Apartment Application Dear Prospective Tenant: Thank you for your interest in renting an apartment from ET-AL Management. This is a Lease Application. Please complete all questions and submit all documents as requested. If you have any questions or if you are having technical difficulties filling out the application online please feel free to contact the office at 914-793-5610 M-F between the hours of 9AM – 5PM and someone will do their best to assist you. Any individual over the age of 18 must have their credit run at the cost of $20 per applicant.NO DOGS ALLOWED (Initial Here)*Building*Choose a Building260 South Broadway44 North Broadway727 Bronx River Rd.Armonk SquareJeffrey Park ApartmentsApartment Size* Studio One Bedroom Junior 4 2 Bedroom 3 Bedroom Lease Commencing Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Apartment Budget $*Tentative Occupancy Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Lease Ending Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920PER LEASE, 90% CARPETING MUST BE INSTALLED PRIOR TO MOVING IN (Initial Here)*ApplicantApplicant's Name* First Last SSN* DOB*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Present Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Telephone #*Cell #*Other Occupants*Current Landlord's Name* First Last Current Landlord's Telephone #*Current Applicant's Employer* Position* Business Phone*Fax #*Contact Person* First Last Length of Employment* Annual Income*Co-Applicant/Guarantor *To be considered eligible, a Guarantor must have a primary residence in New York State as out of state guarantors are not accepted.Name* First Last SSN* DOB*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone #*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Co-Applicant's Employer* Position* Business Phone*Fax #*Contact Person* First Last Length of Employment* Annual Income*Consent* I agreeIn connection with my application for this apartment, I authorize all banks, corporations, companies, credit agencies, accountants, persons and employers to release any information that they have about me to the Landlord or its agency and I release them from any and all liability or responsibility for doing so. Landlord will NOT be obtaining landlord tenant court records. Further, I authorize the procurement of any investigative consumer report and understand that such a report may contain information about my background, character, and personal reputation. I understand that this notice will also apply to future update reports that may be requested. I understand that any misrepresentation by me may be cause for rejection by Landlord.Please Initial*Applicant has been offered a (1) or (2) Year Lease and Has Choosen:* (1) One Year Lease (2) Two Year Lease (Initial Here)*NO DOGS ALLOWED (Initial Here)*Applicant's Signature*Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Co-Applicant's Signature*Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920It is further understood and agreed that this application is subject to acceptance or rejection at any time by Landlord, at its discretion, and that the applicant has no rights until a lease is signed by applicant and Landlord in accordance with the terms herein. Applicant affirms that he or she is over the age of 18.AutomobileMake* Year*Plate #* State* AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Driver's License #* Driver's License State* AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State If I rent the apartment listed above that you have shown me, I agree to pay commission of 1.5 month’s rent to Bellagio Realty LLC Landlord’s Agent. The principal may have or in the future gain an ownership interest in the property either through a trust, potential inheritance or direct/indirect ownership. I warrant that all statements are true and correct to the best of my knowledge. In considering this application from you, we will rely heavily on the information which you have supplied; inaccurate or incorrect information will affect your approval. This application is subject to the final approval of the Landlord or managing agent. By signing this application, you authorize us to obtain any credit information through Experian Credit Solutions and agree to the above terms and conditions.Signed*Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Signed*Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920THE PAYMENT OF THE FIRST MONTH’S RENT, ONE MONTH’S SECURTIY, AND BROKERAGE’S FEE, IS DUE AT THE SIGNING OF THIS LEASE. THERE ARE NO OTHER FEES DUE AT LEASE SIGNING. ANY OTHER DEMAND MUST BE REPORTED IMMEDIATELY TO THE MANAGEMENT OFFICE AT 914-793-5610.*This authorization is valid for up to Two Years after applicant/tenant vacates apartment. Please Initial**This application has been updated to be in compliance with The Housing Stability & Tenant Protection Act of 2019. Specifically, on December 2, 2020, New York State enacted a law, a new provision of the Human Rights Law, requiring housing providers, such as cooperatives, to provide existing and new Tenants with notice of their right to request a Reasonable Accommodation/Modification if they have a disability (the “Notice”). The full legal requirements are in Human Rights Law § 296.2-b and § 296.18-a. The law became effective as of and on March 2, 2021. The New York State Human Rights Law requires housing providers to make reasonable accommodations or modifications to a building or living space to meet the needs of people with disabilities. For example, if you have a physical, mental, or medical impairment, you can ask your housing provider to make the common areas of your building accessible, or to change certain policies to meet your needs. To request a reasonable accommodation, you should contact your property manager by calling 914-793-5610 or by e-mailing etalmgmt@zemorealestate.com You will need to show your housing provider that you have a disability or health problem that interferes with your use of housing, and that your request for accommodation may be necessary to provide you equal access and opportunity to use and enjoy your housing or the amenities and services normally offered by your housing provider.I have read and acknowledge the Human Right Notice Information above*Please attach the required documents that are needed with your application. FAILURE TO SUBMIT ALL NECESSARY DOCUMENATION WILL RESULT IN APPLICATION BEING MARKED INCOMPLETE. INCOMPLETE APPLICATION WILL NOT BE REVIEWEDW-2 Form*Accepted file types: jpg, png, pdf, doc, jpeg, Max. file size: 5 MB.Government Photo Identification*Accepted file types: jpg, png, pdf, doc, jpeg, Max. file size: 5 MB.Last Two Pay Stubs* Drop files here or Select files Accepted file types: jpg, png, pdf, doc, jpeg, Max. file size: 5 MB. Letter From Current Employer Confirming Your Job Title, Salary & Start Date*Accepted file types: jpg, png, pdf, doc, jpeg, Max. file size: 5 MB.Letter From Current Landlord Confirming Status As Tenant & Ledger Setting Forth Rental History Including (Dates & Rent Payments) Throughout The Duration of the Tenancy*Accepted file types: jpg, png, pdf, doc, jpeg, Max. file size: 5 MB.