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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 #
Rieger Caitlin 086-86-****
BIRTH DATE PHONE #1 ALTERNATE PHONE EMAIL
5/5/1996 (516) 304-0963 Caitlin.rieger@gmail.com
CURRENT ADDRESS
STREET ADDRESS CITY
180 Water St New York
STATE ZIP DATE IN DATE OUT MONTHLY RENT
NY 10038 current $3,150.00 / Mo.
LANDLORD NAME LANDLORD PHONE
Metroloft (212) 706-3030
EMPLOYMENT & INCOME INFORMATION
OCCUPATION EMPLOYER/COMPANY SALARY
Private Equity Associate General Atlantic $140,000.00/Yr.
SUPERVISOR SUPERVISOR PHONE START DATE END DATE
Colleen Hoy current
EMPLOYER ADDRESS CITY STATE ZIP
55 East 52nd St New York NY 10055
EMERGENCY CONTACT
NAME ADDRESS PHONE RELATIONSHIP
Mary Rieger (516) 304-0942 Mother
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
3A We propose an 18 month lease starting September 15 2020 with 4 months free for a net rent of
$5,985. We would like the pay the amortized amount on a monthly basis. We would also like to ask
that the frosted pane window in the interior facing bedroom is replaced with a regular window.
DESIRED MOVE IN DATE: DESIRED LEASE TERM: DESIRED RENT:
9/15/2020 18 Months $5,985.00

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