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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 #
Boyan Alessandra 229-75-****
BIRTH DATE PHONE #1 ALTERNATE PHONE EMAIL
1/28/1996 (301) 767-6613 akboyan@gmail.com
CURRENT ADDRESS
STREET ADDRESS CITY
247 East 28th Street New York
STATE ZIP DATE IN DATE OUT MONTHLY RENT
NY 10016 current $5,800.00 / Mo.
LANDLORD NAME LANDLORD PHONE
Starpointe Management (646) 490-6933
EMPLOYMENT & INCOME INFORMATION
OCCUPATION EMPLOYER/COMPANY SALARY
Associate Hodges Ward Elliott $115,000.00/Yr.
SUPERVISOR SUPERVISOR PHONE START DATE END DATE
Michelle Rayzman (212) 763-6621 current
EMPLOYER ADDRESS CITY STATE ZIP
1140 6th Avenue New York NY 10036
EMERGENCY CONTACT
NAME ADDRESS PHONE RELATIONSHIP
Sara Boyan 8400 Comanche Ct, Bethesda, MD 20817 (301) 367-1448 Mom
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
APPLICANT INFORMATION
LAST NAME FIRST NAME M.I. SSN DRIVER'S LICENSE #
Koskovolis Nicole 058-86-****
BIRTH DATE PHONE #1 ALTERNATE PHONE EMAIL
8/14/1996 (516) 673-6993 nicolekosko@gmail.com
CURRENT ADDRESS
STREET ADDRESS CITY
155 East 31st St. New York
STATE ZIP DATE IN DATE OUT MONTHLY RENT
NY 10016 current $1,750.00 / Mo.
LANDLORD NAME LANDLORD PHONE
Windsor Court, Ogden CAP Properties (212) 213-4580

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