ADDRESS
STREET ADDRESS CITY
342 East 8th street New York
STATE ZIP DATE IN DATE OUT MONTHLY RENT
NY 10009 current $4,848.00 / Mo.
LANDLORD NAME LANDLORD PHONE
East 8th St LM Madison JV LLC (914) 833-3000
EMPLOYMENT & INCOME INFORMATION
OCCUPATION EMPLOYER/COMPANY SALARY
Unemployed NA $0.00/Yr.
SUPERVISOR SUPERVISOR PHONE START DATE END DATE
NA current
EMPLOYER ADDRESS CITY STATE ZIP
NA NA NA NA
OTHER INCOME DESCRIPTION MONTHLY INCOME
Investment $100,000.00/Yr.
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?
Email
UNIT APPLYING FOR: PLEASE INCLUDE ANY OTHER INFORMATION YOU BELIEVE WOULD HELP TO EVALUATE THIS APPLICATION

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